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Home My WebLink AboutX2020-2187 - Permits�1weJ City of Newport Beach - Building Division i 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 a s1 Inspection Requests Phone (949)644-3255 Combination Type - SFP ��IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII �� COMB Permit: X2020-2187 x 2 9 2 9 2 1 e 7 Project No: 1760-2020 Issued Date : 1011612020 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/17/2023 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: 1327 KEEL DR NB Description: SFR REMOVE 3 (E) WINDOWS AND REPLACE WI SMALLER WINDOWS IN (E) OPENINGS, ADD 2 NEW SKYLIGHTS Legal Desc.: N TR 6634 LOT 81 Owner: LUU HUONG Address: 1327 KEEL DR NEWPORT BEACH, CA 92625 Phone: Applicant: PIZZARELLO GUY Address: 946 CALLE AMANECER STE N SAN CLEMENTE, CA 92643 Phone: 949-388-3332 Contractor: RANCHO LAGUNA BUILDERS Address: 1433 CORAL DR LAGUNA BEACH CA 92651 Phone: 949-422-0982 Con State Lic: 687520 Lic Expire: 0413012022 Bus Lic: BT30055781 Lic Exp Date: 0313112021 Code Edit: 2019 Worker's Compensation Insurance Type of Construction: V-B Carrier: W/C EXEMPT Occupancy Group: R31U Policy No: (NO EMPLOYEES) Added /New sq.ft. Bldg: 0 Expire: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parkin Spaces: 0 Architect: Address: Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: PIZZARELLO Address: 946 CALLE AMANECER SAN CLEMENTE CA 92673 Phone: Special Conditions: Fire Hazard Zone : N Construction Valuation: $4,500.00 Building Permit Fee: $161.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $140.07 Additional Fee : $0.00 Plan check Fee Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans Record Management: $8.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access : $0.00 PNV Plan Check: $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 Plumbing %: $0.00 TOTAL FEE: $356.32 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee: $356.32 Fire Department $46.25 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 Fee Due at Permit Issuance : $0.00 OU13LIC WORKS APPROVAL: PLAN CHECK BY: A?pROVAL 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 )rmfessions 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 U all of or L) 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 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 m roved for the purpose of sale). I, 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). 7 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. Signature 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 7000) of Division 3 of the Business and Profes ions CpTd ,and li n is in full force ind effect. License Class License No Date/ ) Ci "'��--��Contractor Signatur 11.. VORKERS' COMPENSATION DECLARATION LIN IARNING: 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 :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty 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 IN erformance of the work for which this permit is issued. Policy No. LJI' 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' compensatiol insurance carder and policy number are: Carrier Policy Number Expiration Date f Agent Phone # I ertity that, in the performance f the work r whit 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 Iha if I should become subject to a wore�c4o� en a n ro,,Llons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 R r;' 1DP P, Y,'yP� P Y P 7 Signature of Applicant � ' V DatW LID — DECLARATION REGARDING 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, Civil Code). Lender's Name Lender's Address By 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 c my ordi a fate I ws relating to building construction. I authorize representatives of this city or count to ter ha ve-nd operty for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Nam i,u�M l-/u� Dale ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 _ PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFIC':TIOr: TO PERMITCANCELLED 13EPA - - - PERMIT EXTENDED QMD PERMITFINAL ',t,.A-. ASBESTOS OTIFICATION T PI I�F TO CERTIFICATE OF I74-I-XI Mot PR OSEDD MOLT OCCUPANCYISSUED 7 SIGNATUR