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HomeMy WebLinkAboutX2020-0066 - Permitswsar,� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2020-0066 cs *r 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 0 6 6 6 Project No H �'+ Permit Counter Phone (949)644-3286 v_ Inspection Requests Phone (949)644-3255 "t5ri,uxe. Combination Type - SFP Issued Date : 0110912020 Inspection Area : 2 PERMITS EXPIRE 160 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 5:00 p.m. No work on Sundays or Holidays Job Address: 1901 KINGS RD NB Description: SFR REROOF TIO CONCRETE TILES AND REPLACE W/ CEDAR LITE CONCRETE TILES 6 LBS ESR # 1647 CLASS B 55 SCIS w ^ Legal Desc.: N TR 1221 LOT 5 ,y,j 1 ■ �r%-ro ' Owner: BEHR FRED Contractor: OWNER/BLDR Architect: Address: 1901 KINGS RD Address: AUTH AGENT: Address: •••° NEWPORT BEACH, CA 92663 ELIAS GUTIERREZ ...... oeoe° Phone: Phone: Phone: State Lie: oeeoo° eoeeee e " Applicant: GUTIERREZ ELIAS Con State Lie: 018 Engineer: Address: 601 E POLOMAR ST # C 223 Lie Expire: Address: ° ° •"" ee " CHULA VISTA, CA 91911 Bus Lie: o o e e o Phone: 619-921-6533 Lie Exp Date: Phone: State Lie: m •••• o a e"" Code Edit: 2016 Worker's Compensation Insurance Designer: 0 om ° • • o e ee e °" ° Type of Construction: V -B Carrier: Address: .... Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: ; ° ° ° ° m ° Added /New sq. ft. Garage: 0 ° No of Stories: 2 Building Setbacks Rear: I Special Conditions: LANDSLIDE AREA .... No of Units : 1 Front: I OIBFORM ATTACHED ...... °• 0 0 Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $70,000.00 Building Permit Fee: $324.00 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 WQ 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 $0.00 Electrical %: $0.00 San Dist : $0.00 Building Green Fee : $3.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $327.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $327.00 PROCESSED BY: `l1\J'r ' PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION s 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 form 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 thelO-siness 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 'improved for the purpose.of sale). I�q' 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 apply to an owner of propertywho builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature b(IlpW 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) sell a structure 1%L4&e built as an owner-buildas not been constru d in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70 of th Busi ass and Professions Code, is available upon request when)/thisplication is sub ' ed o t the following Web site:http://www.leginfo.ca.gov/calaw.htmi. U $ii AdtOt of Prop *k;Nner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATI�/( �hefeb^ffirm undbr penalty of perjury that I am lunder p I fTChapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C de, and my license is in full force and effect. LicelrabR31ps Lic o Date Contractor Signature 4fORijLRS' CC1MPENSATION DECLARATION NARNIEjJ : FAILURgf&)T.CORE 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 &%T D COMPEN ACTIO .DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. A2te9y affirm under penalty of perjury one of the following declarations: ir . hla M have andyy��''KI rraiQtain 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 Jerformance of CworWor which this permit is issued. Policy No. gy+pp0600 _11 raY@and wilorMiAtain 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 nsurance carrier anWpolicy number are: Policy Number ie of Agent certify that, in the performance of the work for which this . if I should become subieot to the workers' compensatiol of Applicant Date t 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 isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .'J Date/zz� L G ICY neby affirm under pedhity of perjury that thw9j" cbhStruction lending agency for the performance of the work for which this permit is issued (Section 3097, lull 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 oydinances and sta laws relating to building construction. I authorize representatives of this city or county to a ter the ab I l med property for inspection purposes. PERMIT EXPIRED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE BYr DECLAREGULATIONSNT 6M U TNTLE 40AND CE WITH DE OF FEDEAQMD RUDERAL I FOR OFFICE USE ONLY NOTIFICATION APPLICABLE TO X 0 D 3E u) m H � m .m 0 M AZm`° H� 0 Z o OC7�6° a y s W F7 X O Coo (MD Woo a) m U C U 0 0 v o.c� m -a N m o aia v w -gym .n L- E o _ � o 0 0 o o Y T E o c m L m 9:� w v T m m o �� o -0 m E ) LL N o 8. o N.. 0 3 3 3 w= Q o a. c) '3 N Q o�� .0 E o (D Wa o. 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