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HomeMy WebLinkAboutX2019-1266 - Permits�wnr1 City of Newport Beach -Building Division ' IIIIIIIIIIIIIIIIIIIIIIIIIIIII'IIIIIIIII� II COMB Permit: X2019-1266 * 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 2 6 6 Project No : 0741-2017 Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 fly" PRNOM izYrn4�'`g " Combination Type - SFP ELEC MECH PLUM GRAD Issued Date: 0412312019 Inspection Area : 3 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 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 2024 NAUTILUS LN NB Description: NEW SFR W/ATT GARAGE 4998 & 734 SF *change of contractor to olb* Legal Desc.: N TR 3763 LOT 75 Owner: HOLIDAY JULIE & ADAM Address: 2024 NAUTILUS LN NEWPORT BEACH, CA 92660 Phone: Applicant: HOLIDAYADAM Address: 2024 NAUTILUS LN NEWPORT BEACH CA 92660 Phone: Code Edit: 2016 Type of Construction: VB/U Occupancy Group: R31U Added /New sq.ft. Bldg:. 4977 Added /New sq. ft. Garage: 741 No of Stories: 2 No of Units : 1 Bldg Height: 24 Bldg Sprinklers: Y Contractor: OWNER/BLDR Address: HOLIDAYADAM Phone Con State Lie: Ole Lie Expire: Bus Lic: Lie Exp Date: Workers Compensation Insurance Carrier: Policy No: Expire: Building. Setbacks Rear: 6' Front: 20' Left: 6' Right: 6'.. Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: VOLBEDA PETE 180 N BENSON AVE #D UPLAND CA 91786 909-519.8670 State Lic:C013077 State Lie: Phone: Special Conditions: 7A Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee : $35.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck $0.00 Grading Bonds Fee: $0.00 Fair Share;' $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Req,olq Vanage%erM c ° < $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Ere9y Ccmpliancc:° ° `$eismic $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 CA Safety: < $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Difabled Access 9. ° " c $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00 H92?a?do%% Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Bdil8rnfj`C,reen Fte,: o ° $0.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 ..... a . o. Plumbing %: $0.00. - $0.00 1T,0'PAL FEE : $35.00 Plan Check Fee : $0.00 ` Fee Due at Permit Issuance : $35.00 PROCESSED BY: ° aocc cccc ZONING APPROVAkw 00 c c occc GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' S fd below by the chSo mark(a I have placed next to the applicable items) Section 7031.5, Business and Professions Code: Any city or county that requires a , I or repair any structure, prior to its issuance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursuant to the provisl n o a s t i (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged e' y _ Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved for the purposeof sale)... 11, 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 5p o 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 a exempt from licensure under the Contractors' State License Law for the following reason: - Vy my gnature 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 legal ell ructure that I have built as an owner -builder if it has not been n lot in is ent' ensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request w n his application is d e or t t eb site:http://www.leginfo.ca.govicalaw.htmi. ignature of Property Owner or Authorized Ag / Date -1 t112 3 .ICENSED CONTRACTOR'S DECLARAT hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (c mmencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd 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 HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 Derformance of the work for which this permit is issued. Policy No. 13 have and will maintain workers' compensation 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 'Insurance carrier and policy number are: 6ao Policy Number Expiration Date f gen[ Phone# fy that, in the performance of the work for which this per it is issue shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre should become subject to the worke ompensati p visio S tion 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of ApplicantDate ©/7 3 5 DECLARATION REGARDING CONSTRUC ION LENDIN GENCY hereby affirm under penalty of perjury that there is a con uction lendin agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address 3y my signature below, I certify to each of the following: . • . o 0 0 I am the property owner or authorized to act on the property owner's behalf. : • •. o 1 have read this application and the information I have provided is correct. :.... • . o I agree to comply with all applicable city and county ordinan es and stator laws relating to building construction. I authorize representatives of this city or co my to enterfor inspection purposes. ' , • • o 0 Signature of Property th b Ified a Owner or Authorized Agent Print Pro ert Owner's or Authorized Agent's Nam Q�d MIS, ' ACTION DATE BY DECLARATIONOFC PLIANCE WI CODE OF FEDERAL FOR OFFICE USE ONLY o0 0 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE . •��• '• •uo 1403 PERMITEXPIRED El I SUBMITTED ASBESTOS NOTIFICATION TO �• goo PERMIT CANCELLED EPA • • o PERMIT EXTENDED QMD • ° PERMIT FINAL 9 Q ('q ASBESTOS NOTIFICATION IS NOT APPLICABLE TO • ' •••• CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: