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Home My WebLink AboutX2020-2875 - Permits�H r'u0 City of Newport Beach - Building Division IIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 0 2 8 7 5 Permit Counter Phone(949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM COMB Permit: X2020-2875 Project No : 1400-2020 Issued Date : Inspection Arearea :2020 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1211112023 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: 440 FERNLEAF AVE NB Description: DEMO DUPLEX 8 GARAGE. 211 BEDROOMS. 2040 SF. SEWER CAP INCLUDED Legal Desc.: CORONA DEL MAR BLK 433 LOT 22 Owner: GALLO BUILDERS INC Contractor: GALLO BUILDERS INC Architect: BRANDON CHRISTOPHER Address: 1105 N COAST HWY Address: 1278 GLENNEYRE ST #412 Address: 151 KALMUS DR #G-1 LAGUNA BEACH, CA 92651 LAGUNA BEACH CA 92651 COSTA MESA CA 92626 Phone: 949-715-9874 Phone: 949-683-3500 Phone: 714-764-4040 State Lic:C031637 9I P Applicant: GALLO BUILDERS INC Con State Lie: 852218 Engineer: MANSHADI FARHAD V ECT® ■ Address: 1278 GLENNEYRE ST #412 Lie Expire: 0113112021 Address: 1800 E 16TH ST UNIT B LAGUNA BEACH CA 92651 Bus Lie: BT3002899B SANTA ANA,¢q 92701 Phone: 949-683-3500 Lie Exp Date: 0813112021 Phone: Insurance Designer: 714-835-2800 O State Lic:C-036840 00, Code Edit : 2019 Worker's Compensation _ Type of Construction: V-B Carrier: STARNET INSURANCE Address: C1` Occupancy Group: R31U Policy No: BNUWC01622628 ` Added /New sq.ft. Bldg: 0 Expire: 1112012021 Phone: P Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks nn -- A Rear: / Special Conditions: TIGHT QNQERS TO �°�� No of Units : 2 Front: I HAUL DEB Bldg Height: 0 Left: I I HIGH DENSI Bldg Sprinklers: Flood Zone: X Use Zone: Right: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $12 000.00 f� /-(1 V Building Permit Fee: $120.00 Excise Tax: $0.00 Planning Department - Fire Department $0.00 Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant: Fee: $0.00 SJH Trans : $0.00 In -lieu Housing Fee: $0.00 Demolition Fee $0.00 Building Dept Adm $26.00 Record Management: $0.00 Grading Permit Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $316.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $120.00 Park Dedication : $0.00 Refund Deposit $1,692.00 $0.00 Disabled Access : $0.00 PM Plan Check: $0.00 Grading Bond: Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 $0.00 Building Green Fee: $1.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $10.80 TOTAL FEE : $2,285.80 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,285.80 PROCESSED BY: PUB" IC WORKS APPROVAL: A' ZONING APPROVAL: LRIU PLAN CHECK BY: GRADING APPROVAL: A?PRCVAL TO I$S,tIE: 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 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 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 (_) 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). ❑ 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). ❑ 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 legall) 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/calaw.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 Secti 70 f ' isi of the Business and Pr ions de, nd y license is in full force and effect. License Class License No ate Contractor Signatu 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 (E100,000), IN ADDITION TO THE COST 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 thl "Am ance of the work for which this permit is issued. Policy No. 5 I h ve 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' compensatio n r nce carrier and policy number are: rler Policy Number Expiration Date Name of Agent Phone # :1I certify that, in the perform nce of the work 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 agre :hat, if I should become subj t to the ,�w'orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,� / Signature of Applicant //I��-1 DAt�/ DECLARATION REGAR COW 1kUCTION LENDING AGENCY l/k 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). _enders Name Lender's Address 3y 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 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 t enter the above-ide tified property for inspection purposes. j % I II I 3i nature of Property Owner or Authorized Age t Print Property Owner's or Authorized Agents Name &MCI6 Date 1 G l if ACTION DATE BY D LA A ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY GULATIONS PART 61 OF TITLE 40 AND AOMD RULE 4 _ PERMIT EXPIRED LYE ASBESTOS NOTII ICAT.ON TO PERMIT CANCELLED EpA PERMIT EXTENDED OMD PERMITFINAL L l L ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITI_ y OCCUPANCYISSUED `,A� SIGNATURE: Nv N\