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HomeMy WebLinkAboutX2020-0102 - Permitsw1o$ City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 t+ Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 e crw,u'> Combination Type - SFP COMB Permit: X2020-0102 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�II II Project No : 1972-2018 Issued Date: 01/1312020 Inspection Area : 8 PERMITS EXPIRE 180 DA YS 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: 10 SPANISH BAY DR NB Description: SFR REMODEL FRONT FACADE (4 COLUMNS) *RENEW EXPIRED PERMIT* Legal Desc.: N TR 15332 LOT 62 Owmer: THOMAS THE PEYTON Contractor: Adtlress: 10 SPANISH BAY DR Address: Engineer: NEWPORT BEACH, CA 92660 Address: Phone: Phone: Applicant: RINGO RALPH Con State Lic: Address: 33986 CAPE COVE Lie Expire: Planning Department - MONARCH BEACH CA 92629 Bus Lie: Phone: 949-351-1787 Lie Exp Date: Code Edit : 2016 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N OWNER/BLDR 949-719-9324 0113 Workers Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Rear: 10' Front: 5' Left: 5' Right: 5' Architect: z5ppn��� VVV Address: 0 Phone: • e State Lie: eee.e. e Engineer: Construction Valuation: $5.000.00 Address: e e oeeeme Phone: State Lie: Designer: c e m RINGO RALPH Address: 33986 CAPE COVE o Planning Department - MONARCH BEACH CA 92629 0 o m Phone: 949-351-1767 oomo Special Conditions: OWNER/BLDR ATTACHED memo.° e e vo ee o ooeoo 0 mmeco momsoo c m n m 000eco s o mmeo Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $5.000.00 Building Permit Fee: $152.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : ($77.00) 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 P/W Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $76.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $76.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: \�,b " 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 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 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builder will have the burden of proving that it was not built or proved for the purpose of sale). as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from icensure under the Contractors' State License Law for the following reason: By my signatur�beTow l acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot lega-, sell a structure tR2t1 fiave built as an owner-builder if i has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70 of the Busi ess and fGfaaAons Cada `is Mailable upon request when thy applic 'err — or a e olUTM-Neb�site:http://www.leginfo.ca.gov/calaw.htm]. Signatute of Properly owner or Authorized Agent —P Date &Zn__L32� �tQEN$ED CONTRACTOR'S DECLARATI *here0y affirm ugder pgnalty of perjury that I am icensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Licea92Cltss License No Date Contractor Signature WORI4ERS' COMP,ENSATION DECLARATION WARNING: FAILUR$T(Y WbRE 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 C�OfR7j)ti COMPEN ATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. l Ppj;e.by.affirm under penalty of perjury one of the following declarations: ® I hal and aviil' aijltain 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 IN ppagrewce of the work for which this permit is issued. Policy No. 12t fiave and wAl,ryaiatein 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' compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # 131 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 law of California, and agre that, if I should become sub' oe orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / 7� Signature of Applicant a DECLARATION REGARD NG CONSTRUCTION LENDING AGENCY I hereby 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). Lender's Name Lender's Address By 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 lating to building construction. I authorize representatives of this city or county to a ove- rrtified.pr 'party for inspection purposes. 7tff SignatureofPropert Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE BY DE RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 140 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO - PERMIT CANCELLED OEPA PERMIT EXTENDED OVID PERMITFINAL SBESTOS NOTIF19U1QU1S.UQTAgNLCABLE TO CERTIFICATE OF I-I5'-Z� OP D OUT OCCUPANCYISSUED SIGNATU to m H rz, p N U0 W a) v AzmCO OF°� " i n d z 5� a3i A o OC7�� Ams W O Is, a) 3 N U O U v 0 0 /Q.2 :C.. 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