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HomeMy WebLinkAboutX2021-2016 - PermitsCity of Newport Beach - Building Division . 100 Civic Center Drive, Newport Beach, CA 92660 w Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Privaia"'`' Combination Type - MFP ����������� II COMB Permit: X2021-}2016 Project No : 0221-2021 Issued Date : 08/03/2021 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0810312024 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 or Holidays Job Address: 424 FERNLEAF AVE NB Description: NEW DUPLEX W/ATT GARAGE 3,1301398 SF, CARPORT 423 SF, PORCH 75 SF, 223 SF, DECK 761 SF, BALCONY 323 SF & LOGGIA 232 SF *CHG OF CONTRACTOR*.t. .. _.:. __.____ . . egal Desc.: CORONA DEL MAR BLK 433 LOT 6 ---- _ Owner: BIRE II LLC Contractor: MONTESANTOS BUILDERS INC Architect: Address: 7642 W IRVING PARK RD Address: 459 E ALLISON ST Address: NORRIDGE IL 60706 ELMHURST IL 60126 Phone: Phone: 630-514-5158 Phone: State Lic: Applicant: JEHEBER ROD Con State Lic: 1077463 Engineer: REZAEI ALI Address: 410 32ND ST#202 Lic Expire: 06/30/2023 AM: SKYPAR C R 9E2NEWPORT CA 92663 ��021 Phone: 9 9-3222 3188�CH LicsExp Date: 08130/20221 Phone: j�l �p)/"�r� 94,t19--4146666 93 IySt 'L1C:O �/4V.9891K Code Edit: 2019 Workers Compensation Insurance Designer 'JEHEBER ROQ ,'e. Type of Construction: V-B-SPR Carrier: EXEMPT Address: - 332ND ST #202Occupancy Added /New sq ft .Bldg: R3/U 0 Policy No: no employees (410 �I, TMOls Expire; Phone: "§"499 Added /New sq. ft. Garage: 0 No of Stories: 3 Building Setbacks Rear: / Special Conditions: HIGH DENSITY AREAg No of Units : 2 Front: / *CHANGE OF CONT Bldg Height: 0 Left: / 9G Bldg Sprinklers: Y Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $0.00 Building Perrnit Fee: $0.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $38.00 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 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 : $38.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $38.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: o - GRADING APPROVAL: moo_;' - APPROVAL TO ISSUE: �a o OWNER -BUILDER DECLARATION 1 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 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 U 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). ❑ 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 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 Iegall� 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://v .leginfo.ca.gov/calaw.htmi. 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 7PU0 f qivision 3 of the Business and Profe sio s C de, a ensa is in full force and effect. License Class License No Da �- Contractor Signatufe 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 performance of the work forwhich this permit is issued. Policy No. have 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' rance carrier and policy number are: of Agent rtify that, in the performance of the I should become subleet tafpe-we of Policy Number Date 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 ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date $ I3 Z' I CLARATION REGARDING CONS@RUCTION LENDING AGENCY ereby 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, Civl Code). rder'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 ordinaikIces A9d state laws relating to building construction. I authorize representatives of this city or coun>tylter the o-o a ified property for inspection purposes. 1f nature of Prooertv Owner or Authorized ADent Print Property Owner's or Authorized Agent's Name ACTION DATE BY x DECMRATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40AND AQMD RULE MC11�f'SPh\'tOS nra� PERMITEXPIREO LI I SUBMITTED ASBESTOS NOTIFICATION -TO PERMIT CANCELLED E • • •.• •" • +; PERMIT EMENDED QMD PERMITFINAL ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF /�1PROPOSED DEMOLITION `� - •�• - • ,,•• ••• e•• �•• OCCUPANCY ISSUED ' V SIGNATURE: • •• • • " ooa boa m�, • + noa oe