HomeMy WebLinkAboutX2019-2574 - PermitsC o0 C CC
Wlr , City ofNevo . 0shy°;0yielding Division IIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-2574
o$ 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 5 7 4 Project No 1840-2019
Permit Counter Phone (949)644-3288 )
E
u Inspection Requests Plrone699)64J°y32%-
' `x �^•' - Coml5in jtIQa Type' �FP ° ° ' d ° e ® Issued Date: 0811512019
Era ra
Inspection Area : 5
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 W rk on Sundays or Holidays
Job Address: 427 MARGUERITE AVE NB
Description: MFR- FILL-IN OPENING CREATED BETWEEN BEDROOMS 2ND FL (119-1479)
Legal Desc.: CORONA DEL MAR BLK 438 LOT 21
Owner:
GREEN WILLIAM W
Address:
-'3418 VIA LIDO #607
Occupancy Group:..
NEWPORT BEACH, CA 92663
Phone:
949-735-3060
Applicant:
CABALLERO LUIS
Address:
27082 ONEIL DR
0
LADERA RANCH CA 9269 '. -* '
Phone:
.619.651-6860 „
Code Edit :
-, 2016
Type of Construction:_"
V -B �tP °
Occupancy Group:..
R311
Added /New sq.ft. Bldg
`A 0
Added /New sq. ft. Garage
No of Stories:
No of Units <
2
2 ;
Bldg Height:
0
Bldg Sprinklers:
,N't
Building Permit Fee:
$104.40
Plan Check Fee: $90.48 a,
Overtime Plan Ck:
Investigation Fee:
$0.06
$104..06`
Record Management:
$4.00114
Energy Compliance:
$0.00 ,
CA Seismic Safety:
$0.00
r1
Disabled Access:
- $0.06
Hazardous Mat
$0.00
Building Green Fee :
$1.00.
TOTAL FEE: $3
PROCESSED BY:
ZONING APPROVAL:
Contractor: OWNER/BLDR f�¢ hitect: NOURAN,II..y A AB
Address: CABAL IS y:��,kYfdress: 4 "��a�pj�59'BR V
,as'°s'� 1 ,�3 U IN CA 927
Phone g, o," 949-735-3060 \ �a: State Lic:CO26821
on S to Lie. O/B,,.i �' O �C1/a Engineer: ,TRUONGPHONG
•,,, Address;.-- 0754WALNUT CA TIMBERLIN
Phone: 949-254-2751 91789
0
Designer:
Address:
Phone:
Special Conditions: O 13 a .NORM A
Fitard Zone% N
Lic:C-070784
%Y Excise Tax: $0.0 PI$ert6 Depgr nV1 r a ant `�G
Additional Fee : 6$�Q u Plan check Fee': $40.00 $0.00
Grading Bonds � ;y xa ft Fair Share: .00 r ^ $0.00
Gr,8dip9 ul�nt $0.00 SJH Trans : $0.0 vfi"Fea
G P e 6\$0.00 In -lieu Hou ee : 6J wlding Dept Adm $0.00
rM,g Fe: 1 e
'i C���." $0.00 Publ" r s Departmen - � _..owr"6 General Service ® $0.00
WO In(tq �' $0.00 ark Dedication $0. sem" Refund De $0.00
P/W�PI n'e ec� Grad' $0.00
Electrical %:0.00 a IrrD st;�„m*"r' $0.00 w�
Mechanical W, $0 oo -'. ANd'Fee: $0.00 ®\`s � $0.00.
CtuFl '� $ . 0 $0.00
¢8 / [an Check : $0.00 Fee Due at Permit Issuance : $343.48
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
00 OpO p p• • O••
O O O O O p •p •
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)
ction 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 applickit for
cin
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (mmmeng widi"%ectid%7000 %DiylSjpn 3 of the Business and
fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by an j iii Or q,Mmit�ubjectis %e VlAcant to a civilyenalty of
more than five hundred dollars ($500). • �
• . • • • • • .
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iiness 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
rovements 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
roved for the purpose of sale).
�� 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
'I}�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).
m exempt from licensure under the Contractors' State License Law for the
ly in signature below I acknowledge that, except for my personal residence in M
If structure that I have built as an owner -builder if it has not been constructed
'rofessions Code, is available upon request whe h'rs applica Terris u 3ndtte
signature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION `-
hereby affirm under penalty of perjury that I am licensed under provisions of
nd effect. License Class License No
COMPENSATION DECLARATION
Presided for at least one year prior to completion of the improvements covered by this peVn It I cnnot
4lcensed contractors. I understand that a copy of the applicable law, Section 7044 of th usin s and
Web site:http://www.leginfo.ca.gov/calaw.html.
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
Date Contractor Signature
DARNING: 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 th
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
of Agent
ify that, in the performance of the work
I should become subject to the workers'
ure of Applicant K% <7—
Date
I shall not employ any person in any manner so as to become subject to the workers' compensation lays of 9blifornia, and agre
ction 3700 of the Labor Code, I shall forthwith comply with those provisions.
® Date
hereby affirm under penmty-of-perJhJ�rythat there is a 9o'nst&Ifn lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name i Lender's Address
y my signature below, I certify to each of the fo lowing:
I am the property owner or authorized to ct on the property owner's behalf.
I have read this application and the information I have provided is corrr
I agree to comply with all applicable city and county ordinances and Mate Is r I to building construction.
I authorize representatives of this city or county to enter the above -i rop y for inspection purposes.
i nature of PropertyOwner or Authorized g rsn roperty Owner
\CTION DATE CLARATION M CE WITH CODE OF FEDERAL FOF
REGULATIC) PA 10F TITLE 40 AND A( RULE
1403 1
EXPIRED I I I I LI I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITEXTENDED
-
QMD
PERMITFINAL
ASBESTOS NOTIFICATION IS NO PPLICAe E TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCYISSUED
SIGNATURY
s or Authoriz
OFFICE USE
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