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Home My WebLink AboutX2019-1793 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-1793 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 7 9 3 Project No:.0002-2019 Permit Counter Phone (949)644-3288 (DOME Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM Issued Date : 06/0712019 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 N8 Description: SFR DEMO (E) SFR 1,473 SF (3. BEDROOMS) Legal Desc.: N TR 1133 LOT 26 Owner:. THOMAS MCELROY Contractor:. GALLO BUILDERS INC Architect: o _ G u Address: 231 TUSTIN AVE Address: .:1278 GLENNEYRE ST #412 Address: < v NEWPORT BEACH, CA 92663 LAGUNA BEACH CA 92661 u Phone:. Phone: 949-683.3500 Phone: State Lie: Applicant:. GALLO BUILDERS INC Can State Lie: 852218 Engineer: Address: 1278 GLENNEYRE ST #412 Lie Expire: 01/3112021 Address: LAGUNA BEACH CA 92651. Bus Lie: BT30028998 Phone: 949-683-3500 Lie Exp Date: 08131/2019 Phone: State Lie: Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: Carrier: STARNET INSURANCE Address: Occupancy Group: R3 Policy No: BNUWC0142358 Added /New sq.ft. Bldg: 0 Expire: 1112 012 01 9 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: SOME LANDSLIDE No of Units: 1 Front: I HAULER: TIGHT QUARTERS Bldg Height: 0 Left: I Bldg Sprinklers: Right: I - Flood Zone: X Use Zone: Parkin S aces: 0 Fire Hazard Zone : N Construction Valuation: $20.000.00 Building Permit Fee: $103.00- .Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee: $0.00 Fire Inspection: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00. Building Dept Adm Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit Disabled Access : .$0.00 P/W Plan Check : $0.00 Grading Bond: Hazardous Mat $0.00 Electrical %: $0.00. San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $9.27 TOTAL FEE : $2,041.27 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee: 0 $0.00 $0.00 $26.00 $210.00 $1,692.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $2,041.27 ®PUBLIC WORKS APPROVAL: , a `o' PLAN CHECK BY: a APPROVAL TO ISSUE: o _ G u c c < v u � c u 0 $0.00 $0.00 $26.00 $210.00 $1,692.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $2,041.27 ®PUBLIC WORKS APPROVAL: , a `o' PLAN CHECK BY: a 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 is 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 of 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nproved 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 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: ly 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) 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. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of iSion 3 of the Business and Professio o 'cense is in full force nd effect. License Class License No - Date Contractor Signatur,Q, VORKERS' COMPENSATION DECLARATION IARNING: 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 ($100,000), IN ADDITION TO THE OST 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 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 th erformance of the work for which this permit is issued. Policy No. I ave and Wilkwaintain 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' compensatiol rance carri Oolicy numb re: -Ser y Number Expiration Date is f Agent Phone # certify that, in the performance of the work f 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 WOrKer ' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / lature of Applicant herebyaffirm under penalty of a .0 that there is a construction lending agency for the performance of the work for which this permit is issued Section 3097, Civil Code). P Y POrY 9 9 Y P P ( ) ender's Name Lender's Address Iy 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 ordinan s an to laws relating to building construction. I authorize representatives of this city or countyJoAnteTtified property for inspection purposes. e /% •i...,ar,.re ,.f or...,e , n ... �.,, r A,Jhnrl,.H Ancn Print Pmnertv Owner's or Authorized Aoent's Na "'" ` *^'C /�y ACTION DATE BY D.LCLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1463 PERMITEXPIRED LJ I SU MITTED ASBESTOS NOTIFICATION TO • • •• • •• PERMIT CANCELLED EP • • • • • s • •: s • PERMITEXTENDED MD •• i • • i • ••• ••• PERMIT FINAL ASB TOSN IFIC ION IS APPLIE9ALE �A ••• CERTIFICATEOF /j I PROP E D OLI OCCUPANCYISSUED j/ ` SIG TUR • ••• •• •••