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HomeMy WebLinkAboutX2020-2829 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-28 9 �Hr°4ri +� 4� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 8 2 9 Project No : 0649-2020 . - Permit Counter Phone (949)644-3288 U +e Inspection Requests Phone (949)644-3255 -' rlLrY��YµM1} Combination Type - BLDG Issued Date : 1210412020 Inspection Area : 3 PERMIT EXPIRES 180 DA YS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 12105/2023 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: 1611 CLIFF DR NB Description: DEMO (E) DETACHED G GE Legal Desc.: N TR 1219 BLK A LOT 3 � � ILUNACONSTRUCTION Owner: CALPACMORTGAGE FU LL()ate: ontra tor: AJftaPppliCable. -- Address: 3700 CAMPUS DR #200 re s: A res Phone: NEWPORTBEACHCA92- 0 ANAHIEM CA 92805 „, Phone. "" 94§-933-0597 --- PQe80%or0100%�.`Sta`Cetic:_'. r 61 CD Applicant: LUNA CONSTRUCTION Con State Lic 1043183 Engineer: Address: 501SOLVIE ST " Lic Expire 08/31/2022 Added, horri: rn ANAHIEM CA 92805 �'' Bus Lic BT30067883 Phone: 949-933-0597 Lic Exp Date: 06/30/2021 Phone: State Lic: e Code Edit: 2019 Type Construction: VB ° i Workers Compensation Insurance v Carrier STARNET INS Designer: <_ Address: of Occupancy Group: U Policy No BNUWC0143251 t­ _EA0ire: - - ' Added /New sq.ft. Bldg: 0 05/03/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I Special Conditions: HAULER: TIGHT QUARTEf� No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Fr nt: I �^°'� p� j' p phi . in I - --v; e - �. �I � p lan Flood Zone: X Use Zone: Parkin S aces: 0 Fire Hazard Zone : 'v Construction Valuation: $1,000. tFIQ WvFK J Car Building Permit Fee: $120.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 N otE)4dditional Fee : $0.00 Plan check Fee: $0.00 Fire Ins f - $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share rie $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : 00 De i �i00I Record Management: $0.00 �,g_Ifl I71t18IS' m b£, $0.00 Energy Compliance: $0.00 $0" - �'�"^ ",^•'"�0P ^ Aak r,P 4 $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Bond: $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 - $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $121.00 Pla Check Fee: $0.00 Fee Due at Permit Issuance : $121.00 PROCESSED BY: PIJFLIr' WORKS P PPRdVAL: C ZONING APPROVAL: PLAN CHECK BY: \ GRADING APPROVAL: - APRROVP=L 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 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 (cor-..--1er,-:0g 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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).��,gg ((q _ - P property, ,Iv1�5. E r P_ _ _ - ors' State License Law does not ❑ I, as owner of the a - e-"`z�te o'si3€I -coh roc In with license C n acy to con truct the project (Section 7044 Business and Professions Code: The Contract apply to an owner of property who wilds or Improves thereon, w c n a C for he ojects with a licensed Contracltpr pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure un er th ors' State Lice La By my signature below I acknowle a that, except for my persona esidenc in which I must have resided for at least one year prior to com letion of the improvements covered by this permit, I cannot legalll sell a structure that I have built as n owner -builder if it has not b n constructed in in its ntlrety,by Ilcensed. contractors. I�d l� t 3c P1 §! , the. applicable law, Section 7044 of the Business and Professions Code, is available up req js appli'atbb4is sutTAtted oaat thvefollovnng Web site: http:i/www.legmfo.ca.gov/calaw.html. Signature of Property Owner or Aonz Agent `-' - Date LICENSED CONTRACTOR'S DECRATION 1 hereby affirm under penalty of pe uryt aR#am Ilcensed urr provisions of-Chapter4(cornmencing with-Sectrori� 00f �i...On 3 o t e Business and Pr io a Is in full force and effect. License Class License No Date'' l,r 1-J Contractor Sign WORKERS' COMPENSATION DEC I N -- - -N y WARNING: FAILURE TO SECURE WORKERS COMP ATI VERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAN OLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED F SECTION 0706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES r I hereby affirm under penalty of perjflry one of the- following declarations. - ❑ I have and will maintain a ceriflca25)df-consenf to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th performance of the work for which t is permit is Issued. Policy No. 1x-I�have and will intain worker compensate insurance, as required by ¢Section 3700 of the L de, hq performance of th work fo which this permit�is issued. My workers' compensatiol Pnsurance carrier a d licy numb¢ a ®g q�+ ,R�"�� Carrier r YC ' do wan f LJ Name of Agent _ C¢�� ❑I certify that, in t rformance the work for whic rtnit' shall not employ any person in any anneAN It r so as to become subject to the workers' com -nsation laws of California, and ogre that, if I should become subj to t' workers' compensation ors of 5 Labor Code, I shall forthwith comply with those provisions. / Signature of Applicant DECLARATION REG RD G C I AGENCY x.. I hereby affirm under penal perj : ry that ther Is a construction lending agency for the performance of the work for which this gi,9&9(It,isv'�p�echon Code). Lender's Name By my signature below, I certify to a ch 1 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. ✓ALAS3uG�� I agree to comply with all applicable city and county A ands a laws relating to building construction. I authorize representatives of this city or cou an a led property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Na e % ACTION DATE BY ECLA ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY GU IONS PART 61 OFTITLE 40 AND AQMD RULE 14 _ __ PERMITEXPIRED Q j UBM EG A53ESTOnN T171CATIJN fO PERMITCANCELLED EPA ' PERMIT EXTENDED QM PERMIT FINAL ASBES OS OTIF AT 15 NOT APPLICABLE T CERTIFICATE OF PROPO D DE ,_ IQAL—�, OCCUPANCY ISSUED