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Home My WebLink AboutX2019-3689 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIII�illlllllllllllllllllll COMB Permit: X2019-3689 .:+ 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 6 8 9 Project No : 1381-2019 . Permit Counter Phone (949)644-3288 v �.t Inspection Requests Phone (949)644-3255 Combination Type - SFP PLUM Issued Date : 11/1812019 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 Type of Construction: VB Description: SFR REROOF WICLS"A" COMP, T/O COMP (30 SQS), REPLACE (2) WATER HEATERS Legal Desc.: 0 Added /New sq. ft. Garage: 0 No of Stories: Owner: LIDO ISLE LP Contractor: FABERWEST CONSTRUCTION Address: 655 BREA CANYON RD Address: P.O. BOX 10771 X WALNUT CA 91789 NEWPORT BEACH CA 92658 Phone: Phone: 530-277-7502 Applicant: SERRANO ROLANDO Con State Lie: 592260 Address: 1041 W 18TH STREET A-208 Lie Expire: 02/29/2020 COSTA MESA CA 92627 Bus Lie: BT30030099 Phone: 323-508-6127 Lie Exp Date: 1213112019 Code Edit : 2016 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Valuation: $14,000.00 Building Permit Fee: $324.00 Plan Check Fee: $0.00 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: $354.16 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9050853 Expire: 04/01/2020 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: I Front: I Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $29.16 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: i iT SV L OS V mm W� m 0 0 oomomm Special Conditions: LIQUEFACTION AREA Planning Department - Fire Department Plan check Fee: Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 m 0 c00000 0 00 0 0 0 0o m 0 00000m 0 0 om m m$mWi10� $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $354.16 PUBLIC WORKS APPROVAL: PLAN CHECK BY: -APPROVAL TO ISSUE: 0 oe0000 ooaoo 0 mmmmo 0 coaoo 0 ommm Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: m 0 c00000 0 00 0 0 0 0o m 0 00000m 0 0 om m m$mWi10� $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $354.16 PUBLIC WORKS APPROVAL: PLAN CHECK BY: -APPROVAL TO ISSUE: 0 oe0000 ooaoo 0 mmmmo 0 coaoo 0 ommm OWNER -BUILDER DECLARATION I 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 L) 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 improved 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 legall, 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.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of Div' n 3 of the Busi as nd Professes-Copgpd my license is in full force and effect. License Class License No Contra or Sig ature �J/ INORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SEOURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL EN LTIE AND VIL FINES UP TO ONE HUNDRED THq SAND DOLLARS ($100,000), IN ADDITION TO THE COST OF -COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .berebyaffirm andel penalty of perjury one of the following declarations:. fte and wiu maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for pence of tqe work for which this permit is issued. Policy No. lave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa 9dse carrier and policy number are: 916 . Policy Number Expiration Date •e of Agent • Phone # ... ;ert�y that, YCIb2 p$rformance of the wor for which this permit is issued, I shall not employ any person in any manner so as to become subject to theADS ers' compensation laws of California, and a1 �f �:hpyld b .c, mesubject to�he wor mpensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions / // �/ attire of AAD I' et • ✓,dvli[7 1��/e r ` � CLARAILOMREGARDING CO�TRUCTION LENDING AGENCY V :reby affirm under penalty of p jury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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. 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