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Home My WebLink AboutX2020-0019 - PermitsY,vvt�og City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0019 .^.�" - 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 0 1 9 Project No : 2911-2018 ' Permit Counter Phone (949)644-3288 ' Inspection Requests Phone (949)644-3255 r # pt,> Combination Type - BLDG Issued Date : 0110712020 0 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 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 116 VIA SAN REMO NB Description: COMM -NEW DETACHED SHADE STRUCTURE"SAN REMO PARK" i!0/'® f+p�pl��®�B NO CONSTRUCTION Legal Desc.: TR 907 LOTS 215 TO 218 INC AI®�� N t �d Owner: LIDO ISLE COMMUNITY ASSN Contractor: LUCCO CUSTOM CONSTR Architect: Address: 701 VIA LIDO SOLID Address: 32188 CAMINO CAPISTRANO Address: NEWPORT BEACH, CA 92663 SAN JUAN CAP, CA 92675 p' ®N THS Phone: Phone: 949-400-2223 Phone: WEEKEND Applicant: LUCARIELLO MICHAEL Con State Lie: 473808 Engineer: BOWEN WILLIAM N Address: 32158 CAMINO CAPISTRANO Lie Expire: 02/2912020 Address: 1937 BEDFORD RD SAN JUAN CAP CA 92675 Bus Lie: BT30052416 BEDFORD TX 76021 Phone: Lie Exp Date: 09/30/2020 Phone: 1-800-966.5005 State Lic:C-032642 Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: Carrier: STATE COMP. INS Address: Occupancy Group: U Policy No: 9242713 Added /New sq.ft. Bldg: 0 Expire: 0111412021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks r - Rear: 0' M9 Special Conditions: High Density Ar11N No No of Units : 0 S P Front: qr T�t�'« ECTOR Height: 0 Left: o Bldg Sprinklers: Right:. 0 Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $24.000.00 Building Permit Fee: $456.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $396.72 Additional Fee : $0.00 Plan check Fee : $40.00 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 : $6.00 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: $0.50 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $41.25 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: $941.47 Plan Check Fee : $477.97 Fee Due at Permit Issuance : $463.50 +46 b O 00+ PROCESSED BY:+PiB& WORKS APPROVAL: Ivy - ZONING APPROVAL: � PLAN CHECK BY: GRADING APPROVAL: ° `� ° ° `c ° c ° o o ° ° ° o(PPROVAL TO ISSUE: s m a ° o 0 +° 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 L) 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). ❑ 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 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 licensure under the Contractors' State License Law for the following reason: By 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 sell 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 Professions 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 LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Division 3 of the Business and Prof gssi n e, a license is in full force and effect. License Class License No Dat 1 Contractor Signature V NORKERS' COMPENSATION DECLARATION VARNING: 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 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. here `y affirm under penalty of perjury one of the following declarations: I ave 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 IN >e rmance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the . abs C`a*A, for the performance of the work for which this permit is issued. My workers' compensatior rance carrier and policy number are: )arrier Policy Number ,• Expiration Date game of Agent Phone # ❑1 certify that, in the performanc of1heork 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 agre( hat, if I should become subj ct t the 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.Signature of Applicant)ECLARATION REGA G C NSION LENDING AGENCY hereby affirm under penalty of p rjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name Lender's Address 3y 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 ordinancesAnd state laws relating to building construction. I authorize representatives of this city or county to en r the Ove-identified property for inspection purposes. signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY bECLWATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 ••• • • ••• PERMITEXPIRED (SUBMITTED ASBESTOS NOTIFICA O TO• •• • • •• • •• PERMIT CANCELLED EPA • • • .•• • • PERMIT EXTENDED QMD PERMITFINAL EIASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION •.• ••. • • ••• :•• :•• OCCUPANCY ISSUED SIGNATURE: • • • • • . v a 0dwwl4c 1V {i 4 ° 0 N Y> m O fL F ty °) N 00 rN Ic G W NO T .r] G O N�' '° b � Y a rj P. G? 5 a 8[ v Wa �a �" EW-� ao"O �" c� t� ° d U W,CIC0 Z N a z ,E s 5Z O Z 0 Cd IL:Li a c F a v$ o�7°Co �0 NN5 v d w ;� F-0 y W WAmam AO yo0. 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