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HomeMy WebLinkAboutX2018-0049 - Permits,• City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 ra RM*xa Combination Type - BLDG PLUM IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII� II COMB Permit: X2018-0049 x 2 0 1 8 0 0 4 s Project No : 2419-2016 Issued Date: 01/04/2018 Inspection Area : 5 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: 316 POPPY AVE NB Description: DEMO SFR W/ATT GARAGE 1,686 SF (3 BEDROOMS) Legal Desc.: N TR 673 BLK A LOT 13 Owner: 316 POPPY LLC Contractor: GALLO BUILDERS INC Architect: Address: 631 GOLDENROD AVE Address: 1278 GLENNEYRE ST #412 Address: Disabled Access: CORONA DEL MAR CA 92625 Hazardous Mat LAGUNA BEACH CA 92651 Building Green Fee : Phone: $0.00 Phone: 949-683-3500 Phone: State Lic: Applicant: GALLO BUILDERS INC Con State Lic: 852218 Engineer: Address: 1278 GLENNEYRE ST #412 Lic Expire: 01131/2019 Address: LAGUNA BEACH CA 92651 Bus Lic: BT30028998 Phone: 949-683-3500 Lic Exp Date: 0 8131/2 01 8 Phone: State Lic: Code Edit: 2016 Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $5.000.00 Building Permit Fee: $103.00 Plan Check Fee: $189.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $1,740.27 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: MIDWEST EMPLOYERS Policy No: BNUWC0142368 Expire: 11/20/2018 Building Setbacks Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: I Right: I �arkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.27 Plan Check Fee Designer: Address: Phone: Special Conditions: TIGHT QUARTERS Planning Department - Fire Department Plan check Fee: FireInspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee Building Dept Adm Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 0 eea �o n 0 occco e n om o meas c 00000 _coo m ae000 ooase0 0 0 0 c0ooco 0 a ` 000000 sc o 0 0 oe o $0.00 $0.00 $24.00 $197.00 $1,127.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,740.27 PUBLIC WORKS APPROVAL: _ PLAN CHECK BY: GRADING APPROVAL: /� l APPROVAL TO ISSUE: Fire Department $0.00 FireInspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: 0 eea �o n 0 occco e n om o meas c 00000 _coo m ae000 ooase0 0 0 0 c0ooco 0 a ` 000000 sc o 0 0 oe o $0.00 $0.00 $24.00 $197.00 $1,127.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,740.27 PUBLIC WORKS APPROVAL: _ PLAN CHECK BY: GRADING APPROVAL: /� l APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION 1 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 is 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 Irofessions 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). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness 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). 1, 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 ppiy 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). 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 legall 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.html. signature of Property Owner or Authorized Agent - Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm ui`1q%rp#Malty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of i'ssio f the Business and Profe so o aZa my license is in full force :4 Oil. License Class License No Date ContractorSignatur c��— bORKL1RS' COTu1PEjSATION DECLARATION OQ NG: AILURE TO��SSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE S QF•COMPENSATIdN. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm upBe IAgalty of perjury one of the following declarations: 11-11.4 and" v[ill maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the J$em1®nce of the work for which this permit is issued. Policy No. ]f Se and will rpaintain 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' compensation "VMI carrier and policy number are: 'arrier • •••••• Policy Number Expiration Date Certify that, In<he•perfor ante 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 agree t, if I should becomes sect t wor rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / nature of Applicant CLARATION REGOR17ING CONSTRUCTION LENDING AGENCY )reby affirm undertpenalty 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). Ider's Name Lender's Address 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 county4lgelge41II15ve-identifieg property for inspection purposes. ov DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40ANDA( RULE PERMIT PERMIT EXTENDED UAQMD PERMITFINAL CERTIFICATEOF �1 .p<y F7 O, \ U ASBESTOS OTIFICATION IS NOT APPLICABLE TO PROPOSEDD M� OCCUPANCY ISSUED r�/� ,/Y`J cIr,NATIJRF