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Home My WebLink AboutX2019-2159 - Permits010010114111 r-tw"PoNk City of Newport Beach - Building Division s 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 is -4r Inspection Requests Phone (949)644-3255 Combination Type - MFP ELEC MECH PLUM COMB Permit: X2019-2159 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Project No: 1567-2019 Issued Date : 0810712019 Inspection Area : 8 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 403 VISTA SUERTE NB Description: SFR ADD 33 SF (MST. CLOSET) REMODEL 360 SF Legal Desc.: N TR 7148 LOT 16 Owner: BROWN JESSICA Address: 403 VISTA SUERTE NEWPORT BEACH, CA 92660 Phone: Applicant: MAXWELL GARY COLIN Address: 8941 ATLANTA AVE #365 HUNTINGTON BEACH CA 92646 Phone: 949-632-6018 Code Edit: 2016 Type of Construction: V-B-SPR Occupancy Group: R31U Added /New sq.ft. Bldg: 33 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Construction Valuation: $35,000.00 Building Permit Fee: $581.00 Plan Check Fee: $505.47 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $14.00 Energy Compliance: $56.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,355.92 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: TO THE MAX CONSTRUCTION Architect: MAXWELL GARY COLIN Address: 12320 212TH STREET Address: 8941 ATLANTA AVE #365 HAWAIIAN GARDENS CA 90M6 HUNTINGTON BEACH CA 92646 rc Phone: 562-607-5634 Phone: 949-632-6018 State Lic:C013785 % , Con State Lic: 924529 Engineer: HUSSEY JOSHUA BENNETT �t_J Lic Expire: Bus Lic: 111301!2020 BT300fi8397 Address: 17642 EL NOPAL LN HUNTINGTON BEACH CA 92647 U Lic Exp Date: 1�91 i I++.'�� Phone: State Lic:C-070494 r ■ L Worker's Compensation Ins ance [/ Designer: 0��-°'� Carrier: STATE COMP. INS Address: Policy No: 9213680 V ! Expire: 0612912020 Phone: Building Setbacks Rear: 0 Special Conditions: �--� Front: 0 Left: 0 Right: 0 Use Zone: R-1 Parking Spaces: 0 Fire Hazard Zone : N Excise Tax: $0.00 Planning Department- Fire Department Additional Fee : $0.00 Plan check Fee : $40.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $41.25 Grading Bond: $0.00 Electrical %: $40.67 San Dist: $0.00 Mechanical %: $23.24 NMUSD Fee: $0.00 $0.00 Plumbing %: $52.29 $0.00 e Plan Check Fee : $589.72 Fee Due at Permit Issuance : $766.20 FUBLIC WO'P.(S r.PFROVAL PLAN CHECK BY: AFPF.OVAL. TO IOSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do l_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or Im roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legallt sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affitm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 'sion the Business and Profes io� e, a 6 y license is in full force and effect. .License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR D THOUSAND DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 6706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th arrmance of the work for which this permit is issued. Policy No. 1 have and w- alntain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol Isurance carrier n�l policy nu a arrierCi DJcy Number Expiration Date !ame of Agent Y co"`��r Phone # I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre lat, if I should become subject try)o wwoor ors' Iensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant �/%7.u17Z _ Y-��_ _ _ at r '� hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code) Ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or couptylto enter ttDe gbovajVenfiW property for inspection purposes. signature of Property Owner or Authorized ACTION I DATE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL IZ/OZ/ 19 CERTIFICATE OF OCCUPANCY ISSUED a'c-e-- ram' DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED AS7ESTOS tIOTIFICATION TO EPA .: .. NOTIFICATION IS NOT APPLICABLE TO ,,..., rw -I. _ . _ /. I I FOR OFFICE USE ONLY _Z0 ] CL Al \ \ B ; \ / / ( � & / [ § \ R g3± «Ja 7CD ƒP� \}± CD cn =r U) \zCD E/M ^«] 2= 0 3CD CLo /\@ co d§§ \D cy � CDCD \cD ?CD ] \ \ 0 § 0 ) 0 j E \ / � / \ � ( { � � } � $ + f ( § 7 { \ A \ G / / 0 CD ) E \ 9 g E l< $ / co � ƒ / ¥ �