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Home My WebLink AboutX2019-1425 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII fl4 ' 100 Civic Center Drive, Newport Beach, CA 92660 COMB Permit: X2019-1425 Permit Counter Phone(949)644-3288 Project No: 0130-2019 c` 4Y Inspection Requests Phone (949)644-3255 Combination Type - BLDG. PLUM Issued Date: 05/02/2019 Inspection Area : 1 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 Job Address: 3004 W OCEAN FRONT NB 8:00 a.m. to 6: 00 P.M. No work an Sundays or Holidays Description: CHANGE OF CONTRACTOR/DEMO SFR W/ATT GAR 8, CAP SEWER 2280 SF 4 BDRMS (REPLACES X2019-0886) Legal Desc.: NEWPORT BEACH CITY BILK. 30 LOT 3 AND BILK. 30 NWLY 10 FT OF THE SWLY Owner: VAN DAELE MICHAEL B Contractor: LONGMAN CONSTRUCTION CO INC Architect: Address: 3004 IN OCEAN FRONT Address: 2782 CIRCLE DR NEWPORT BEACH CA 92663 Address: Phone: 951-255-9349 NEWPORT BEACH CA 92663 Phone: 949-722-7711 Phone: Applicant: GUIDERO BILL Con State Lie: 393881 Address: 425 30TH ST STE 23 Lie Expire: 08/31/2019 NEWPORT BEACH CA 92663 Bus Lie: ST00001921 Phone: 949-675-2626 Lie Exp Date: 03/31/2020 Code Edit: 2016 Worker's Compensation Insurance Type of Construction- - Occupancy Group: R3/U Carrier: STATE COMP INS FUND Added /New sq.ft. Bldg: 0 Policy No: 9062475 Added /New sq. ft. Garage: 0 Expire: 07/0112019 No of Stories: 0 Building Setbacks Rear: I No of Units : 1 $0.00 Public Works Department - Bldg Height: 0 WO Insp. Fee: Front: I Bldg Sprinklers: $0.00 Left: I Flood Zone: Use Zone: Pnrkinn Right: I cn.,. � n Building Permit Fee: Plan Check Fee: $0.00 Overtime Plan Ck: Investigation Fee: Record Management: Energy Compliance: CA Seismic Safety: Disabled Access: Hazardous Mat Building Green Fee: PROCESSED BY: Engineer: Address: Phone: Designer Address: Phone: Z GUIDERO WILLIAM 425 30TH ST STE 23 'TT NEWPORT BEACH CA 92663 Special Conditions: JD DEMO TO HAUL DEBRIS $0.00 Excise Tax: State Lie: V GABRIEL MICHAEL R 483 E 20TH STREET $0.00 COSTA MESA CA 92627 949-646-6596 State Lic:8-00293 $35.00 Plan check Fee.: GUIDERO WILLIAM 425 30TH ST STE 23 'TT NEWPORT BEACH CA 92663 Special Conditions: JD DEMO TO HAUL DEBRIS $0.00 Excise Tax: $0.00 Planning Department - Fire Inspection: $0.00 Additional Fee : $35.00 Plan check Fee.: $0.00 Demolition Fee Grading Bonds Fee: $0.00 Fair Share $0.00 $0.00 Grading PC Consultant: $0.00 SJH Trans Refund Deposit $0.00 $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Grading PC Fee: $0.00 Public Works Department - $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 $0.00 Electrical %: $0.00 P/W Plan Check: $0.00 $0.00 Mechanical %: $0.00 San Dist: NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 TOTAL FEE: $35.00 ZONING APPROVAL: Plan Check Fee: $35.00 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: :rr.. Fire Department $0.00 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: $35.00 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: :rr.. 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 repair the checcture, prior 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 a Law the Contractors' State cens 'he ro es olnsofile a signed Code) or that heto she is exempt from that he or she fcensu ed pursuant to the and the basis for he Isions allegedfexemption. Any violation lof Section 7031.5 tby any applicant oer 9 (commencing r✓a permit subjeith Section cts th0) ofe applicant ant ton 3 of ta civil penalty of iot more than five hundred dollars ($500). of the work, and the structure is not intended or offered for sale (Section 74, :1I,as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions 3usiness 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 mprovements 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 mproved for the purpose of sale). ❑I, as owner of theproperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does no apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractorpursuant to the Contractors' State License Law). ❑ 1 am exempt fromlicensure under the Contractors' State License Law for the following reason: By a structure below I have built es aneowne -builder f itnhas not been sonal constructed ndence in I It I must have resided entirety by licensed for I undersand that a copy of thrior to completion of eapplicable law, improvements 7044tof the Business ss andtl cannot lega Profession's Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Date Slgnature•of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby -affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section7000) of Division 3 of the Bra fors and Professions Code, and my license is in full force and effect:: License Class License No Date CoWORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECUREWORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00D), IN ADDITION TO THE COST OF, COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ion, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th I have and will maintain a certificate of consent to self -insure for workers' compensate performance of the work for which this permit is issued. Policy No. quired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi I have and will maintain workers' compensation insurance, as re insurance carrier and policy number are: Expiration Date Policy Number o. e x IS of Agent oy any person in any manner so as to become subject to the workers' compensation laws of California, and certify that, in the performance of the work for which this permit is issued, I shall not empl . if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n.ta Nature of Applicant :;LARATION REGARDING CONSTRUCTION LENDING AGENCY rmance ireby affirm under penalty of perjury that there is a construction lending agency for heLenpeeder's Address of the work for which this permit is issued (Section 3097, Civil Code). ider's Name 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 insspecltion rnurp owner's or Authorized Agent's Name DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERALI FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXTENDED -^""•"' PERMIT FINAL _a C/' 6g 1� ASBESTOS NOTIFICATION NOT APPLICABLE TO CERTIFICATE OF 1� PROPOS ED DEMOLITION OCCUPANCYISSUED SIGNATURE: