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HomeMy WebLinkAboutX2016-0465 - Permits��v ro�� City of Newport Beach - Building Division IIIIillllllilllllllllllllllllllillllllllllllll COMB Permit: X2016-0465 t ^� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 6 0 4 6 5 Project No : 0324-2016 t+ ti.; Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 `F'�<xnoY Combination Type - SFP - Issued Date : 02/10/2016 Inspection Area : 6 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Job Address: 12 FAIRWIND NB Description: "SOLAR READY" SOLID ALUMINUM PATIO COVER 365 SF Legal Desc.: N TR 14037 LOT 33 Owner: MILLER LANCE & K Address: 12 FAIRWIND NEWPORT COAST, CA 92657 Phone: Applicant: ALL - PRO REMODELING Address: 706 NO TUSTIN ST Occupancy Group: ORANGE CA 92867 Phone: 714-288-1314 Code Edit : 2013 Type of Construction: 706 NO TUSTIN ST Occupancy Group: U Added /New sq.ft. Bldg: 0 Added/New sq. ft. Garage: 0 No of Stories: 0 No of Units: 0 - Bldg Height: 0 Bldg Sprinklers: Worker's Compensation Insurance Flood Zone: SECURITY NATIONAL Construction Valuation: SWC1096997 Building Permit Fee: $152.00 Plan Check Fee: $132.24 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $10.00 Energy Compliance: $0.00 CA Seismic Safety: $0.78 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 11 TOTAL FEE : $333.52 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: _. Contractor: ALL - PRO REMODELING Address: 706 NO TUSTIN ST Fair Share ORANGE CA 92867 Phone: 714-288-1314 Con State Lic: 574698 Lic Expire: 05/31/2016 Bus Lic: BT30052885 Lic Exp Date: 10/31/2016 Worker's Compensation Insurance Carrier: SECURITY NATIONAL Policy No: SWC1096997 Expire: 01/01/2017 Building Setbacks Excise Tax: Additional Fee Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical Plumbing %: Rear: / Front: / Left: I Right: / 'arking Spaces: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Architect: Fire Department S PE CTO Address: Fair Share 111 tl SJH Trans Demolition Fee ° Phone: State Lic: Park Dedication : $0.00 P/W Plan Check : •° ° o•oo°o Engineer: PANEK GREG ° °B • ° Address: 138 W BORROMEO AVE e e • o C PLACENTIA CA 92870 •• 0 • Phone: State Lic:C-079148 ...... •°" Designer. °°°°°° °••�" Address: 0000 ©moor. ° •m•mce Phone: com °co u " Special Conditions: cm•eco o°oc , ° c moec om c 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 P/W Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Zone:N $0.00 Fee Due at Permit Issuance : PUBLIC WORKS APPROVeKL: PLAN CHECK BY: APPROVAL TO ISSUE: q' 1_ _ - yy1 - - - - " $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $333.52 Fire Department $37.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 Fee Due at Permit Issuance : PUBLIC WORKS APPROVeKL: PLAN CHECK BY: APPROVAL TO ISSUE: q' 1_ _ - yy1 - - - - " $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $333.52 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) action 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 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 lfessions 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 ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, >iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the )rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or )roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not fly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt fjo aLicensure under the Contractors' State License Law for the following reason: my signature.beTow ).acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally I a stNlcture th3t'I'h°ave built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and i$SSions Code, is dlilable upon request when this application is submitted or at the following Web site:http://www,leginfo.ca.gov/calaw.html. nature of Propeky Owner or Authorized Agent Date X�tJSED CONirRACTOR'S DECLARATION rebyy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with `Se l0 700) of )vis' p 3 of thusiness and Profess) Cede, and y license is in full force i,efPept. Lic2rist'CI"�ss License No �CQate r� ontractor Signature �li`+�`1 )49ERS' COMP€NSATION DECLARATION iNING.FAILURE'W.W,tRE 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 OrbF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ' .Jetyyoaffirm under penalty of perjury one of the following declarations: - 1 h ' and Mir R1'ay,taln 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 Vince oif f tl�e jjrk for which this permit is issued. Policy No. ;he a 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' compensatior Jr nce carrier and policy number are: Tier Policy Number Expiration Date is of Agent certify that, in the p if I should become of 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 laws of California, and the workers' pompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. CLARATION REGARDING CONSTRUCTION LENDING AGENCY )reby affirm under 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). 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 with all applicable city and county o antes and tate laws relating to til construction. authorize representatives of this city or county toe he gpovg-'tied property forhnspecti n purposes. / azure of Pronertv Owner or Authorized AoeyV(+ I �i2un roperty Owner's or Authorized Agent's Name 0{'i 2-"I'�" �-Ciafa --- A,cT"J DARE By DECLARATION OFCOMPLIANCE W HCODE Of 1-UnUPHLEt&k4JWF FEDERAL REGULATIONS PART di OF DME Ai AND El I' IN7WT�QJ. ❑ fSCiTIDHTTED ASfIf"SJDS tInTfTICAFION 7i7_ ❑ EPA ❑ AQMD PFRA41TFXPIRFD PEA?,rfT M1CCLLCD PERfu7JTc'XTENQED E3 ASBESTOS NOR113CA710MIS NOT APPLICABLE TO PROPOSEDDDEMOUTIAN- PFAMITFINAL _I� /`- CERTWCRTFQF OCCUPANCYISSUEQ. 3 /L• A "r Sff:NAf tNit: