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HomeMy WebLinkAboutX2022-1570 - Permitsy`i°Fa City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 4 Permit Counter Phone (949)644-3288 u.- rwt Inspection Requests Phone (949)644-3255 Combination Type - SFP IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1570 x 2 0 2 2 1 5 7 0 Project No : 1230-2022 Issued Date : 06/02/2022 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 4 FAIRWIND NB Description: SFR REROOF T/O TILE AND REPLACE W/ COMP SHINGLES "CLASS A" 13 SQS • ° ° ° ° Legal Desc.: N TR 14037 LOT 37 Owner: BUI CHRISTOPHERICHRISTINE Address: 4 FAIRWIND NEWPORT COAST, CA 92657 Phone: Applicant: ABOVE ALL CONSTRUCTION Address: 1643 ELLIOT DRIVE RIVERSIDE, CA 92507 Phone: 951-742-7156 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $4,000.00 Building Permit Fee: $351.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $352.00 J:NZ9�.Y.9�Uc]A ZONING APPROVAL: GRADING APPROVAL: Contractor: ABOVE ALL CONSTRUCTION Address: 1643 ELLIOT DRIVE RIVERSIDE, CA 92507 Phone: 951-742-7156 Con State Lic: 933062 Lic Expire: 1213112023 Bus Lic: BT30074721 Lic Exp Date: 09/30/2022 Workers Compensation Insurance Carrier: CYPRESS INS CO Policy No: ABWC239930 Expire: 02101/2023. Building Setbacks Use Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / 'arkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Architect: °°.° o •�°°°m Address: 0� ° Phone: °• 1 9 a6f'aie uP �• •••• ° °°• Engineer: °•° Address: ° °•° °°°•• Phone: State Lic: Designer: °° • ° Address: o• ° poop°° Phone: Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $352.00 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 1e 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or l_) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 nproved for the purpose of sale). I, as ovules oJJRe property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply 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). • •fam exemptJrpfn licensure under the Contractors' State License Law for the following reason: ly y 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 'rDfessions CMV, Ts•available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. igmjure of P"eley Owner or Authorized Agent - Date }SENSED CONTRACTOR'S DECLARATION 6weby affirrl'i WwJerpenalty of�e1juu� that I am licensed under provisions of hapter 9 (commencing with Section 0 ) of Divisi n 3 of the Business and Profe � ns Code, -and my license is in full force r"%flect. License Class 66'"'�( License No 3 _5;o r}- Date Contractor Signature uORKERS' COMPENSATION DECLARATION NO: FAILUF%TO SESURE 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 F.COMPENSATIONI RAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. �Vaffirm Ynder penalty of perjury one of the following declarations: have and will maintain a certificate of consent to self -insure for orkers' comppe��n��sation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th[ ,lance of the work for which this permit is issued. Policy No. ��S dS S' have 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' ranee carrier and policy number are: Policy Number of Date I certify that, in the performance of the work forwhich 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 agree t, if I should beco�q�e(§ubject t9 tjoew�orkkerss' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. InatureofApplicanDate U CLARATION RE(5ARDING-CONSTR�U PION LENDING AGENCY :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civi Code). ider's Name Lender's Address my signature below, I certify to each of the following: 1 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 co my ordinances and state laws relating to building construction. _ I authorize representatives of this city or co t to enter he abov,^,e-i�idJentified property for inspection purposes. rA� t� /) 1 (nature of Prooertv Owner or Authorized ADent � /I /K Print Prooertv Owner's or Authorized Aoent's Name' <1I l¢�/('l. l�G^wL C15 Date I/6 /, L/aS ACTION PERMITEXPIRED PERMIT CANCELLED DATE I BY PERMIT FINAL CERTIFICATE OF.i-j— OCCUPANCYISSUED WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO EPA NOTAPPLICABLE TO