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Home My WebLink AboutX2018-1539 - PermitsCity of Newport Beach - Building Division * 100 Civic Center Drive: Newport Beach, CA 92660 µ Y Permit Counter Phone (949)644-3288 . c5 Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM e° °�7II�R�N2II.0-1Is- J[II 3l�9�'III ° Construction Hours: Monday -Friday 7:00 a.m. to 6:307)6m,1hV11 Job Address: 1220 W BAY AVE NB Description: DEMO SFR WI ATT GARAGE 4884 at, 6 BEDROOMS *SEWER CAP INCLUDED* Legal Desc.: TR 626 LOT 8 BLK 3(AND SELY 30 FT LOT 7 BLK 3 Owner: SABO ELIAS Address: 1220 W BAY AV NEWPORT BEACH CA 92661 Phone: Applicant: ZIMMERMAN ANDY Address: 120 S GLASSELL ST #203 ORANGE CA 92866 Phone: 714-505-0556 Code Edit: 2016 Type of Construction: V-B Occupancy Group: R31U 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: 20 Building Permit Fee: $103.00 Plan Check Fee: $189.00 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 Contractor: GALLO BUILDERS INC Address: 1278 GLENNEYRE ST #412 LAGUNA BEACH CA 92651 Phone: 949-683-3500 Con State Lic: 852218 Lic Expire: 01131/2019 Bus Lic: BT30028998 Lic Exp Date: OBI3112018 Workers Compensation Insurance Carrier: MIDWEST EMPLOYERS Policy- No: BNUWC0142358 Expire: 11120/2018 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.27 TOTAL FEE: $2,305.27 Plan Check Fee: PROCESSED BY: ,l ZONING APPROVAL: 1rl GRADING APPROVAL: COMB Permit: X2018-1539 Project No: 1186-2018 Issued Date: 05/1812018 Inspection Area : 1 AST VA INSPECTION. u &00 a.r*n. to 6:00 p.m. No work on Sunda )%llr_ys ' 6� Architect: Address: Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: TIGHT QUARTERS TO HAUL DEBRIS Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share: SJH Trans : In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN 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 $24.00 General Service $197,00 Refund Deposit $1,692.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $2,305.27 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION •' '•• I hereby affirm under penalty of perjury that I am exempt from the Contractor$ Sate Lioesse•Law for tbb reasbn(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 E-peemg to rctsd4dt, alte P,, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions 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 _ not more than five hundred dollars ($500). ,', • •. • , ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do of pr "6% n$ of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does nofWpply to an owneZof rtopertywho, rough employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is Sold % thin one year of Completion, the Owner -Builder will have the burden of proving that it was not built or improved 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 apply 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: By 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 sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/mlaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) ofi n 3 of the Business and Pr ssi0 �i nse is in full force and effect. License Class License No Date 14- Contractor Signatl e WORKERS' COMPENSATION DECLARATION NARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent [o self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the ,,,,qq rnance of the work for which this permit is issued. Policy No. KdI aye 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' compensatior Ins rance carrier and policy number are: CarrierolicyNumber 8r^1NWG OIYZ-30 Expiration Date of Agent A certify that, in the performance of the wo&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 agree Iat, if I should become ;ubject b e A rb 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant/ Cat6 iECLARATION READ G CONSTRUCTION LENDING AGENCY 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 (Section 3097, C it Code). ender's Name Lender's Address y 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 c ect. I agree to comply with all applicable city and co ty ordin c a sate laws relating to building construction. I authorize representatives of this city or co�7��,/u/��,', enter e e efied property for inspection purposes. �,,.y ianature of Prooertv Owner or Authorized AgerGi Iv rint Property Owner's or Authorized Agent's Name^\/ lt'" '� Aj'" I Date t 1l vl i- ACTION DATE I BY" �1 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY /REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITC4NCELLED OEPA PERMIT EXTENDED OMD PERMITF/NAL l.6 R (i 1 ASBESTOS NOTIFI IONI TAPPLICABLE TO CERTIFICATE OF C/ PROPOSED DE IT OCCUPANCY ISSUED SIGNATURE: � ::r