HomeMy WebLinkAboutX2020-2096 - Permitsr� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIII�IIIIIII��IIII�IIIIIIIIIIII II COMB Permit: X2020-2096
xR - 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 0 9 6 Project No:
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1 Permit Counter Phone (949)644-3288
- ' Inspection Requests Phone (949)644-3255
ry�ryM.* Combination Typo - GRAD . Issued Date : 091301202.0
0
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 101OV2023 OR PERMIT WILL BE INVALID
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' S �®
Job Address: 423 FULLERTON AVE NB (`- Jl
Description: YARD DRAINAGE "CTY STD"
Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS ELK 28 LOT 19
Owner: TELESCO TOM
Address: 423 FULLERTON AVE
NEWPORT BEACH, CA 92663
Phone:
Applicant: CHRISTIANO HOMES
Address: 729 W 16TH ST #C-4
COSTA MESA CA 92627
Phone: 949-596.4618
Code Edit: 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Building Permit Fee:
Plan Check Fee: $0.00
Overtime Plan Ck:
Investigation Fee:
Record Management
Energy Compliance:
CA Seismic Safety:
Disabled Access
Hazardous Mat
Building Green Fee
PROCESSED BY:
0
0
$0.00
$0.00
$0.00
$2.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTAL FEE / $429.00
ZONING APPROVAL:
Contractor: CHRISTIANO HOMES
Address: 729 W 16TH ST #C-4
COSTA MESA CA 92627
Phone: 949.596-4618
Con State Lic:
848745
Lic Expire:
10/31/2020
Bus Lic:
BT30039246
Lic Exp Date:
05/3112021
Worker's Compensation Insurance
Carrier:
INS. CO. OF THE WEST
Policy No:
WVE504588101
Expire:
0111212021
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: /
Front: /
Left: /
Right: /
Parklno SDaces
$0.00
$0.00
$0.00
$0.00
$232.00
$195.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard
Planning Department -
Fire Department
Plan check Fee:
Fire Inspection:
Fair Share:
Fire Plan Rev
SJH Trans :
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
PM Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$195.00
PUBLIC WORKS /
PLAN CHECK BY:
State Lic:
State Lic:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $234.00
GRADING APPROVAL: I 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:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $234.00
GRADING APPROVAL: I APPROVAL TO ISSUE:
I hereby affirm under F 3nalty of perjury that 1 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(i
:tion 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
permit to file a signed watement 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 a
fessions Code) or that ha or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7039.5 by any applicant for a permit subjects the applicant to a civil penalty
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 704
iness and Professions (,ode: 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 t
rovements are not inter Jed 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
roved for the purpose A sale).
I, as owner of the prc aerty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does n
ly to an owner of proper who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from lice cure under the Contractors' State License Law for the following reason:
my signature below I acL nowledge 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 le!
a structure that i have 3UHt 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
ifessions Code, is available upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ca.gov/calaw.html.
nature of Property Owner or Authodzed Agent A— Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penal!/ of perjury that I am licensed under provisions of Chapter 9 (co cl 7th Se tion 7 ) of Division 3 of the Sueli rofessi nQ my license is in full force
nit effect. License Class _. License No. Date Contractor Signature ft
.ONGSHOREMEt1V-. HARBOR WORKERS' COMPENSATION DECLA TION
IA>3NING: FAILURE TO -MITRE i ONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS
:1 tl0,0luT, W ADDr01l10 THE -OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3786 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury One of the following
eclaratiorle: '..
3-6- I Clave and will mz'.rntain Longshoremen's and Harbor workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
aced.`* My wo*er',' compensation insurance canter and policy number are:
a Policy Number Expiration Date
a a .'Agent _ _ _ Phone #
• ter ify that!, Ih the perfortnanc of the work f%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,
t t6if I shouldbecon.e su ct the workers' mp sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
t of Appii giant: -
•• Date,!94-3D?llZd
TION REGARDING CONSTRUCTION LENDING AGENCY
I hereby afh�rm unser penalty 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).
Lenders :lame Lender'sAddress
By my signature below I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this appiica •andthe information I have provided is correct.
I agree to comply with z applicable ci and county ordinances and state laws relating to building construction.
I authorize rEprea4tatt'�s of this cit gl co;ty to enter the above-identiffed property for inspection purposes. S
Print
A
ACNON DATE BY
DECLARATION OF COMPLIANCEIIIIITH CODEOF
FOROFF7CE USE ONLY
FEDERAL REGULATIONS OFTTILE40AMD
AQMDRULE 1403.
PERMIT FY.PIRED
❑ I SUBMITfEDASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMIT DCTEIVOED
❑ ASBESTOS N07fRCAnows NOT APPLICABLE TO
PROPOSED DEMOLITION.
-
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYlSSUED
SIGNATURE: