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Home My WebLink AboutX2020-0240 - Permitsa �"�" 1��r��, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0240 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 2 4 0 Project No: E. °�_ Permit Counter Phone (949)644-3288 `y+ Inspection Requests Phone (949)644-3255 n'rWr�zx'`ag Combination Type - CIP Issued Date : 01/2812020 Inspection Area : 7 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: 2816 NEWPORT BLVD NB Description: COMM - REPL SIDING ON NORTH & SOUTH WALLS & REPL WINDOW TRIMS Legal Desc.: NEWPORT BEACH SEC A BLK 225 LOTS 9 & 10 Owner: ADLER MARVIN P Contractor: R R CONSTRUCTION COMPANY Architect: ink' I Address: 30123 SKIPPERS WAY OR Address: 1570 N KENWOOD AVENUE Address: CANYON LAKE, CA 92587 SAN BERNARDINO CA 92404 Phone: 951-244-6601 Phone: 909-645-3647 Phone: State Lie: Applicant: RAMOS RIGOBERTO Con State Lie: 752895 Engineer: ...... ••..° Address: 1570 N KENWOOD AVENUE Lie Expire: 08/3112020 Address: . . • ° SAN BERNARDINO CA 92404 Bus Lie: BT30070816 Phone: 909-645-3647 Lie Exp Date: 01/3112021 Phone: State Lic: . Code Edit : 2019 Worker's Compensation Insurance Designer: o ° m °e • °• ° Construction: Type ofOccupancy Carrier: EXEMPT Address: ° p. M Occupancy Group: M Policy No: NO ° CONSTRUCTION -NOISE Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: HIGH DENSITY ZONE No of Units : 1 Front: I Bldg Height: 0 Left: I N SATURIJAYS Bldg Sprinklers: Right: / ° ° • ° Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N .... Construction Valuation: $3.000.00 Building Permit Fee: $120.00 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 PMI 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 F : $121.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $121.00 PROCESSED BY: PUBLIC WORKS APPRO L: ZONING APPROVAL: PLAN CHECK BY: y GRADING APPROVAL: APPROVAL TO ISSUE: 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or `) 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, 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.htmi. Signature of PrQpWy Owner or Authorized Agent Date LICENSED'QBNCTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section OITJ�f Divi ion 3 of the Business and Professions , and I se S rrfG11 for d1B'eifect. tliefi5ePlass License No Date d Contractor Signature WORKERS' CQMPENSATION DECLARATION NARKING: FAILUR TO $f CURE WORKERS' COMPENSATION COVERAGES UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPEW ATWNr DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm Crider penalty of perjury one of the following declarations: ;sLhave and fells tintain 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, forth Deggrr'iance of the work for which this permit is issued. Policy No. :14 ineva 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' compensatiol hsLran¢e carrier.ajt Itlicy number are: • Policy Number Expiration Date ql certifJ that, in the performanc a work for which . 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 gnature of Apbecome subje e w com at on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. D _ ^f /g � IECLARATION REG NG ONSTRUC L N ING AGENCY afj�J hereby affirm under enalty 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). ender's Name Lender's Address ly 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 relating to building construction. I authorize representatives of this city or countyla-apter the above -identified property for inspection purposes. k74 Owner or Authorized DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL 11 FOR OFFICE USE ONLY 1 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE TO PERMIT CANCELLED PERMITEXTENDED _ LJAQMD PERMIT FINAL CERTIFICATE OF 7 ASBESTOSN PROPOSEDD TIOIy/ SN TAPP B TO ITION////I//V/� p /��{/� OCCUPANCY ISSUED SIGNATOR ,/.JU.K/ll,/sJ i7 a2a)t> Sf //\k�U /0 CL Bm a� 0a)0 . « 2 m(�f uj Er 27g§�d � �� ca 6=m«E\ j § ;ua) LU t\ ka\U)CL CL zz C3 �§��f 00 �= Era/I L) $� 0Cc .W0 �o CL �°=5"cc ■ z o o CN 0 C w 2 2� ) I d e m 0 - kk�2�k U o = a. e 2 w°§ 2 \ 2§ �$ /[§_(f. d 20== BAE$c00 o U) 0E cc c � e� _ o E m E- 0 k � �� / CO \ . \ 04\ci CC �/9 0 CL / ; q \ a a _ . 0 - m R z 0 e \ / / \ � � \ \ k A o C� /t%`� ® a o t y U kms\ ca)a) t %.. 2 c c e 0\< \2\\k0 o o v £ U � W � \ H � u O ƒ � .\ ( o � p � � Q � U a2a)t> Sf //\k�U /0 CL Bm a� 0a)0 . « 2 m(�f uj Er 27g§�d � �� ca 6=m«E\ j § ;ua) LU t\ ka\U)CL CL zz C3 �§��f 00 �= Era/I L) $� 0Cc .W0 �o CL �°=5"cc ■ z o o CN 0 C w 2 2� ) I d e m 0 - kk�2�k U o = a. e 2 w°§ 2 \ 2§ �$ /[§_(f. d 20== BAE$c00 o U) 0E cc c � e� _ o E m E- 0 k � �� / CO \ . \ 04\ci CC �/9 0 CL / ; q \ a a _ . 0 - m R z 0 e \ / / \ � � \ \ k A o C� /t%`� ® a o t y U kms\ ca)a) t %.. 2 c c e 0\< \2\\k0 o o v £