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HomeMy WebLinkAboutX2017-0862 - Permits� " 4 City of Newport Beach - Building C:vision "X2017--0862* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 e"+rtaF's Combination Type - MFP COMB Permit: X2017-086 Project No : Issued Date : 03/16/2017 Inspection Area : 4 a PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSlrtc nun. INSTALL OR VERIFY SMOKEICARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Job Address: 615 POPPY AVE NB Description: MFR -REPLACE CEDAR SIDING WIHARDIE PLANK SIDING (BACK UNIT) Legal Desc.: CORONA DEL MAR BLK 643 LOT 15 Owner: STRONGIN MIKE Contractor: ZORNOSA OCTAVIO GEN CONTRACTOR INC Architect: Address: 615 POPPY AVE NEWPORT BEACH, CA 92625 Phone: Applicant ZORNOSA OCTAVIO Address: 14 DEMBERLY MISSION VIEJO CA 92692 Phone: 949-697-3420 Code Edit : 2016 Type of Construction: V-B Occupancy Group: R3/U Added /New/TI sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 2 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Address: P O BOX 8791 NEWPORT BEACH CA 92658 Phone: 949-697-3420 Con State Lic: 695388 Lic Expire: 12/31/2017 Bus Lic: BT00021275 Lic Exp Date: 02128/2018 Worker's Compensation Insurance Carrier: STATE COMP INS. Policy No: 9142462 Expire: 0911812017 Building Setbacks Rear: / Front: I Left: / Right: / Zone: 0 Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lic: State Lic: Special Conditions: NO ENGINEERING REQ PER KH Fire Hazard Construction Valuation: $16,000.00 Building Permit Fee: $307.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $0.00 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: $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 : PNV Plan Check: $0.00 $0.00 Disabled Access : Hazardous Mat $0.00 $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical W $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $345.50 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Fire Department $37.50 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 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $345.60 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: n 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 apeli, 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 dnd Professions Dude) 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 mnre than, five hundred dollars ($500). 0 I, as owner of fhd 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, D isincss and Frofessions 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 �,r,pruvements am 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 i:T.p. Lved for the pi-r ose of sale). C i, as owner it do property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not app:y 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). d 1'am exempt from Jcensure under the Contractors' State License Law for the following reason: By n;} 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) BPI( 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:hftp://www.leginfo.ca.gov/calaw.htmi, 3:3.idW.e of Property Owner or Authorized Agent Date LICENSED CONII RACTOR'S DECLARATION I hereby affirm urioer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 ) of Division 3 of the Business and Prof d my license is in full force and effect. License Class License No Date ° — b_ Contractor Signature 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'G LARS (E100,000J, 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: 1 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 nce of the work for which this permit is issued. Policy No. �"Vl, 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' compensatior nsgoKca carrier and policy number are: Policy Number of Agent Date certify that, in the performance 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 if I should become `subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Applicant X Date 'I ADATInrd Donn hereby affirm under penalty of perjury that s a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). _ender's 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 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 authorize representatives of this city or county to enter the above -identified property for inspection purposes. O �/ 3 —1 3ignature of Property Owner or Authorized Agent u �� �+%-/ K oSt Print Property Owner's or Authorized Agent's Name r vw ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMIT EXTENDED QMD be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the PERMIT FINAL („�,-1 ur STOS NOTIFICATION IS NOTAPPLICABLE TO life of the pool. CERTIFICATE OF ` { l SEDD MOLITION OCCUPANCYISSUED " .TllaF