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Home My WebLink AboutX2020-2610 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIUIII�IIIIIIIIIIIII II COMB Permit: X2020-2611 r 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 6 1 0 Project No: 1259-2018 Permit Counter Phone (949)644-3288 " Inspection Requests Phone (949)644-3255 Issued Date : 1111012020 Combination Type - SFP PLUM I S P EECT F Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 1111112023 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: 8 GONDOLIERS BLUFF NB Description: SFR -CONVERT (E) LAUNDRY ROOM TO BATHROOM 67 SF *RENEW EXPIRED PERMIT` Legal Desc.: Owner: WANG GIANNI DI Contractor: OWNER/BLDR Architect: Address: 8 GONDOLIERS BLUFF Address: AUTH AGENT: Address: ' NEWPORT COAST CA 92657 CHRISTOPHER FRISCO Phone: 626-641-5268 Phone: Phone: State Lic: Applicant: STEVENS JAMES Con State Lic: O/B Engineer: ' Address: 26352 MIRAR VISTA DR Lic Expire: Address: .. - . MISSION VIEJO CA 92692 Bus Lic: '. Phone: 949-364-0876 Lic Exp Date: Phone: State Lic: Code Edit: 2016 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Rear: I Front: I Left: I Right: / Designer: STEVENS JAMES Address: 26352 MIRAR VISTA DR MISSION VIEJO CA 92692 Phone: 949-364-0876 Special Conditions: Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $0.00 Additional Fee : $66.00 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: $0.00 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 PAN Plan Check : $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSDFee: $0.00 Plumbing %: $0.00 TOTAL FEE: $56.00 PROCESSED BY: ZONING APPROVAL: Zone: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: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $56.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL 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 (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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 imp ovements 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). 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 pply 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 ueluw I acknowledge that, except for my personal reside a in which I must have resided for at least one year prior to completion of the improvements covered y this permit, I cannot legal) ,:sell a structure that I have built as an owner -builder if ha Ian cons ucted in its entirety by licensed contractors. I understand that a copy of the applicable law, Sectio 7 44 of the Business and ,:sell Cnr'F, s cvailable upon request whe plic io is sub tted or at the following Web site:http:/fwww.leginfo.ca.gov/calaw.html. Kignature of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DEC LARATIO I hereby affirm under penalty of perjury that I am 1 ensed under provisions f Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effict. License Class License No Date Contractor Signature jWORKERS' CZh1PENSATION DECLARATION IWARNINC: FAILURE TJ ScCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000j, IN ADDITION TO THE JJl OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ��IlurzJy affirm under o=nalty of perjury one of the following declarations: I have and %:i:I 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 th rete6rmgnce of thr •vnrk for which this permit is issued. Policy No. I have and whi 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 insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent A r Phone # I certify that, in the perfor ante o ttorrs' rk o whi this permit is issued, I shall not employ any person in any manner so as to become subject to the worker c pensation laws of California, and agre hat, if I should become su ject to the mp sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date DECLARATION REGA I ONSTRLICTION LENDING AGENCY I hereby affirm under penalty of perju -at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civi) Code). Lender's Name Lenders 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 pr vide is correct. I agree to comply with all applicable city and count di nce and state laws relating to building construction...F�.> t� 1 authorize representatives of this city or count t ant h ab ve-identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name �S W DI D a D ACTION DATE BY ECLARATIO OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RCOYCATIONS PART 61 OF TITLE 40 AND AOMD RULE 1fiO3 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITC4NCELLED UEPA PERMIT EXTENDED OM PERMITFINAL BEST IFI ION TAPPLICABLE TO CERTIFICATEOF PROP D q LIT: N OCCUPANCY ISSUED IGNATURE: ]: r■ k�J) � (! E E� � � � } r oc oc= j a§ _ \\ /\ Ct )/ � \ / ƒƒ\ . \ \�® » % /t