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HomeMy WebLinkAboutX2019-0839 - Permits@t1+p City of Newport Beach - Building Division '. 100 Civic Center Drive, Newport Beach, CA 92660 s. Permit Counter Phone (949)644-3288 H Inspection Requests Phone (949)644-3255 Combination Type - MFP ELEC PERMITS EXPIRE 180 DAYS AFTER Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Job Address: 1950 VISTA CAUDAL NB Description: MFR- ENCLOSE PATIO TO MAKE SUNROOM 137 SF (NON -HABITABLE) Legal Desc.: TR 5435 (L.L.84-214024) PAR 112 Owner: ENGLANDER ROBERT Address: 1950 VISTA CAUDAL NEWPORT BEACH, CA 92660 Phone: Applicant: JOHNSTON JOHN Address: 706 N TUSTIN ST SWC1179182 ORANGE CA 92867 Phone: 714-788-1814 Code Edit: 2016 Type of Construction: V -B Occupancy Group: R3 Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: um • e•m R!AJO& OR LIST YALIC Il aurday from 8.00 a.m. to Contractor: ii uiuiiiiiiuiu43.3iiii�i41! 706 NO TUSTIN ST SWC1179182 ORANGE CA 92867 Phone: 714-288-1314 Con State Lic: 574698 e• 05/31/2020 Bus Lic: BT30066458 Lic Exp Date: 03/31/2020 Right: / $0.00 Planning Department- b e + ' m e• e e $0.00 m • m• $40.00 m m m• Overtime Plan Ck: $0.00 • O• O O e C O Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : um • e•m R!AJO& OR LIST YALIC Il aurday from 8.00 a.m. to Contractor: ALL - PRO REMODELING Address: 706 NO TUSTIN ST SWC1179182 ORANGE CA 92867 Phone: 714-288-1314 Con State Lic: 574698 Lic Expire: 05/31/2020 Bus Lic: BT30066458 Lic Exp Date: 03/31/2020 Worker's Compensation Insurance Carrier: SECURITY NATIONAL Policy No: SWC1179182 0 Expire: 01/0112020 0 Phone: Building Setbacks Rear: I Front: I Left: I Building Permit Fee: $456.00 Right: / • COMB Permit: X2019-0839 Project No : 0566-2019 Issued Date : 0 311 412 01 9 Inspection Area : 8 ll.p. No work on Sundays or Holidays Architect:r DUPLICATE Address: Phone: State Lic:'' Engineer: YAGHI SHUCRI I - Address: 112 E. CHAPMAN #D ORANGE CA 92666 Phone: 714-997-9120 State Lic:C-043205 Designer: Address: Phone: Special Conditions: 'food Zone: Use Lone: Hawing spaces: u rue nazara cone : n Construction Valuation: $24,000.00 Building Permit Fee: $456.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $396.72 Additional Fee: $0.00 Plan check Fee: $40.00 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: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $8.00 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 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 P/W Plan Check: $41.25 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $31.92 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 : $974.89 Plan Check Fee : $974.89 Fee Due at Permit Issuance : $0.00 PROCESSED BY: ZONING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from §he.Con$rnctors:StaVLic%n%e 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 cou6ty that r*ute$a pegniCto, onitruct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the appligant for is permit to file a signed statement that he or she is licensed purs1a4ht "the pravisions of 4he Qon$ractors' 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 !heir so6compens'atioa.will do %) allot 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%aW dQbs nbt afJay to an d'wr(pt of ftrogerty who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, thIppLigl ng or imp oveme nt is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or n 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 pply to an owner of property whobuildsor improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 7"1 am exempt from licensure under the Contractors' State License Law for the following reason: y my sigriatilre+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 legalh 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.htmi. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION IARNING: FAILURE TO SECURE 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 :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will 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 IN erformance 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' rance carrier and policy number are: - of Agent Policy Number Expiration Date Phone # certify that, in the performance 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 if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date_ _ CLARATION REGARDING CONSTRUCTION LENDING AGENCY Ireby 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). 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 county to enter the above -identified property for inspection purposes. ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED PERMITCANCELLED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED LI I SUBMITTED ASBESTOS NOTIFICATION TO LJ PROPOSED DE NOTIFICATION TION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: O U cu c U N N C: U J .d a) (n." LO O C -� .. E� °DOb 12 a) a 3 ; t 04 0° ° a Uo Z 0 ° W a U C04 )Co c U) 00 c a) m O O tyn OEL wayix Aporn m� ° a o N CO Zo aajo- VLL O- " CP vr mo .0LO OC7`o �°c4 " Z~ awa o W w�Am° m A° � U �?] ` O c O 0 W �Lp U 3 VWo y O F q L W y L o L c o cc "0E W a0) N U y U L C p U U O v Y O aas C� � y a 0 O y O U cu c U N N C: U J .d a) (n." O C a .. .�.. 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