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HomeMy WebLinkAboutX2020-2236 - PermitsIa City of Newport Beach - Building Division IIIIIIIIIIIIIIII�II�IIIIIIIIIIIIIIIIIIIN I� COMB Permit: X2020-2236 100 Civic Center Drive, Newport Beach, CA 92660 Y X 2 0 2 0 2 2 3 611 Project No: 1802-2020 rrrr Permit Counter Phone (949)644-3288 v.4+` Inspection Requests Phone (949)644-3255 r'''zw'� Combination Type - SFP Issued Date : 10/0512020 9 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10106/2023 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: 119 24TH ST NB Description: SFR ADDING TRAVERTINE TO EXISTING 28" SLUMPSTONE WALL & TRAVERTINE CAP FACING SIDEWALK INSPECTOR ^IV-�® ^ IRLegal Desc.: NEWPORT BEACH CITY BLK 24 LOT 26 I � Owner: ROSES DENNIS Contractor: OWNER/BLDR Architect: Address: 119 24TH ST Address: BOSES DENNIS Address: " NEWPORT BEACH, CA 92663Phone: 949-394-6789 Phone Phone: A I(`� (' r� �( ION WORK Applicant: ROSES DENNIS Con State Lie: O/B Engineer: NO CONSTNU Address: 119 24TH ST Lie Expire: Address: NEWPORT BEACH, CA 92663 Bus Lie: ° Phone: 949-394-6789 Lie Exp Date: Phone: State Lie: • ° ° ° • ° ° • ° �- •°°°` ° Code Edit: 2019 Worker's Compensation Insurance Designer: ON SATURDAYS ° ° • ®° Type of Construction: Carrier: Address: ° ® - Occupancy Group: U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 oo°ca No of Stories: 0 Building Setbacks Rear: / Special Conditions: LIQUEFACTION No of Units : 0 Front: / ° Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N ..... ° Construction Valuation: $500.00 °'K °°000 ° ... °° Building Permit Fee: $110.00 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 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PM/ 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 : $111.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $111.00 PROCESSED BY: PUBLIC WORKS APPROVAL: / ZONING APPROVAL: y PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: ^ ^ V v OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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 'rofessions 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 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, " 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 " nprovements 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 n 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 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 residen ' which I must havepfaided for at least one year prior to completion of the improvements covered by this permit, I cannot legall) sell a structure that I have built as an owner-builde if it s not been con ru It in its entirety b I' ensed contractors. I understand that a copy of the applicable law, Section 7 44 o the Bus! ass nd 'rofessions Code, is available upon request when ' pplication is sub i ' at the followi I s'e:http://www.leginfo.ca.gov/calow.htmi. 0 Z Signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATIO hereby affirm uglggMalty of perjury that 1 am li ensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, nd my license is in full force Ind effect. License CCless License No Date Contractor Signature i0RK+S' CAMPE!gSATION DECLARATION MINING: 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 Ip T•OF•CDMPENSATIQN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. Reredf affirm unQe{yenalty 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 the erformance of the work for which this permit is issued. Policy No. INV* *and will 40l1tain 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 lsurance carrier and policy number are: • • • Policy Number Expiration Date T • • • prlllllq 0 •• V BerN that, lot Fhe•performance oeor rk for which this rmit is issued, I shall not employ any person in any manner so as to become subject to the workers' co pens757 of California, and ogre t, if I should beL'drhd ject to thrs' compensat' provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant J Date CLARATION REGA DING CONSTR C LENDI A CY lreby affirm under p natty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address 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 p vlded is correct. I agree to comply with all applicable city and co my or !na and state la lating to building construction. I authorize representatives of this city or county t er t e-identifierv//{�,/ party for inspection purposes. nature of Prooertv Owner or Authorized Aaent �A _ _ (/ /iI - Print Property Owner's or Authorized Agent's Name � � � DaV ACTION DATE BY 4 REGULATIONS PART061 OF TITLE 40 AND QMD RULE NCE WITH CODE OF AL FOR OFFICE USE ONLY PERMIT EXPIREDU I SUBMITTED ASBESTOS PERMITCANCELLED EPA PERMITEXTENDED QMD ITFINAL BLE TO CERTIFICATE OF ,�/�/tor; v 641L -U SIGNATURES M TIITIO TI I®AA APP�lW/IA� OCCUPANCYISSUED M a" �oc tdo c NmTN o —a IODCm m NN m dT um Y a m.co��y `m c y � 2oc aN�c ac Z w Ea m,� o a 122: m E c@ Lca pc�v >@ O pw °° m m°N3'33 D �a v urn �wm0 �7a°ia o LL fifi Ej 9- G _y Of@ > G OL,Q N E O r -;Q °'@ @ roa y C N K —rv-- Cm° Z c a�mtL@N yc c co c� yT.E 3N°o TVw m m oca O c m3 d Go o E of ° w moor- LO aci f cn LL { a cQm F Co o5 SaataNR. 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