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HomeMy WebLinkAboutX2019-3065 - Permits1,t>n < City of Newport Beach - Building Division COMB Permit: X2019-3065 100 IIIIIIIIIIIIIIIIIIIIII�III�III�IIIlllll�llllllllu III ©4` Civic Center Drive, Newport Beach, CA 92660 �` X 2 0 1 9 3 0 6 5 Project No i'. + Permit Counter Phone (949)644-3288 - - Inspection Requests Phone (949)644-3255 r''4r .�n*"` _ Combination Type - SFP MECH. ELEC PLUM- Issued Date : 09126/2019 - 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 No&fays Job Address: 2018 GALAXY DR NB- - Description: SFR NEW LIGHTING IN DINING RM & LIVING RM AND GASLINE FROM FIREPLACE TO STOVE. Legal Desc : N TR4224 LOT 12 eg!g q�Y, I P Owner: GULA JAMES LEE Contractor: THE RIGHT CALL HOME REPAIR Architect: � Address:. 2018 GALAXY DR Address: ..9729 ORTANO LN Address: NEWPORT BEACH, CA 92660 CYPRESS, CA 90630 Phone: Phone: (562) 201-3054 Phone: State Lie: , • • o `,.. Applicant: RUIZ GILBERT Con State Lie: 1023876 Engineer. Address: 9729 ORTANO LN Lie Expire: 02/2812021 Address: - • ° o ,. , CYPRESS CA 90630 Bus Lie: BT30069063 , • @ , ° Phone:. 562-201-3064 Lie Exp Date: 09/3012020 Phone: State Lie: Code Edit. - 2016 Worker's Compensation Insurance. Designers Type of Construction: VB Carrier: - EVEREST Address: Occupancy Group:. R3 Policy No: 7600018618191 Added /New sq.ft. Bldg. - 0 Expire: 01/30/2020 Phone: o o• .+o-o• o Added /New sq. ft. Garage:.. 0 No of Stories: 1 - Building Setbacks Rear: / Special Conditions: LANDSLIDE AREA No of Units : 1 Front: Bldg Height: 0 Left: Bldg Sprinklers: N Right: / Flood Zone: X Building Permit Fee: $120.00 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 Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee Electrical %: Mechanical %: Plumbing %: IITOTAL FEE: $145.00 PROCESSED BY: (RJ ZONING APPROVAL: GRADING APPROVAL: $0.00 Planning Department- $0.00 Plan check Fee $0.00 Fair Share:- $0.00 SJH Trans $0.00 In -lieu Housing Fee $0.00 Public Works Department- $0.00 Park Dedication : $0.00 PNV Plan Check: $0.00 $8.40 San Dist: $0.00 $4.80 NMUSD Fee: $0.00 $1080 N Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee : $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $145.00 OWNER -BUILDER DECLARATION 1 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 applicantfor the 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 BI Id 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'or... , 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 U all of or (_) portions'. 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 not apply to an owner of property who, through 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 within 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 El• 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 LawI am exempt fr.sm.e�liDensure 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 legall 9e11'a`s jcture th'af 6hE;re 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 Cod9,SS available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date EIC94SED CONTRACTOR'S DECLARATION Oaretiy affirm uNdetr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Division 3 of the Business and Profes ons Gordy a Tly license is in full force And MCI. LicegV,Qlass License No Date �-'?�;. _ - Contractor Signature KIFiRERS' (:0611PA'NSATION DECLARATION NARIBNG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN ZED THOUSAND DOLLARS ($100,000(, IN t ON O THE 805rrE COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I:hereby;3ffirm Ixi&plisialty of perjury one of the following declarations: i S1aie and 4maiptain 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 It 3AhpMlance of tt e.4V, for which this permit is issued. Policy No. _ have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for thg performance of the work for which this permit is issued. My workers' compensatio ns ce carrier and policy number are: Policy Number ie of Agent certify that, in the perfo ance of the work for which this permit is issued, I shall not employ any person in any if I should become su ject to the workers' co ,.,ppensation provisions of Section 3700 of the Labor Code, I shall nature of Applicant !'_`��/�/ � CLARATIONl2EGA ING CONSTRUCTION LENDING AG CY areby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work foi 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 pr perty owner's behalf. I have read this application and the information 1 ha 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 to nter4' r I# he aIden yfEr inspection purposes. nature of Prooertv Owner or AuthorizPrint Prooertv Owner's ACTION DATE I BY ( DECLARATION OF COMPLIANCEWTfH CODE OF FEDERAL I FOR REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMIT -FED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EXTENDED OVID PERMITFINAL Q? 0 TOS OTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF gIrNATPROPOSED �MOLI OCCUPANCY ISSUED SI(.NATt IR 6. Date so as to become subject to the workers' c mpensation laws of Califomia, and agre 1 comply with those provisions. Dat i this permit is issued (Section 30 , Civil Code). USE ONLY G; •, 7 p— ro