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Home My WebLink AboutX2020-0021 - Permits�t. City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 3, Permit Ccuntec: Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM GRAD IIIIII�IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIII�IIIII II COMB Permit: X2020-0021 x 2 0 2 6 0 0 2 1 Project No : 2744-2019 Issued Date : 01/06/2020 Inspection Area : 6 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: 3 FAYENCE NB Description: SFR *CHANGE OF CONTRACTOR* ADD 320 SF/REMODEL 500 SF WIYARD DRAINAGE P Ay Legal Desc.: lj J TOTAL FEE : $35.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $0.00 Fee Due at Permit Issuance : $35.00 E o PUBLIICmWORKS APPROVAL: � PLAN dkEdK E Y: c n p y p p APPROVAL TO ISSUE: Owner: NGUYEN VIVIENNE Contractor: ABG CONSTRUCTION Architect: U Address: 3 FAYENCE Address: 2296 E VIA BURTON Address: NEWPORT COAST CA 92657 ANAHEIM CA 92806 Phone: 714-780-1700 Phone: State Lic: 0Phone: Applicant: IONESCU CRISTINA Con State Lic: 704335 Engineer: IONESCU BENJAMIN 0 Address: 17332 IRVINE BLVD Lic Expire: 03/31/2021 Address: 17332 IRVINE BLVD TUSTIN CA 92780 Bus Lic: BT30070505 TUSTIN CA 92780 Phone: 714.267-8739 Lic Exp Date: 0113112021 Phone: 714-267-6561 State Lic:C-065482 Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: STATE FUND Address: _ Occupancy Group: R3/U Policy No: 9040196 Added /New sq.ft. Bldg: 320 Expire: 0110112021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: 10 Special Conditions: IRVINE RANCH WATER No of Units : 1 Front: 10 Bldg Height: 0 Left: 5 Bldg Sprinklers: N Right: 5 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee : $35.00 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 PfW Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $35.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $0.00 Fee Due at Permit Issuance : $35.00 E o PUBLIICmWORKS APPROVAL: � PLAN dkEdK E Y: c n p y p p 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 rss`uan6e, 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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 ap ly 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 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 perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of Divist In 3 of the Business and Profesgi ns Codes e, and my license is in full force and effect. License Class License No Date t Contractor Signatur�[ —� -� NORKERS' COMPENSATION DECLARATION NARNING: 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: :11 have 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, for th De¢ormance of the work for which this permit is issued. Policy No. have and wjU 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' Date me of Agent ` r \ \ Jai' t iJ �V-T enone rF certify that, in the performance 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 agre I, if I should become syybject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant A r CLARATION REGAfDI 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 ordinances and state laws relating to building construction. I authorize representatives of this city or cou ty enter t1�ove Identified property for inspection purposes. �( ..�r,,.e ..r Dr,.,.oH„ n,..,., �r Aidhnrm.,I A„oof V =•ac Print Prooertv Owner's or Authorized AGent's Nar; qw rG2 �(j1 �75'ijs L9 r DATE BY a 1 DEC Al ION OF IrREGULATIDNS PA TDMPLIANCE WITH CODE OF 1 OF TITLE 40 AND QMD RULERAL I FOR OFFICE USE ONLY PERMIT EXPIRED U I SUBMI D ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA • +•• • • ••+ • • e PERMIT EXTENDED QMD • • • • • e e • e • e • PERMITFINAL � ASBESTOS OTIFICATIONI9NOjAPPLIC�gL'E T4• °• ° CERTIFICATEOF PROPOSE OLITIO OCCUPANCYISSUED SIGNAT E. ••e ••• e e e•« •e e«•