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HomeMy WebLinkAboutX2020-2352 - Permits9t City of Newport Beach - Building Division IIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-2352 cc ` 100 Civic Center Drive, Newport Beach, CA 92660 x 2 8 2 9 2 3 5 2 Project No: t:+ _ Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 w,, Combination Type - SFP Issued Date : Area : 2020 Marx Inspection Area 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1011512023 OR PERMIT WILL BE INVALID 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: 423 FULLERTON AVE NB Description: SFR REPLACE (5) WINDOWS AND (3) DOORS (NO STRUCTURAL CHANGES) STUCCO PATCH AS NEEDED AROUND WINDOWS Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BILK 28 LOT 19 Owner: TELESCO TOM Contractor: CHRISTIANO HOMES Architect: INSP ECT®' ` Address: 423 FULLERTON AVE Address: 729 W 16TH ST #C-4 Address: NEWPORT BEACH, CA 92663 COSTA MESA CA 92627 Phone: Phone: 949.596.4618 Phone: State Lie: Applicant: CHRISTIANO HOMES Con State Lie: 848745 Engineer: ° .... Address: 729 W 16TH ST #C-4 Lie Expire: 10131/2020 Address: ° • ° COSTA MESA CA 92627 Bus Lie: BT30039246 • ° Phone: 949-5964618 Lie Exp Date: 0513112021 Phone: State Lie: ...... Code Edit : 2019 Worker's Compensation Insurance Designer: .... • m ° ° Type of Construction: VB Carrier: INS. CO. OF THE WEST Address: 0000 ° Occupancy Group: R31U Policy No: WVE504588101 Added /New sq.ft. Bldg: 0 Expire: 01/12/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units: 1 Front: / omo° • • °•o° Bldg Height: 0 Left: / .... Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $15.000.00 Building Permit Fee: $331.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee: $0.00 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: $0.00 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 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PIW 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 : $332.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $332.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION la I hereby affirm under penally 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) Iction 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 permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License L'aw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Ifessions 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 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, :iness 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). 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 fly 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). I am exempt from licensure under the Contractors' State License Law for the following reason: 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 legal a structursi iDgi t f heve 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 ,feslions Cod(;Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. natare of Prop "Owner or Authorized Agent Date 'EASED CQKT,RACTOR'S DECLARATION 'refay affirm ugder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S 0) of f the Busln and Pr gm'ons de d, my licen'se,is in full force i9ffect. License Class License No Da V 1 2 Contr icto natur )RKERS'COMPENSATION DECLARATION 1. 000 IN ADDITION TO TH tNING: FAILIjRf�F��TQQ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA D DOLLARS ($100, 000), MOF COMPERSAjION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. neby affirm uTAIMpenalty of perjury one of the following declarations: tain 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 for which this permit is issued. Policy No. u 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' .pnd policy number are: Policy Number Expiration Date of Agent ❑I 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 worke ' compensation laws of California, and agm :hat, if I should become s0ect-to thew s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /� 7 F, Signature ofAQ, XO9 e �0 �7 !i-[/ OECLARATIO R AARRDI �UCTION LENDING AGENCY hereby affirm under penalty of pe ry that there is a construction lending agency for the performance of the work for which this permit is issued (SectionCivil Code). _ender's Name Lender's Address 3y 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. 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