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HomeMy WebLinkAboutX2020-0404 - Permits�,gw,•p4 City of Newport Beach - Building Division of F • �' 100 Civic Center Drive, Newport Beach, CA 92660 s Y t, + Permit COL nter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 `:a<,ruxr,Y Combinat on Type - BLDG Job Address: 2365 BAY FAR? Description: SFR REAR YAF Legal Desc.: N TR 6407 LOT II iiiiiii�i0 4 0 4 II COMB Permit: X2020-0404 Project No : 0317-2020 Issued Date : Inspection Area : 8 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. ction 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 'L NB FIREPLACE Owner: DICKENS JR. CA 4tROLL BV!Parking Contractor: COSTA AZ DS@R7�� Architect: Address: 2365 BAY FARM LAddre, s9 IDA DEL VISTA Adrlrgppj}Cab�e' NEWPORT BEACH, CA 92CA 92882 t1l mot' D pfund Phone: 47-8430 Phoon�nje:Qo% of 100 �0 rSfate Lic: CD Applicant: JAIME/COSTA UL LAN943357IroEn e,eer BIEDENBACH CHRISTOPHER Address: 2288 AVENIDA DEL VISTLic Expire: 09 120 Address: 1201 N TUSTIN r� CORONA CA 92812B B 8 5 }8. Wh 92807 Phone: 951-347-8430Lie x ate. `091 hV 714-630.6100 State Lic: C-07 03 IX Code Edit: 201er's Corensahon'sInc Designer: Type of Construction: VBCarrier' EXEMPT Address: �°y Occupancy Group: UPolicy No: 0 Added /New sq.ft. Bldg. 0Expire - Phone: Added /New sq. ft. Garage: 0 '+v No of Stories: 0nq Setbacks Rear: I � "�. Special Conditions: No of Units : 0Front I Bldg Height: DLeft: / Bldg Sprinklers: Right: / Flood Zone: Xone: ®P�aptrtk-in Spaces: 0 (it i ,,y tion BuildingcPermit Fee on. $20 .00 500.00 ax: tl �0g a Planning Department - \n0 WOr� S`a, sere Departmen J^ Plan Check Fee: $174.00 I F . $0` Plan check Fee : $40.00 Fire InsOvertime Plan Ck: $ .00 ra ing BondslFxgfo;;IL SL��i)/ Fair Share : $0.00 `*F00 Investigation Fee: $ .00 radii ng PC Coi�Tss''UU1lt�`ent : $0.00 SJH Trans : 0 De�qy Record Management: $ .00 Grading Permit Fee: $0.00 I -' ee: so-oinssp. 111gW apt Adm $0:00 Energy Compliance: $ .00 Grading PC Fee: Public Works Department- e,G6ra1�9 $0.00 CA Seismic Safety : $ .00 SVvte. F $0.00 Park Dedi 0.00 Refund Deposit $0.00 Disabled Access : $ .00 Plan C Grading Bond: $0.00 Hazardous Mat $ .00 Electrical %: .00 $0.00 Building Green Fee: $ .00 ical %_ . _..�,' NMUSD Fee: $0.00 $0.00 kiRto. m $0.00 $0.00 TOTAL F E : $419.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $419.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: -PLAN b,HE CK BY: GRADING APPROVAL: APPROVAL TO ISSUE: C 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). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code Th Mate 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 ors State License Law). I am exempt from licensure under the Contractors' State License Law for the followi ly my signature below I acknowledge that, except for m Fri have resided for at least one year p r to p{tl�he improvements covered- y this permit, I cannot legall) ell a structure that I have built as an own I as not been constru t by licensed contractors. I understwd y o the applicable law, Sectioq 7 . 4 of the Business and 'rofessions Code, is available upon reque when this applicatio in We Uej#tf}f/wmvff.reginfo.ca.gov/calaw.html. 1 QOOC/0 )'efUi1a signature of Property Owner or Authorized gent+ r-T Uej#tp-/hvvvff.reginfo.ca.gov/;Lh ❑ Date .ICENSED CONTRACTOR'S DECLA TIN- _ hereby affirm under penalty of perjury that am licensed under provisions. of Chapter 9 (commencing with Sectio 7 of Divi ion of the Business and Pr ode an my licens H-force no effect. License Class enseeF>3o Da -—pfq'q�Gt CORKERS' COMPENSATION DECL TI N '-"'= IARNING: FAILURE TO SECURE WORKERS' COMPE ATIO OVERAG UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR ($I D0,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED R IN 5 F THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one the fo owing declarations: % , I have and will maintain a certificate of onse ure far workers' compensation, ssued by the Director of Industrial 'Relations as provided for by Section 3700 f the Labor Code, for thl erf mance of the work forwhich this permit i o. =: ave and will a tain workers' compen, ti cer,, s required by Section 3TD0 of tt Labor Code, for the performance of the work for which this permit is issued. y workers' compensatior isurance carrier an p licy numb r e: ,,"" - :anner , 11 icy Number _ _ .. Expiratioq, DaSe l +'^ lame of Agent - phone # certify that in the performance of the worklLrW�Wr u I In }yam y erson in any r so ts'to becomesubj ctt taytI�e„wprkers' compensation la of Cplifornia, and if I should become subjto the workers' s p io 37 19e°Ba o Code, I shall otrthwith co�r�q hereby affirm under penalty ofperjurythat therd is a construction lending agency for the performance of the work for which this permi ' on 97, Civ t'v" Ender's Name - Lender's Address y my signature below, I certify to each of the fol[111h )Vie: n—sP- I , I am the property owner or authorized to actproperty owner's behalf. I have read this application and the informedhave provided is correct.I agree to comply with all applicable city and sand state laws r uc Ion.I authorize representatives of this city or cou- n I property for inspection purposes. ` / o- iqnature of Property Owner or Authorized Agent � r✓19 /" ' - Y✓// ✓/.ArinrPropertv Owner's or Authorized Agent's Nance ) Gt • W7, f? - !'gate ACTION DATE BY RECLARATION OF COMPLIANCE WITH CODE OF CNCATIONS PART 51 OF TITLE 0AND AQMD RULE RAL FOR OFFICE USE ONLY PERMIT EXPIRED SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED OEPA PERMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED ,2/_t-L / ASBESTOS NOTIFICATION IS NMI APPLICAPL° TO ED DEMOLITION CIGNATIIRF-