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Home My WebLink AboutX2019-1890 - PermitsCity of Newport Beach - Building Division I IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIu II COMB Permit: X2019-1890 q 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 8 9 09 Project No :1691-2018 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 r Combination Type - SFP - Issued Date : 0611412019 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: 31 FAENZA NB Description: SFR STUCCO/FRAMING REPAIR ON EXTERIOR OF GARAGE AND DRYWALL. REPAIR IN FOYER AREA *CHANGE OF CONTRACTOR* Legal Desc.; N TR 15467 LOT 8 Owner: BONSE GUSTAV Contractor: OWNER/BLDR. Architect:. Address: 31 FAENZA Address:: BONSE GUSTAV Address: - - NEWPORT COAST, CA 82657 Y 'pi tri Phone: - Phone: _ Phone: ate Lc Applicant: OSWALDOIHERNANDEZ CONST Con State Lie: O/B Engineer: E1 e n SALDANA TORRES MARIO A .� • h'x o °, ° ° Address: 1352 E. EINGER AVE STE B Lie Expire: Address: �t re. 2008 PLATO CT "'• • a�• > SANTA ANA, CA 92706 Bus Lie: SIMI VALLEY CA 83065 `"" • o Phone: 714-791-9952 Lie Exp Date: Phone: 310-916-6173 State Lic:C-073301 ° ''i ° •. ° o Code Edit: 2016. Worker's Compensation Insurance Designer. FERREYRA LUIS m.,°e• °° •°� Type of Construction: V -B Carrier: Address: 12001 HOMLOCK ST .... Occupancy Group: R3IU Policy No: RANCHO CUCAMONGA, CA 91739 .Added /New sq.ft. Bldg: 0 Expire: - Phone: 909.921.6299 ° e m ° ° m • • o� Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: OWNER/BLDR ATTACHED U No of Units : 1 Front: I • Bldg Height: 0 Left: / eee°an Bldg Sprinklers: Right: / ° ° .... Flood Zone: 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 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W 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 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $35.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires to applicant for permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 offt, `-$usiness and fessions 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. ' 9'enalty of more than five hundred dollars ($500). It 1, 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, :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 IIo 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: my signature below I acknowledge that, except for y 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 a structure that I have built as an owner -builder i it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Sectio 044 of the Business and �fessions Coda,.% available upon request when Via application is submitted or at the following Web site:hltp://mvw.leginfo.ca.gov/calaw.html. ��/' � �� nature of PraaejV Owner or Authorized Agent D j4UPED COJJIPCTOR'S DECLARAT N — C )reby-affirm andel penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions ode, and my license is in full force 1 effect. License Class License No Date Contractor Signature )RKERS' COIGIPENSATION DECLARATION MING: FAILURKPO ea011RE 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 fr.OfCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. My affirm vadat penalty of perjury one of the following declarations: d.have and A 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 (grp7gnce of the work for which this permit is issued. Policy No. . haxE and NiX 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' compensatiol araaoe carrier and policy number are: Kier • : Policy Number Expiration Date ne of Agent rnone P 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 sy6ject tot orkers'porRpel�ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �� nature of Applicant / G�/�7/l e - Dat CLARATION REGAIWING CONSTRUCTION LENDING AGENCY :reby affirm undernalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309/Civil Civil Code) __.Ider's Name t Lender's Address By 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 co ty ordinances and state laws relating to building construction. I authorize representatives of this city or county o enterArBr1bov a property for inspection purposes. Signature of Property Owner or Authorized A ent Print Property Owner's or Authorized Age ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I lXSUBMr`rED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED QMD PERMITFINALASBESTO CERTIFICATE OF OCCUPANCY ISSUED 7-� S Z NOTIFICATION IS NOTAPPLICABLE TO P OSED EMOLITION SIGNATU :�CZ