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HomeMy WebLinkAboutX2019-1910 - Permits11 TOTAL FEE: $4,060.01 PROCESSED BY: _ ZONING APPROVAL:. GRADING APPROVAL: $0.00 Planning Department- 4 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-1910 $1,468.00 Excise Tax: Plan Check Fee: $1,277.16 Additional Fee: Overtime Plan Ck: x$0.00 Grading Bonds Fee: Investigation Fee: - $0.00 Grading PC Consultant: Record Management : $44.00 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 9 1 0 Project No : 1381-2019 $0.00 Permit Counter Phone (949)644-3288 Disabled Access : v Inspection Requests Phone (949)644-3255 Hazardous Mate $0.00 Issued Date : 12019 rK Combination Type - SFP MECH ELEC PLUM $6.00 sn Area : Inspection Area 1 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: _133 VIA JUCAR NB Description. SFR REMODEL (KITCHEN, BATHROOMS) R/R ALL WINDOWS, RESTUCCO 2,866 SF Legal Desc : r Owner: LIDO ISLE LP Contractor FABERWEST CONSTRUCTION Architect: Address: 655 BREA CANYON RD Address. P.O. BOX 10771 Address: WALNUT CA 91789 NEWPORT BEACH CA 92658 Phone Phone. 530-277-7502 - Phone: State Lic: Applicant: SERRANO ROLANDO - Con State Lic: 592260 Engineer: YAGHI SHUCRI I Address. 1041 W 18TH STREET A-208 Lic Expire: 0212912020 Address: 112E. CHAPMAN #D COSTA MESA CA 92627 Bus Ga BT30030099 ORANGE CA 92866 o Phone. 323-508-6127 Lic Exp Date: 1213112019 Phone: 714-997-9120 State Lic:C-043205 Code Edit [ 2016 Worker's Compensation Insurance Designer Type of Construction VB Carrier: STATE FUND Address: Occupancy Group: R31U Policy No: '9050853 Added /New sq.ft. Bldg:. 0 Expire: 0410112020 - Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / - Special Conditions: LIQUEFACTION AREA No of Units: 1 Front: 1 ° momma c" .Bldg Height: 0 Left: /° c c c v o o. m. ommc Bldg Sprinklers: N Right: / Flood. Zone:. X Use Zone: Parking Spaces: 0 _ _ Fire Hazard Zone : IN 11 TOTAL FEE: $4,060.01 PROCESSED BY: _ ZONING APPROVAL:. GRADING APPROVAL: $0.00 Planning Department- Fire Department Building Permit Fee: $1,468.00 Excise Tax: Plan Check Fee: $1,277.16 Additional Fee: Overtime Plan Ck: x$0.00 Grading Bonds Fee: Investigation Fee: - $0.00 Grading PC Consultant: Record Management : $44.00 Grading Permit Fee: Energy Compliance: $105.00 Grading PC Fee: CA Seismic Safety: $0.00 WQ Insp. Fee: Disabled Access : $0.00 $0.00 Hazardous Mate $0.00 Electrical %: Building Green Fee : $6.00 Mechanical %: Plumbing %: , 11 TOTAL FEE: $4,060.01 PROCESSED BY: _ ZONING APPROVAL:. GRADING APPROVAL: $0.00 Planning Department- Fire Department $0.00 Plan check Fee: $0.00 Fair Share $0.00 $0.00. SJH Trans $0.00 $0.00. In -lieu Housing Fee: Demolition Fee $0.00 Public Works Department - $0.00 Park Dedication : $0.00 PM Plan Check: $41.25 $102.76 San Dist: $0.00 $68.72 NMUSD Fee: $0.00 $132.12 Grading Bond:. $0.00. Plan Check Fee : $1,358.41 Fee Due at Permit Issuance: $2,701.60 PUBLIC WORKS APPROVAL:. 1-1� PLAN CHECK BY: APPROVAL TO ISSUE: Y Fire Department $40.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee .$0.00 Building Dept Adm $24.00 General Service $197.00 Refund Deposit $564.00. Grading Bond:. $0.00. $0.00 $0.00 Plan Check Fee : $1,358.41 Fee Due at Permit Issuance: $2,701.60 PUBLIC WORKS APPROVAL:. 1-1� PLAN CHECK BY: APPROVAL TO ISSUE: Y 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 he 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 iot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or m roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply town owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from licensure under the Contractors' State License Law. for the fallowing reason: 3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) ;ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Irofessions Code, js.%vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CORIT'NACTOR'S DECLARATION } eieb'yaffirm ndar penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7/00 of suasion 3 of the Business and Prof sions oc e, a y arse is in full force mil eff$ct.. LicdAe Class License No Date Contractor Signatur VOUKeRS' COMPENSATION DECLARATION IA(iNINQ: FAILURE.1VS%SURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND INL FINES UP TO ONE HUNDRED THOUSF'1 DOLLARS ($100,000), IN ADDITION TO THE IDST, OF OOMPENSAfIOX,OAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. he relit* affirm umser ped ally of perjury one of the following declarations: xl, bav4 and wlll4dintain 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 efor. �apce of the work for which this permit is issued. Policy No. have.and will.rsaistoin 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 rIpp 9%carrier and policy number are: Policy Number Expiration Date \lame of Agent • 0 * * Phone # :1I certify that, in the perfo ance 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' 5ompensation laws of California, and agre :hat, if I should becomes ject too a workers' m ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^� a Signature of Applicant ' Dat /. c / )ECLARATION REGA DING CONSTRUCTION LENDING AGENCY / hereby affirm under p natty of per) that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , 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 cityand count,*ordinances and at laws relating to building construction. I authorize representatives of this city or county t enter theab tified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Propert Owner's or Authorized A ent's Name re -L3�iL. Ste ACTION DATE BY DEC ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RE TIONS PART 61 OFTITLE 40AND AQMD RULE PERMIT EXPIRED V I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED QMD PA PERMIT FINAL CERTIFICATE OF �F'z� SBESTOS TIFICATION IS NOT APP E PROP SED'�}JpM�pOLI_TI�7,�� / OCCUPANCYISSUED SIGNATURE[ - O � u L Q y E ° M C C z o o u u E E. a N C C c _a w ' . n zn o �_ P a ®o a. 0 J P VJ vJ L P F to z U� U F L O CG w O W om N M mpo W r E[� A z CL Oo / co 0' O�x{5 9211 ~ ar O F a.n V � V U O � p P u L Q y E ° M C C z o o u u E E. a N C C c 1 Z 0 - £ C wa.paj z� W F L 0 00 �oV CL o c 0 w ()? 0 IN V O a J. 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