HomeMy WebLinkAboutX2019-3587 - Permits,�/_ City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� ilCOMB Permit: X2019-3587
100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 3 5 8 7 Project No: 2464-2019
h Permit Counter Phone (949)644-3288
- v }.$ Inspection Requests Phone (949)644-3255
'*erx., u,'. Combination Type - SFP Issued Date : 11/07/2019
Inspection Area : 2
PERMITS EXPIRE 980 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: 119 PEARL AVE NB
Description: SFR WATERPROOF DECK @ REAR BALCONY. REPAIR SIDEWALL SHINGLES. ADD 4 ROOF VENTS, NEW GUTTERS
Legal Desc.: BALBOA ISLAND RESUB SEC 1 ELKS LOT 12
Owner: SOULE-MAGGIO STEPHEN Contractor: CROWN RECONSTRUCTION SVCS Architect:
Address: 119 PEARL AV Address: 45 VANTIS DR Address: �1����� lay
Phone: EALBOA ISLAND CA 92662 ALIPhone: 949-273-6782 CA 92656 Phone: N® CON a[eaL1@� ° f N NOISE
ISE
Applicant:
CONSTANTINE MICHAEL
Address:
45 VANT1y QR
--
ALISdVIEJO1C;AE2656-°'
Phone:
949.357-6274
Code Edit : 2016
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Con State Lic:
1051230
Lic Expire: ,
013/31/2021
Bus Lic:. -
'-BT30066708
Lic Exp Date:
04/3012020
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 9224420
Expire: 01/17/2020
Building Setbacks Rear: I
Front: I
Left: I
Right: I
Engineer:
Address:
Phone:
ON TIP9EMEEKE1 V
Designer:
CONSTANTINE MICHAEL
Address:
45 VANTIS DR
Excise Tax:
ALISO VIEJO CA 92656
Phone:
Special Conditions: LIQUEFACTION AREA
HIGH DENSITY AREA
Construction Valuation: $10.000.00
Building PermitiFea:
F$232.0D)
Excise Tax:
$0.00
Planning Department -
Fve Dppiirtmen2
Plan Check Fee: $0.00
Additional Fee :
$0.00
Plan check Fee :
$40.00' '
'� '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:
$232.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management :
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access:
$b.00 "--`•,
,. "`
PAN Plan Check :
$0.00
Grading Bond:
$0.00
Vaaar8dus Wt
_
$O.W- iA...•r
'Electrical %:
$0.00
San Dist:
$0.00
Building Green Feer
$7L 00
, fv�qaphanical %:
_'.
$0.00
NMUSD Fee:
$0.00 '
.
$0.00
R.ti.
A $ Sr�t�4
fW:e�i Umbing %:$6.96
..... -,.. Sa
..
$0.00
TOTAL FEE: $505.00
PROCESSED BY:
ZONING APPROVAL:
1J
luv
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $505.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
IUC
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
ie 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
'rofessions 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
of more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) 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 purpose of sale).
7 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
pply 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 legally
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Iignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 of Divisio 3 of the Business and Profen ions d and m Ii ense is full force
nd effect. License Class License No Dat n Contractor Signatur,
VORKERS' COMPENSATION DECLARATION
DARNING: 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
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 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 the
e ante of the work for which this permit is issued. Policy No.
2Yhve 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
nsu nce carrier and policy number are:
farrier Policy Number Expiration Date
lame of Agent Phone #
:1l 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,
hat, if I should become subjec to the works compens Ion pro islons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant � c Date , � � { / 9
3ECLARATION REGARDING CONSTRUCTION LENDING AGENCY �rI—
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
3y 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 count ordinances and state laws relating to building construction.
I authorize representatives of this count enter the above -i nt' ied property for inspection purposes.
31gnature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ,"l n ate
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED UAQMD
PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE:
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