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Home My WebLink AboutX2020-0274 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 r, = Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 Combination Type - SFP COMB Permit: X2020-0274 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Project No : Issued Date: 01131/2020 Inspection Area : 3 Applicant: AMERICAN VISION PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 2125 N MADERA ROAD#A 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: 1212 SANTIAGO DR NB CA Seismic Safety: Description: SFR - WINDOW (2) C/O $0.00 Legal Desc.: N TR 4224 LOT 189 ^ pE -- _ Owner: JORDAN CLIFFORD Contractor: AMERICAN VISION Architect: V Address: 1212 SANTIAGO DR Address: 2125 N MADERA ROAD#A Address: NEWPORT BEACH, CA 92660 SIMI VALLEY CA 93065 Phone: 949-751-7250 Phone: 888-563-0008 Phone: State Lic: Applicant: AMERICAN VISION Address: 2125 N MADERA ROAD#A Record Management: SIMI VALLEY CA 93065 Phone: 888-563-0008 Code Edit: 2019 Type of Construction: VB Occupancy Group: R3/U 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: Construction Valuation: Building Permit Fee: $136.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 II TOTAL FEE: $437.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 778326 Lic Expire: 05/31/2020 Bus Lic: BT30020889 Lic Exp Date: 10/31/2020 Worker's Compensation Insurance Carrier: CLEAR SPRING Policy No: 000001159 Expire: 01/0112021 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: ;Mechanical %: plumbing %: Rear: I Front: / Left: / Right: / �arkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee 0 Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Planning Department - Fire Department Plan check Fee: e ° Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee Building Dept Adm Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 PUBLIC WORKS / PLAN CHECK BY: State Lic ••m• Fire Department $0.00 e ° $0.00 Fire Plan Rev emmm Demolition Fee $0.00 Building Dept Adm m General Service m m moo•oo oom°om o �. u ° m°• 0 m • m o u mm om e • mm u ° ° W.00 O°00 m ° ° •$0'00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $137.00 APPROVAL TO ISSUE: Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: ° ° W.00 O°00 m ° ° •$0'00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $137.00 APPROVAL TO ISSUE: 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 andthebasis 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 (_) 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 I hereby affirm under penalty of perju", at I am licensed under provision f� encing with Section 7 0 0 1 io 3 of the Business and Pro es ' n o e nd Zlicg4e is in full forc�P, and effect. License Class J,ff License No ''�� L.% Date Z Contractor Signature (/d"f.J (7rD ?'f 2nr lSt` WORKERS' COMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm unit? p&plty of perjury one of the following declarations: - have and will m•aintain 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 thi 94ce of ttAwwJ for which this permit is issued. Policy No. v and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which thiserml Is issued. My workers' compensatior insuraG ler an po c number are: [— SaRii PA1 /7rlQ. Or(pu �Y Policy Number ®l� �Q �� ,7 �Q Expiration Date •ceit?y that, in A9 bariormance of the,work for which this rmit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree !! fFT Should beta e s ct t the Akers' compens n provisions pf Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^ �7 nature of Applic9nt ��: �f dtxe v) J LID CLARATION I�H6 DIN NSTRUCTION LENDING AGENCY :feby affirm undeGp alty 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). Itlsl•*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 with all applicable city and county ordi nce and state la lating to building construction. I authorize representatives of this city or count yy to �qt t e ave -Id ntifi property fps spection purposes. ,.v v..,..eN„ n,.,,,o.... A„rh,.rI>e.l Ana n+ \ / / i _4 � Y`' rint Pronedv Owners or Authorized Aoent's Name\ ( J _ rt7A�"Z O?t DATE BY DECLARATION OF COMPLIANCE WITH CODE OF II REGULATIONS PART 61 O TITLE 40 AN AQMD RULEFEDE, FrR OFFICE USE ONLY I SUBMITTED ASBESTOS PERMITEXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCY ISSUED IS NOT APPLICABLE TO