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Home My WebLink AboutX2019-1794 - Permitswx City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 COMB Permit: X2019-1794 k =:< Permit Counter Phone (949)644-3288 Project No : 0002-2019 Inspection Requests Phone (949)644-3255 Combination Type - BLDG Issued Date: 0 610 712 01 9 Inspection Area PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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: 226 TUSTIN AVE NB Description: SFR DEMO (E) GARAGE Legal Desc.i N TR 1133 LOT 26 - .Owner: .THOMAS MCELROY Address: 231 TUSTIN AVE Contractor: GALLO BUILDERS INC Architect: Record Management: NEWPORT BEACH, CA 92663 Address: 1278 GLENNEYRE ST #412 Address: $0.00 Phone: $0.00 LAGUNA BEACH CA 92651 $0.00 .Building Green Fee : $1.00 Phone: 949.683-3500 Phone: State Lie: Applicant: GALLO BUILDERS INC Con State Lie: 852218 Engineer: Address: 1278 GLENNEYRE ST #412 Lie Expire: 01131/2021 Address: LAGUNA BEACH CA 92651 Bus Lie: ST30028998 Phone: 949-683-3500 Lie Exp Date: 08/31/2019 Phone: State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer:. Type of Construction: Occupancy Group: U Carrier. STARNET INSURANCE Address: Added/New sq.ft. Bldg: 0 Policy No: BNUWC0142358 Added /New sq. ft. Garage: 0. Expire: 11/20/2019 Phone: No of Stories: 0 of Units : 0 Building Setbacks Rear: 1 Special Conditions: LANDSLIDE AREA Bl Bldg 0 Front: / HAULER: TIGHT QUARTERS Bldg Sprinklers: Sprinklers: Left: / Right: / Flood Zone: X Use Zone:. Parkin Spaces: 0 Fire Hazard Zone : N Construction Valuation Ssnnn nn Building Permit Fee: $103.00 Plan Check Fee: $0.00 Overtime Plan Ck $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 .Building Green Fee : $1.00 TOTAL FEE: $1,467.00 PROCESSED BY: ZONING APPROVAL: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %p: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Planning Department - Fire Department Plan check Fee: Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 i.. $0.00 $0.00 $26.00 $210.00 $1,127.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,467.00 9 6 PUBLA WORKM APPROVAL: c E s c p m 6 e oc o bca 0"PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: e u a cc p4 c c c ,: cc cc cc c c oc� oe 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:.. i.. $0.00 $0.00 $26.00 $210.00 $1,127.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,467.00 9 6 PUBLA WORKM APPROVAL: c E s c p m 6 e oc o bca 0"PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: e u a cc p4 c c c ,: cc cc cc c c oc� oe OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below repair the checcture, prior I have placed next to the applicable item(s) Lection 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 e 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 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 it more than five hundred dollars ($500). ]I, 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, usiness 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 nprovements 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 nf�roved for the purpose of sale). J ed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not I, as owner of the property, am exclusively contracting with licens 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). I am exempt from licensure under the Contractors' State License Law for the following reason: y 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 legal) 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://www.leginfo.ca.gov/calaw.html. Date signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect o 000) of iv'sion 3 of tConBtracto rSignaturef ss' ns C li ense is in u force end effect. License Class License No - VORKERS' COMPENSATION DECLARATION IOSTIOF COMPENSATION,ILURETOSECURE WO5 As RKERS' COMPENSATION FOR IN SECTION GE ISF NLAWFUL AND CODE, INTEREST, ANO ATTORNEY'S F ESRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($'100,000), IN ADDITION 70 THE ARNNGt THE 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 rfgrmance of the work for which this permit is issued. Policy No. I have and will intaiquired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol pn workers' compensation insurance, as re isurance carrier a y number ar Expiration Date Iarrier Icer Phone # Jame of Agent :1I 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 afire hat, if I should become su ' ct toth orke mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. `/�//f D signature of Applican - )ECLARATION REG ONSTRUCTION LENDING AGENCY hereby affirm under benalty of perjury that there is a construction lending agency forthe per Address of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name 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 crdinan and state laws relating to building construction. I authorize representatives of this city or county o t = entified property for inspection purposes. A,� e 7 Signature of Property Owner or Authorized Agent Print PropertyOwner's or Authorized Agent's Nam 4 ACTION DATE BY DE RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY GU IONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED UISUBMI EDASBESTOS OTIFICAIMON-IU PERMIT CANCELLED EPA V • e •• PERMIT EXTENDED QM �•� •• • • • ••• ••• PERMIT FINAL ASBES SN IC TION IS NOT APP BLE TO CERTIFICATE OF PROP O E OUTION OCCUPANCYISSUED SI TURE —fes -r