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Home My WebLink AboutX2019-2394 - Permits�� ua City of Newport Beach - Building Division rye' 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)6443255 Combination Type - SFP COMB Permit: X2019-2394 x 2 6 1 9 2 3 9 4 Project No : Issued Date : 08/01/2019 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 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 126 VIA LORCA N8 Description: SFR CHANGE OUT (5) WINDOWS, REMOVEIREPLACE STUCCO W/SIDING@ FRONT OF DWELLING Legal Desc.: TR 907 LOT 630 SWLY 21 FT AND NELY 12 FT LOT 631 . Owner: FLORIE BRETT Contractor: MORAN JAVIER GENERAL CONTR Architect: Address: 126 VIA LORCA Address: 3089 YUKON AVE Address: NEWPORT BEACH, CA 92663 COSTA MESA CA 92626 Phone: Phone: 714-721-8846 Phone: State Lie: Applicant: MORAN JAVIER GENERAL CONTR Con State Lie: 712191 Engineer: Address: 3089 YUKON AVE Lie Expire: 09/30/2019 Address: COSTA MESA CA 92626 Bus Lie: BT00023023 Phone: 714-721-8846 Lie Exp Date: 08/31/2019 Phone: State Lie Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: STATE FUND Address: Occupancy Group: R3/1.1 Policy No: 1547692 Added /New sq.ft. Bldg:. 0 Expire: 06/0112020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: I - Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone: N Construction Valuation: $35.000.00 Building Permit Fee: $581.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee: $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 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 $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat r $0.00 Electrical W $0.00 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %`. $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 IITOTAL FEE: $583.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $583.00 PROCESSED BY: ` c ` PUPLyC WORKS APPROVAL: a oc n ZONING APPROVAL: ` PLAN CHECK BY: GRADING APPROVAL:v u °-'APPROVAL TO ISSUE: r -c o m u a /dr 1,64J „ 1 0 0 X 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 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 of more than five hundred dollars ($500). 7 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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 reprovements 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). - 1-1, 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 poly 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 legally ell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Irofessions Code, is available upon request when this application is submitted or at the fallowing 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, 0 of Di isi re 3 f the Business and Pro es ons Co and m se full f rce nd effect. License Class License No Date 1 ! ' ` Contractor Signature' 2.,i 14 V6RKERS' COMPENSATION DECLARATION ARNING: 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 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 the ,ra Trance of the work for which this permit is issued. Policy No. JI have 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 Isurance carrier 0dwolicv number ar% _ .. Date ne of Agent G6 arc 'y"°l/ • v il-e^C Nnone IF 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 agree t, if I should becomes s/ybject to/,the workers' c p�e'nsa/Jlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant 7� 1 /C��1A�/(7 % �/ Dat CLARATION REGARDING CONSTRUCTION UENIMING AGENCY - :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address 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 la s relating to building construction. I authorize representatives of this city or cogq o enter ,he alb j nt'fie roperty f r inspection purposes. nature of Prooertv Owner or Authorized Agent,__ ye— ` t� 1-a 4 Print Property Owner's or Authorized Agent's Name Y �/i' .i� /�C�r' ! Date ACTION DATE BY r DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL. FOR OFFICE USE ONLY r REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS PERMIT CANCELLED PERMIT EMENDED LJAQMD PERMITFINAL SASBESTOS Ve NOTIFICATION IS NOT CERTIFICATE OF P POS D 0 TION y/ OCCUPANCYISSUED SIG' Jko , CCU�`1/ /, iT� • • • • e 4 b TO •• .•• 0 0 •. u . ••4 t N+r co°•c v SND -60 d U O>, LT OC to O 2- tu alb a) N� t ° e°�8c ^' N e m c .2 m 10 C ami y 'O is O M 'e oom N f2�j = 'SC ® LE E 'C .2try .'!" c CL O e U.0c3 `o� o g U)oW?L C: 042 4i U (a ° E® .0,c 0 M L L c Rr'0 ® c ® _ 4) re � 120.5 cap�+� c�5° mmE N :F7 O m a ,e a) N S N N m. 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