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HomeMy WebLinkAboutX2019-1909 - PermitsCity of Newport Beach - Building Division 04 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 e Inspection Requests Phone (949)644-3255 c+a Combination Type - SFP II IIIIIIIIIIIIII II VIII x 2 0 1 9 VIII IIIIIII I 1 9 6 9 II COMB Permit: X2019-1909 Project No: 1380-2019 Issued Date: 0 611 912 01 9 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: 417 VIA LIDO NORD NB Description: SFR REMOVEIREPLACE INTERIOR ROD STAIRCASEr a Legal Desc.: N TR 907 LOT 776 Owner: CRONIN TIM/LIANE Contractor: OWNERIBLDR Architect: 5 6r* Address: 417 VIA LIDO NORD Address: AUTH AGENT: Address: NEWPORT BEACH, CA 92663 MIGUEL BETONCOURT Phone: Phone: Phone: State Lic: u61J�;` Applicant: CRONIN LIANE Con State Lic: O/B Engineer: HAKIM FADY Address: 417 VIA LIDO NORD Lic Expire: - Address: 124 PEONY .... NEWPORT BEACH, CA 92663 Bus Lic: IRVINE CA 92618 ° Phone: 714-624-1800 Lic Exp Date: Phone: 310-422-1536 State Lic:C-075736 Code Edit :. 2016 Worker's Compensation Insurance Designer: VEJAR MARVIAN Type of Construction: V -B Carrier: Address: 24568 ONEIDA ST Occupancy Group: R31U Policy No: MORENA VALLEY, CA 92553 Added /New sq.ft. Bldg:. 0 Expire: Phone: 951-751-7813 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: LIQUEFACTION No of Units: 1 Front: I OWNER/BLDR ATTACHED °O°° Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $4.500.00 Building Permit Feer $152.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $132.24 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: $6.00 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 PM Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 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 : $331.24 Plan Check Fee: $172.24 Fee Due at Permit Issuance : $159.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: 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), lection 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 is 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 penally 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, 'usiness 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 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 ppl o 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). I am exempt from licensure under the Contractors' State License Law for the following reason: y my signature below I acknowledge that, except for y personal residence in whi I must have resided for at least one year prior to completion of the improvements covered b this permitI cannot legalll ell a structure that I have built as an owner -builder i it has not been co a is enti by licensed contractors. I understand that a copy of the applicable law, Section 70 4 of the Business and rofessions Code, is available upon request when t 1 pplicati is s ed 'ng Web site:http://v�.leginfo.ca.gov/calaw.htmi. .leginfo.ca.gov/calaw.htmi. — , ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECIJ Ti hereby affirm under penalty of perjury that I a icensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Co/and and my license is in full force nd effect. Licegs2•CIlss License No Date Contractor Signature ✓ORKERS' COMPMATION DECLARATION 4FIN Ny CAILURE id y'EbGgE 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 COMPENSARIONFMAMAGES 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: 14 haye and vyl:;;VV:ain 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 Eefaftlil tce of the workforwhich this permit is issued.. Policy No. and wiR 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' 'carrier afid Dblicy number are: Policy Number Expiration Date of Agent ,_e I"Itlf j that, in tpg p ormance of the work f ich thi a it is issue , I shall not employ any person in any manner so as to become subject to the workers' mpensation laws of California, and agre !, 44 should becom au'act to the worker ' pensa o rovisions action 3700 of the Labor Code, I shall forthwith comply with those provisions. I nature of Applicant Da CTS(% t CLARATION REG DING CONSTRUCTION LENDING AGENCY ereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 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 rdinances an sting to building construction. ))) I authorize representatives of this city or county t LLLLLLvvvvnter th l!b,,��e- Me erty action purposes. f / nature of ProDertv Owner or Authorized ADent / l�r'� _ Pnn roperty Owner's or Authorized Agent's Namejj 2 QC91'J �at �01'lq ACTION DATEI BY / REGULATIONS PART DECLARATION 01 0MPLIANCE WITH CODE OF 61 OF TITLE 40 AND AQMD RULERAL ( FOR OFFICE USE ONLY PERMIT EXPIRED PERMITCANCELLED NOTIFICATION TO PERMIT EXTENDED jj,.lAQMD PERMIT FINAL _fb�5 ASBESTOSN{p�TIFI TION IS NOT CERTIFIGQTE OF _N SED DEIyIOI ON / OCCUPANCYISSUED SIGNATURE: // Y