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Home My WebLink AboutX2020-0058 - Permitsate City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255Nt, I ^_® °'�z,>nwv`' . Combination Type - SFP COMB Permit: X2020-0058 Project No : 1826-2019 Issued Date: 01/13/2020 Inspection Area : 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction coon Hours: Monday -Friday 7:00 a.m. to 8:30 p.m. and Saturday Job Address: 206 VIA LIDO NORD NB NO from 8:00 a.m. to 5:00 p.m. No work on Sundays or Holidays U Description: SFR - DELTA 1 -ADD PLATFORM 8, ROOF ACCESS FOR A/C UNIT Legal Desc.: N TR 907 LOT 859 ON ROOF (REV20-0033) Owner: SERGIO LLOVIO Address: 206 VIA LIDO NORD Contractor: OWNE/BLDR RBLDR Architect: NEWPORT BEACH CA 92663 Address: PING Address: Phone: X2019-2562 Applicant: SERRANO HIPOLITO Phone: Phone: State Lie: Address: 1511/2 E ROWLAND ST Con State Lie: O/B Lie Expire: Engineer: MARGARITO COVINA CA 91723 Bus Lie: Address: 1205 1205 PINE AVE ° Phone: 626.922-0420 Lie Exp Date: LONG BEACH CA 90813 Code Edit : 2016 Phone: 562-961-5600 State Lic:S-004808 m Type of Construction: VB Worker's Compensation Insurance Designer: ° Occupancy Group: R3/U Added /New sq.ft. Bldg: Carrier: Policy No: Address: ° z° ° m m o�e 0 Expire: Added /New sq. ft. Garage: 0 Phone: No of Stories: 2 No of Units : 1 Building Setbacks Rear: / Special Conditions: Bldg Height: 0 Front: / Bldg Sprinklers: Left: I Flood Zone: Right: I .... Construction Valuation: $6,000.00 Use Zone: ParkinS aces: 0 Fire Hazard Zone : N Building Permit Fee: $152.00 Excise Tax: $0.00 Plan Check Fee: $132.24 Additional Fee: $0.00 Planning Department- Fire Department Overtime Plan Ck: $0.00 Investigation Fee: Grading Bonds Fee: $0.00 Plan check Fee : $40.00 Fire Inspection: Fair Share: $0.00 $0.00 Record Management : $20.00 Grading PC Consultant: $0.00 $0.00 Fire Plan Rev SJH Trans : $0.00 $0.00 Energy Compliance: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 Demolition Fee In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Public Works Department - General Service $0.00 Disabled Access : $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Hazardous Mat $0.00 Electrical %: $0.00 PNV Plan Check : $0.00 Grading Bond: $0,00 Building Green Fee : $1.00 Mechanical %: $0.00 San Dist : $0.00 Plumbing %: $0.00 NMUSD Fee: $0.00 $0.00 TOTAL FEE : $345.24 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $345.24 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: - )>^� Z LJJIle o oeo m m m ° ° m e�j0 m�n od�m °a�sno 0 00 000000 0 ° mmm0 OWNER -BUILDER DECLARATION () p applicable item(s) 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 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 checkture s I have laced next to the action 7031.5. Business and P 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 an Ifessions 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 more than five hundred dollars ($500). all of or portions of the work, and the structure is not intended or offered for sale (Section 7044, as owner of the property, or my employees with wages as their sole compensation, will do (_) U builds r Saldnot apply owner fn employees'or personal Owner-Builder iI rproperty, pt the siness and essions d:The Contra ldngor improement is sold one year of completion, the whave the burden of proving that it was nobut or )rovemnare not intended ed for sale. the bui oroved for the purpose of sale). a Code: The Contractors' 1, as owner of tproperty, who builds or improves thereon, contractson, and who contracts for the projects with a licensed C ntrac or pursuant to he Contrrs' State L censeLaw). ply to an ownerof State License Law does no I am exempt from licensure under the Contractors' State License Law for the following reason: II a structure my signature below I acknowledge built aownerexcept fof it y personal re snot been co structe�ll sidence in W m Its e ' IS by licensed t have resided for I understand that a copy of theapplicable law, improvements 70 y this the Business snandnot lega II is u 'rte or at h following Web site:http://www.leginfo.ca.gov/calaw.htmi. Date �" J ofessions COQe. j%%Ailable upon request when this pp' nature of Property Olvner or Authorized Agent - b1WED CONTfff4.CTOR'S DECLARATIO Date Contractor Signature lereby 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 u arca Id% fECt. Licenst Class License No ORKERS' CdAPEASATION DECLARATION %RAINOPAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$700,0001, IN ADDITION TO THE )ST OF COMPENSA TIOWD MAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. u. e lereb� affirm underpenalty of perjury one of the following declarations: I..Fy3.vE 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, or E r hrfermallce of tp0 wp%for which this permit is issued. Policy No. .. •. �L paueeand 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' compensa l0r %9Wl;4 carrier*Jfd*p%cy number are: Expiration Date .... Policy Number arrier Phone # ame of Agent ¢¢ �Itifrtlfy shouad becomeperformance �oetWeo kers" is s sat' it fs vl cionssued of Section113700 of not the Laboloy any loy any r Code,ll shall fortnot hwith comply bwith hose provisions. oncto e workers' compensation laws of California, an ogre signature of Applicant pa �'— / 3'— 2-0 Z O IECLARATION REGA ING CONSTRUCTION L DING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency forLthe performance ender's Address of the work for which this permit is issued (Section 3097, Civil Code). .ender's Name 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. . ��7 /1 I agree to comply with all applicable city and county or inances and state la -r Idting to building construction. �� L �+ /� I authorize representatives of this city or county to a the.2bove= anti d property for inspection purposes. jfJ ate nature of Property Owner or Authorized Agent Print Properly Owner's or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT CERTIFIG4TFICAT rcnryE OF OCCUPANCYISSUED