The URL can be used to link to this page

Home My WebLink AboutF2022-0013 - PermitsA r,•rfT City of Newport Beach - Building Division "F2022-0013* 100 Civic Center Drive, Newport Beach, CA 92660 L v Permit Counter Phone (949)644-3288 .K. Job Address: 1113 KINGS RD NB Inspector Area: 3 Owner: REED GREG & CAROLYN Address: PO BOX 1245 NEWPORT BEACH, CA 92659 Phone: 949-698-2091 Applicant: GUTIERREZ RUBI Address: 8085 E CRYSTAL DR ANAHEIM CA 92807 Phone: 7141666-8450 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 Flood Zone: Bldg Sprinklers: Y Construction Valuation: /22,4 Building PC Fee: Building Overtime PC Fee: Building Extention Fee : Building Investigation Fee Fire Plan Check Fee: Fire Permit Fee Building Permit Fee TOTALFEE: PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: Descr ion: NEW SFR, Legal Description: N TR 12194LK E.�4' T 31 Contractor: RESI NTIA�,IVIRE STEMS Address: 808 CRY, DJ,i, AV, HEIN��#192�a� / Phone: 14-666+8Ui50 Con State Li . 786965 C) Lic Expire'../ 1113012022 Bus Lic:,j3 BT30003809 v Lic ExtYDate: 0i413012022 "G pUrrier: P F(.%COMP. INS -;Policy N 94" 'Z��h v Expire: .9 20.? ` e Issued ate,S1/19/922 14�" k '' Setb k- JO Resat ; M1oA'"'+.aW� FEES 41tx, x v 3 $200 `„"birehzidential AlarrFee : i a �afaWhg Counter %W.jew $0.00 y ruanning Zoning'iFF`e ' 410 Public Works P. ee : 00 '�. V Public W0KTrNtc* Che�l PERMIT EXPIRES 1 AYS . FIRE Permit: F2022-0013 Project No : 0058-2022 Inspection Requests Phone (949)644-3255 Architect: Address: Phone: En in Addd% PQ. .y, a,vagr�eps: n �s J $222.00 9THER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: State Lic: N fate Lic: o 0o e > AL DR 92807 Records Management Fee Due at Permit Issuance ISSUANCE OR LAST VALID INSPECTION $12.00 $0.00 $0.00 $281.00 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat I am exempt from the Contracters' 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 ar 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 Iicensure 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 mare than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 doesnot 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 mproved 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 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), 7 1 am exemptfrom Iicensure undarthe Contractors' State License Lawforthe following reason: ly my signature below I acknowledgethat,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 legalh 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;IAm .leginfo.ca.govlmlaw.hlml. 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 Sectia 0 of Division of the Business and Pro s de„Zn9 m I';rsse is in full aorta nd effect License Class License No Date �1 I l�(,ZO Contractor Signature SL/ VORKERS' COMPENSATION DECLARATION IARAINM FAILURE TO SECURE WORKERS- cOMPENSAMON COVERAGE IS UNLAWFUL, AND SHALL SUVUEOT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 16106,000J, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNErS 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 thI ---errformance of the work for which this permit is issued. Policy No. al 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' compensatiior Is rance Cartier and policy number are: of Agent Policy Number 4v F1W_11ZA01 Expiration Date In tot I20-y, 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 agre I. if I should becom s lect to the war kem1' co-mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant `(2M�.:T.. Tom. Datev 01119I ZOZ?- CLARATION REGARDING CONSTRUCTION LENDING AGENCY rally, affirm under penalty of perjury that them is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, TV- NCivil Code). ets 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 provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I author¢e representatives of this city or wu ententheatlnva-i ified property for inspection purposes. nature of Property Owner or Authorized Agent .�`A^�%� rW✓�, Print Property Owner's or Authorized Agent's Name- IOI &�'tyr't--Z na1/01 1 yR 2_2 BY PART 61 OF TITLE 40 AND AQMD RULE TO PERM?FINAL I i SBESTOS I T ICATION IS NOT APPLICABLE TO CERTTFICATE OF .,........ 1..... FOR OFFICE