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Home My WebLink AboutX2020-0419 - Permits,aNn�r City of Newport Beach - Building Division OWNER/BLDR Address: 73-145 FIDDLENECK LN Address: 100 Civic Center Drive, Newport Beach, CA 92660 NEWPORT BEACH, CA 92660 Permit Counter Phone (949)644-3288 v. .. N Inspection Requests Phone (949)644-3255 Phone: Combination Type - BLDG PLUM COMB Permit: X2020-0419 IIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIII II Project No: 0327-2020 Issued Date : 02/14/2020 Inspection Area : 3 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 work on Sundays or Holidays Job Address: 4916 SEASHORE DR NB Description: DEMO 3165 SF DUPLEX, UNIT A - 2 BEDROOMS, UNIT B - 3 BEDROOMS, INCLDS SEWER CAP ' ��-r®1 Legal Desc.: N TR 3613 LOT 80 Owner: ALEJO PS89 LLC Contractor: OWNER/BLDR Address: 73-145 FIDDLENECK LN Address: HERRERA RUDY NEWPORT BEACH, CA 92660 $0.00 CA Seismic Safety : Phone: Phone: $0.00 Applicant: ALEJO PS89 LLC Con State Lic: O/B Address: 73-145 FIDDLENECK LN Lic Expire: o�oa LIQUEFACTION .. a; • c �ccoao NEWPORT BEACH, CA 92660 Bus Lic: Grading PC Fee: Phone: 760-900-8989 Lic Exp Date: LJ' Code Edit : 2016 Worker's Compensation Insurance Type of Construction: VB Carrier: - Occupancy Group: R31U Policy No: Electrical %: Added /New sq.ft. Bldg: 0 Expire: $0.00 Added /New sq. ft. Garage: 0 $0.00 NMUSD Fee: No of Stories: 2 Building Setbacks Rear: / No of Units : 2 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: X Use Zone: Parkin S aces: 0 Construction Valuation: $9.000.00 Building Permit Fee: $103.00 Plan Check Fee: $208.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $1,778.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect: Address: Phone: State Lic: Engineer: R � Address: 11 THBIRD'®Ve,�� ••••® F?UC_rp Additional Fee : tlpp��yy ALISO VIEJO CA 92656 �6�� ' Phone: State Lic:C-058627 .. . �. • o a o 0 0 Designer: o mm Address: N S yaU Grading PC Consultant: RDA � goo .`•oo° � Phone: om u Special Conditions: o�oa LIQUEFACTION .. a; • c �ccoao In -lieu Housing Fee: HIGH DENSITY • Grading PC Fee: 1I �^.JI'� Public Works Department - LJ' Fire Hazard Zone: N '"L�l ` .00000 Excise Tax: $0.00 Planning Department - $90.00 Additional Fee : $0.00 Plan check Fee, Fire Plan Rev Grading Bonds Fee: $0.00 Fair Share: Grading PC Consultant: $0.00 SJH Trans : Grading Permit Fee: $0.00 In -lieu Housing Fee: Refund Deposit Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 - PAN Plan Check: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $9.27 Plan Check Fee 0 0 .... 0000 $0.00 Fee Due at Permit Issuance : $1,778.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Fire Department $90.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $26.00 General Service $210.00 Refund Deposit $1,127.00 Grading Bond: $0.00 $0.00 - $0.00 $0.00 Fee Due at Permit Issuance : $1,778.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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) 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 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 and Irofessions 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 penajjy of lot 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, e, 3usiness 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, mprovements 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 ; mproved for the purpose of;sale). I, as owner of the propeyrty, 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 ;ell a structure that I 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 applicable law, Section 7044 of the Business and Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. 31gnature of Property Owner or Authorized Agent Date _ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70of Division 3 of the Business and P%%ofes Code , nd my license is in full force Ind effect. Licen&%Glass License No a Contractor Sigll�fire VO,RKEkS' COMPENSATION DECLARATION YARNING: FAILURE T08ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :(1SY J)F CQMPENSATIOJJ, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. fRrelry'affirm under peVlty of perjury one of the following declarations: Alf ••• I have• / d velli malniain a certificate of consent to self-insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thI or ce of tf$elaprk for which this permit is issued. Policy No. yg-and will ma6sin 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' compensatior nsurance carrier and policy number are: """ Expiration Date 'Fier Policy Number P Jameof Agent •• • Phone# 31.castify that, ii Me ped ce 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 agrel hat, if I should becbMEs bj the rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3ignatur�,�y,�,(+pplicant ate 2-: I �' - )ECLARATION REGARD CONSTRUCTION LENDING AGENCY hereby affirm under penalt f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this ci or county to enter the above-identified property for inspection purposes. v ,/%rr e 2 signature of Property Owner or Authi gent Print Property Owners or Authorized Age NaaL/� ACTION DATE B DECLARA Q�fy1�Ll WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGU S A TLE 40 AND AQ MD RULE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED NOTIFICATION IS NOTAPPLICABLE TO