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HomeMy WebLinkAboutX2018-0685 - PermitsI ,�wtcs City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 t Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM II IX ILIIII I18�I II I0I�I6III �I III II ... CDMELRe!njil-: IX?018-0685 Proje& t4d.: 2529-2616 e o e o • ••e •e eme e Issued Date : 03/08/2018 InspecVon Area : 5 •e °© c a. • e e o e PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. i o • °e e s e ° •ej'' "` Construction Hours: Monday -Friday 7.00 a.m. to 6:30 p.m. and Saturday from 5:00 a.m. to 6:00 p.m. NcrWI5rR Oar Sunk � s br Mo/RPays' Job Address: 621 NARCISSUS AVE N13 x Description: DEMO DUPLEX -2100 SF, 5 BEDROOMS. SEWER CAP INCLUDED Legal Desc.: CORONA DEL MAR BLK 640 LOT 21 Owner: LONGO LORENZO Contractor: Address: 621 NARCISSUS AVE Address: Energy Compliance: CORONA DEL MAR, CA 92625 CA Seismic Safety: Phone: 949.241-4899 Phone: Applicant: LONGO LORENZO Con State Lic: Address: 2401 S COAST HWY Lic Expire: $0.00 LAGUNA BEACH CA 92651 Bus Lic: Phone: 949-241-4899 Lic Exp Date: Code Edit: 2016 Type of Construction: V -B Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $103.00 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: $1,461.27 PROCESSED BY: ZONING APPROVAL: OWNER/BLDR O/B Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Use Zone: 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: I Right: I Architect Address: Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: JD DEMO TO HAUL DEBRIS M $0.00 Planning Department - Fire Department $0.00 Plan check Fee : $0.00 Fire Inspection: " $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $24.00 $0.00 Public Works Department- General Service $197.00 $0.00 Park Dedication : $0.00 Refund Deposit $1,127.00 PM Plan Check : $0.00 Grading Bond: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $9.27 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,461.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: V YVRCK-tlU1LUCIB UCA.•LF$R@IIIjR •• I hereby affirm under Penalty oa p;rjLQy 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 At rof2ssiors Code: ApI gity or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for he 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 aril 'rofessions Code) orjhat 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 lot more than five Mmdredlolli rs ($5p0l • • ... I, as ownerof ttje property, or mye4l1ees with wagg6 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, 1 3usiness and Professions Ude:'Rlg Comtractors:State,TLixense Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the mprovements are not intended or offered Tor 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 mproved 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 Ipply 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: 3y 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 legally yell a structure that I have built as an owner -builder if it has not tpn constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessicns Code, is available upon request when thi app' on I mltteeaa the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent 2 % Date ICENSED CONTRACTOR'S DECLARATAl3N� 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 Ind effect. License Class License No Date Contractor Signature YORKERS' 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,OOD(, 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 the 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: Policy Number Expiration Date of Agent ertify 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 agree if I should becom�����e[//[//y�IJIbject to the workers' c ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. natuCLAre of RATION REGARDINGCTION NGG AGENCY DVT_ :reby 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 eatet0m-9bove-idgo0a rty for inspection purposes. i ^ \I ACTION DATE BY' \ DEMRATION OF C09PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED--- 17 1 U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED _EPA - PERMITFINAL I' L� r �' n V ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED UJ SIGNATURE: q w F wd z O 00O a d > 0 qw Z a .-,ry � w zN P64 d0 z� w ,,y F cwL � q d' cv F„ W F vwi � o a 00 O q. mm o °O N oa Ow zAw z� w Nv 0 i z °a Qa 00 F w z w WP. FF. 5P4 U z � d Nz �7 O �d H z W o a ° zz z° O w � O� Uz d 0 W-4 z o o ° a� w O 04 OQ V F - - O . 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