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HomeMy WebLinkAboutF2020-0487 - Permitswr City of Newport Beach - Building Division '+ 100 Civic Center Drive, Newport Beach, CA 92660 F Permit Counter Phone (949)644-3288 '?C S�e.le.• ln�l�� 1 IIIIIIIIIIIIIIIIIIIIII�II�I��IIIIIIIIIIII II FIRE Permit: F2020-0487 F 2 9 2 6 0 4 8 7 Project No : 2254-2020 -'--- i Inspecbo. Requests Phone (949)644-3255 Job Address: 2 FAYE E NB R�Ptt�ti'N{'R(tE63 (1202©i73[i1gt4 fii§�td Inspector Area: 6- CA �l� IN�Oift. Owner: MANGIO NOCAELTI& Architect: � Address: Address: P 0 BOX 93448 Address: ��... P12111 T ' OR Phone: Phone: State Lic: a ° ° ° m • a ° ° o 0 Applicant: KEVINISU ERI FIRE OTE C e Engineer: • °• o°° Address: 18120 RO LA ST i xpire: Address: _ °°O0 •. o CITY OF I DUS 48 Bus Lia: �� Phone: 626.965-6 0 Lic Exp Date: C2 1 V � ZI Phone: State Lie: ` `' ` ° ° • ° ° °°m o 00 0 Code it ation Insu Ir Type ofdConstruction: _ - Scan nWor sSUWC116 I OLi i c � O° •°° oo°000 W • e©oc° Occupancy Group: IU i ._ d Pan Added /New sq.ft. Bldg: Ex ire: 11101/2021 Phone: (work stariec (no work started) Added /New sq. ft. Garag 0 No of Stories: 2 Issued ate: 12/0712020 Special Conditions: '3` , ° ° ° °, ° ° ° • ° No of Units: 0♦ Setback- Front: Flood Zone: pj(�te; Bldg Sprinklers: W Left: —� • �_' Right: crisp. initials: y x o . FEES Construction Valuation: $3,600.00 Building PC Fee : Building Overtime PC Fee: Building Extention Fee: Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee : Building Permit Fee TOTALFEE PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: $217.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $2.00 $0.00 Planning Counter Review: $0.00 $0.00 Planning Zoning PC Fee: $0.00 $0.00 $0.00 $0.00 - Public Works PC Fee : $0.00 $0.00 $0.00 Public Works Traffic Plan Check Fee; $0.00 $263.00 $482.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $482.00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Q ✓NER-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 applicant for 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 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 any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). - 1, 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, flness 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 Irovements 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). - 1, 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 Ily 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 fromiicensure under the Contractors' State License Law for the following reason: - my signatuMbeM&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 Iegallt a structure tout IrVve built as an owner -builder if it has not been constructed in its entirely by licensed contractors. 1 understand that a copy of the applicable 7044 of the Business and fesslons Code is mailable upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html. - nqure of Property owner or Authorized Agent Date :FDMED COATRACTOR'S DECLARATION Ireby affirm VfIA2r*pVnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business an Professions Code, and my license is in full force I effect. � �tTs*e Class . ... License No Date h/� p_/(_0 Contractor Sign ur ft -ERs' dOMPENSATION DECLARATION .. tNING: 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 ($700,000), IN ADDITION TO THE rR7F: OMPENSI'TION. pAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rebyaffirm drldgf penalty of perjury one of the following declarations: �Ove and will.meintain 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, bTfflance of 1h vjQrk for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number fe of Agent certify that, in the performance of the work for which this if I should become subject to the workers' comoensatioi of Applicant Date is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and dons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued �86ction 3097, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 tt f%ter the abo dentified property for inspection purposes. Sicnalure of Property Owner or Authorized Agenf V P " Print Property Owner's or Authorized Agent's Name Date i ACTION DATE By DECLARATION OF COMPLIANCE IMTH CODE OF MROFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE49 AND AQMD RULE 9403 PERMIT EXPIRED ❑ I SUBMITTEDASBESTOS NORFICATIONTO: ❑ EPA ❑ AQMD PERMITCANCELLED .�--,�s..'j,t PERMITEXTENDED El ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERRFICATEOF SIGNATURE: OCCUPANCYISSU€D