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Home My WebLink AboutX2015-1262 - PermitsCity of Newport Beach -Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2015-1262 a 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 5 1 2 6 2 Project No : 0975-2015 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC Issued Date : 015 Inspection Arearea : 3 3 Applicant: HOWELL GREG Address: 20561 SUBERBIA LN HUNTINGTON BEACH CA 92646 Phone: 714-963-4600 Code Edit: 2013 Type of Construction: VB Occupancy Group: R3IU Added /New sq.ft. Bldg: 0 Added /New sq. ft. GaragerX,00 No of Stories: No of Units: Bldg Height: Bldg Sprinklers: Flood Zone: Building Permit Fee: $249)00 Plan Check Fee: $179 18 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. $0. 0 Investigation Fee: INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS IPLUMBING FIXTURES TO BE UPGRADED Record Management: Job Address: 1661 ORCHARD DR NS $0.00 CA Seismic Safety: Description: SFR- NEW COVERED ENTRY (96 SF) $0.00 Hazardous Mat Legal Desc.: Building Green Fee : t' h'\ Owner: BOSSERT BILL Contractor: PALOMBO ANTHONY F CONSTRUC. Architect: Address: 1661 ORCHARD DR Address: 21702 IMPALA LANE Address: NEWPORT BEACH CA 92660 HUNTINGTON BEACH CA 92646 -- „ ,,a Phone: Phone: 714-501-6847 Phone: "State Lic: - Applicant: HOWELL GREG Address: 20561 SUBERBIA LN HUNTINGTON BEACH CA 92646 Phone: 714-963-4600 Code Edit: 2013 Type of Construction: VB Occupancy Group: R3IU Added /New sq.ft. Bldg: 0 Added /New sq. ft. GaragerX,00 No of Stories: No of Units: Bldg Height: Bldg Sprinklers: Flood Zone: Building Permit Fee: $249)00 Plan Check Fee: $179 18 Overtime Plan Ck: $0. 0 Investigation Fee: $0. Record Management: $14.0 Energy Compliance: $0.00 CA Seismic Safety: $1.56 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 191801 Lic Expire: 05/31/2017 Bus Lic: BT30051043 Lic Exp Date: 05/31/20 Worker's Com n Insurance r_ WC EXEMPT E Sn' CHRISTIN ddress: 7652 ONTARIO D - HUNTINGTON BE H CA 92648 ,l appy+C g�• 7711D4/307-77a0La State Lic:C-037201 GREG V sCT/oAfo (: •,020561 SUBHUNTINGUR c CA 92646 � / -Fxp reW PhonDesie 7g� L ( ing Setbacks R11 t0 NNb9m. ecial Conditions: F �ewc _'JAY Fire P"!�Fan check Fee: $32.0 �jlrt�pectior Fair Share : aaaAAA Plan Rev SJH Trans ,rev, • Demolition Fee Ip.lie ouslnc faE .moi 0.00 ,.1 Building Dept Pu is W us ment -}} Sk. aed} General Servi W� RefundQeol- PAN Plan Che$0.00 San Dist : $0.00 NMUSD Fee: $0.0 .t,�• 1n�p• 1.28 F BLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: ..mm o m emmm o m ccoccc ow o c c o c co m 0 o a 00 �eb�m 0 eoccmo ccomoc o m 0 ceoco •®$�•0� ce000c •$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Issuance: $282.99 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 the 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 Professions 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 not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved for the purposeof sale). 111, 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 apply 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 improv ments covered by this permit, I cannot legally ell a structure that 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 applicaOTHOU ion 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.hti Iignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 f v' io f the Business and Prd y licen a is' full fort nd effect. License Class License No Date T�j the Signatur VORKERS' OOMPf-NSATION DECLARATION 'ARNING: FAILURP"OECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRDOLLA ($700,000 , IN ADDITION TO THE Cal 21000MPEgWIO$1, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm :jn8prAnalty of perjury one of the following declarations: 9.1 nave and wiH 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 erfdr7nance of the work for which this permit is issued. Policy No. ►have and will maintain workeis' 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' compensatior 00 lsurrance carri IVBnd-ppli , numb r are: Policy Number Expiration Date a of gent • - Phone # &&��qq•.•• Cert that, irihhs4 rt m tN or It is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agrel 1 Should become t to t ens Ion rovisions of.Zecti-on 3700 of the Labor Code, 1 shall forthwith comply with those provisions. .��igl+at0re of ApQli � Date � ECLARATION R AR CO STRUCTIdIkEN61MAeSENCY hereby affirm under penalty of per ury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). snder's Name Lender's Address y my signature below, I certify to each of the folio ' g: I am the property owner or authorized to act o t e prop y ow is behalf. I have read this application and the informati I av p id d is c I agree to comply with all applicable city and o y rdand at e I s relatina to building construction. I authorize representatives of this city or coud ofd grope r nspection purposes. ignature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's NalagM A('TI(NV DA 7T I PERIJITEXTEMLIED I PERIMIT r1NAL CEATiflGlTECF LICCUPANCYiSSLIED FEDERAL REGULATIONS PART 61 OFTi7LE40 AND AQW RULE 1403, ❑ 1 S[NIW TFI).A-4;WSTf15 W)TfF1(:4TION T(7: EPA ❑ AQMD 0 ASBESTOS N077nCATMISNOTRPPUCABLETO PROPOSEDDEMOLITICIN. 51UNAt tart: tuft VttrEE UMI: UNLT