The URL can be used to link to this page

Home My WebLink AboutX2021-1250 - Permits�,.c..•ru4 City of Newport Beach - Building Division T 100 Civic Center Drive, Newport Beach, CA 92660 'v ,Permit Counter Phone (949)644-3288 v a Inspection Requests Phone (949)644-3255 Combination Type - MFP ELEC COMB Permit: X2021-1250 Project No : 1095-2021 Issued Date : 0511712021 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 0511712024 OR PERMIT WILL BE INVALID 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 onRl undays or Holidays Job Address: 4151/2 DAHLIA AVE NB - Description: MFR *STOP WORK* EXTEND EXISTING CLOSET INSIDE THE BEDROOM, ADD (2) PARTITION WALLS AND SWINGING DOOR (33 SF) , Legal Desc.: P.M.257-19 PAR. 1 OF PROJECT 938-01 LOCATED ON A.P. 459-115-19 ' Owner: GULLO CHRIS Contractor: G F B BUILDERS INC Architect: �_ Address: FOUNTAIN VALLEY CA 92708 Address: 1458 IN LONG EACH,IT ST CA 9 8P 0A Address: I N K i 1 ' Phone: Phone: 562-446-5368 Phone: State Llpc"`ii4�� ' Applicant: G F B BUILDERS INC Con State Lic: 1055493 Engineer: AS BUILT r ERMIT ; Address: 1458 W SUMMIT ST APT A Lic Expire: 07131/2021 Address: EXPOSE ALL�MUCTURAL ; LONG BEACH, CA 90810 Bus Lic: LIC # PENDING r� Phone: 562-446-5368 Lic Exp Date: 05/31/2022 Phone: St !D ,„, . �LL�1MB�NG, Ah , ; Code Edit: 2019 Worker's Compensation Insurance Designer: ELECTRICALA�r-�, 1�'•,T.�j ,, Type of Construction: VB Carrier: STATE FUND Address: A mr-CHAw�! VICAL ColR ; Occupancy Group: R3/U Policy No: 9255196 - Added /New sq.ft. Bldg: 0 Expire: 06/06/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: COPY OF CONTRACTORS BOND No of Units : 2 Front: / AND PLAN ATTACHED TO Bldg Height: 0 Left: / PERMIT, 121-1524 Bldg Sprinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $4,000.00 Building Permit Fee: $144.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $125.28 Additional Fee : $0.00 Plan check Fee : $46.25 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: $144.00 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 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $10.08 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $470.61 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $0.00 Fee Due at Permit Issuance : $470.61 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE:/�- 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 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 o. 'he 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 owrer?t property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I km exem,Jt frem Rcensure under the Contractors' State License Law for the following reason: By my signature be dw 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) Isall 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 avajlable upon request when this application is submitted or at the following Web site:http://www.leginfo. ca.gov/calaw.html. Signature of 0rrpertv Owner or Authorized Agent Date L,GENS ED CON) RACTOR'S DECLARATION ,iLreby affirm h aer penalty of perjury that I am Iicensed under provisions of Chapter 9 (commencing with Section 7 0 1 the Business an Profe p�,,C m n orce and effect Lice i.,e Class License No - D V '1 Contractor Signat a % .JJORKERS' L:OMPENSATION'DECLARATION _. IWARAING: FA!'_URE 10 SECURE WORKERS' COMPENSATIONCOVERAGE 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 COMF ISATt0N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and wR; 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 performance of the work for which this permit is issued. Policy No. 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' and poicy mlinber are: Policy Number ie of Agent _ Date �I certify that, in the p rforman of the work for Ich this pe Issued, I shall not employ any person in any manner so as to become subject to the workers' compens tion law of California, and agre lat, if I should become s ject�',-tgc('�@\\the workers' nsati n pro Ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. IEnature f Ap RaGARDI GCO- RUCTIONLAGENCY �r i 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). 1 ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information have provided is C rrect. c I agree to comply with all applicable city and unty, or ances a( tate laws r Sting to building construction. I authorize representatives of this city or coun y"t r thej�ko &ptify�d p pe y for inspection purposes. innahlre. of Pmnerty Owner or Authorized Aloebt ) jvj lA "'jj" ppp�lY/� I Print Prooertv Owner's or Authorized ADent's Name' n�7 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 1 5UBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED I UA.QMD PERMITFINAL l 9 r/_ r�.� ASBESTOS OTIFICA ION IS NOT CERTIFICATE OF ✓ (/N fr/t PROP05 DE ' N IS N OCCUPANCY 155UED SIGNAT / " as 13 ��ete0��13