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HomeMy WebLinkAboutF2019-0050 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII FIRE Permit: F2019-0050 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 -. 9 9 5 0 Project No : 0210-2019 Permit Counter Phone (949)644-3288 �';tlrnu's*ro - Inspection Requests Phone (949)644-3255 Job Address: 215 EVENING CANYON RD NB .Description: SFR (X2019-0288) FUEL MODIFICATION - Inspector Area;,6'' Legal Description: N.TR 1116 LOT 125 - - Owner ARGYROS STEPHANIE Contractor: CARL AKINS COMPANY INC ,. Architect:.. LIGHT CHRISTIAN R Address: 215 EVENING CANYON RD Address: 332 FOREST AVE #12 - Address: 1401 QUAIL ST #120 CDM CA 92625 LAGUNA BEACH CA 92651 NEWPORT BEACH CA 92660 Phone: - Phone: - 949-715-5445 Phone:. 949-851-8345 State Lie: CO22334 Applicant: VILLALPANDO ALEX Con State Lie: 801814 Engineer: DEIHIMI DAMIR HOSSEIN Address: 1401 QUAIL ST #120 Lie Expire: 1213112019 Address: 23172 PLAZA POINTE AR STE 145. NEWPORT BEACH CA 92660 Bus Lie: BT30008749 ' LAGUNA HILLS CA 92653 Phone: 949.851-8345 Lie Exp Date:: 01/31/2020 Phone: 949.954-7244 State Lici C-078194 Code Edit: 2016_ Worker's Compensation Insurance Designer. Type of Construction Carrier: ..STATE COMP. INS. Address: Occupancy Group:U Policy No: 9042529 Added )New sq.ft. Bldq:o 0 Expire: 02101/2020 Phone: Adideddhlew sq. ft,. Gasaga: 0 Nqr of°F61fi�es: ° ° ` 0 Issued Date: 04/16/2019 Special Conditions: Nroof Units : ° ° ° i; 0 ° Setback- Front: FI¢o&Zone:. a Rear. Bldg Sprinklers: ° N Left: ,y Oc000 Right: f l" t as FEES "1�zJ ° c or°boo. ° Co08truction Valuation: $1,000.00 ° Building PC Fee,n�© $202.00 .Fire Residential Alarm PC Fee: $0.00 Records ManagementA $0.00 (' RuirFag OveLl(g2 PC Fee: _$0.00 Planning Counter Review: $0.00 ° Building Exterttlpo Fee : $0.00 Planning Zoning PC Fee : $0.00 Building Investigaoioil Fee $0.00: $0.00 Fire Plan Chao Fee: $0.00 Public Works PC Fee: $0.00 $0.00 Fire Permit as : $0.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee :. $240.00 TOTAL FEE : $442.00 Plan Check Fee: $202.00 Fee Due at Permit Issuance: $240.00 PROCESSED BY: OTHER DEPARTMENT: S w ZONING APPROVAL: 1"tttCCC1 PLAN CHECKED BY:: FIRE APPROVAL: _ APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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) 1 have placed next to the applicable items) (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 U 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 im roved for the purpose of sale). 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 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 legall, 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:/fwww.leginfc.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed 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. License Class License No Date - I Contractor Signatureon NORKERS' COMPENSATION DECLARATION NARNING: 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 ($700,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 offhe* ,;Ilor Codrfor^th )9fQyrce of the work for which this permit is issued. Policy No. • + ° • ° ° m 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 worrurs' carrier and policy number are: Policy Number Dale ••oe• ••oo• is of Agent Phone # .. 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 Iavlaf::Ilifornia, end ogvroe if I should become subject to the yuorkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. - of �reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is 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 withall applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county tp enter V1ejab9vAide 'tied property for inspection purposes. ACTION I DATE "I BY I PERMITEXPIRED I I I PERM! CANCELCED I I I PERMIT EXTENDED FEDERAL REGULATIONSPART fit OFTITLE40AMD AQMORULE1403. ❑ I SUBMITTEDASBESTOS NOIIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTtRCARONI5 NOT APPLICABLE TO PROPOSED DEMOLITION. OCCUPANCYISSUED I t I I' SIGNATURE: 'rt"I %u S Date • • o (Section 3097, Civil Code). .... ...... • o • 'rt"I %u S Date