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Home My WebLink AboutX2020-2316 - Permitswwa City of Newport Beach - Building Division ,,kh0 Civic Center Drive, Newport Beach, CA 92660 t w Permit Counter Phone (949)644-3288 c'S `tq Inspection Requests Phone (949)644-3255 `rot,rn:�av`' Combination Type - SFP IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-2316 r Project No: Issued Date : 10/1212020 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/1312023 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: 20371 BAY VIEW AVE NB Description: SFR STUCCO PATCH AROUND ROOF LINE & WINDOWS TO PREPARE FOR REROOF & WINDOWS Legal Desc.: N TR 1501 LOT 31 Owner: HOELSCHERS SAMUEL &JENNIFER Contractor: OWNER/BLDR Architect: �q INSPECTOR Address: 20371 BAY VIEW AVE Address: HOELSCHERS JENNIFER Address: f � iJ1 NEWPORT BEACH, CA 92660 Phone: 619-750-1230 Phone: Phone: State Lic: Applicant: HOELSCHERS SAMUEL Con State Lic: Ole Engineer: Address: 20371 BAY VIEW AVE Lic Expire: Address: NEWPORT BEACH, CA 92660 Bus Lic: Phone: Lic Exp Date: Phone: State Lic: Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: Address: Occupancy Group: R3IU Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: OWNER/BLDR AUTH ATTACHED No of Units : 1 Front: I OK WITHOUT PLANS Bldg Height: 0 Left: I PER ES Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $1,500.00 Building Permit Fee: $110.00 Excise Tax: $0.00 Planning Department - Fire Department ' Plan Check Fee: $0.00 Additional Fee : $0.00 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 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee: $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $111.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee: $0.00 Fee Due at Permit Issuance : $111.00 PUBLIC WORKS APPROVAL: IP PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER 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 app:.Lable 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 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 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 civil penally of �a re than five hundred dollars ($500). a 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, Iiness 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). 1, 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 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 ell a structure that I have built as an owner -builder f1,4as not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, 'rofessions Code, is available upon request a appli ati is sub i ad o a t e o wing Web site:http://www.leginfo.ca.gov/calaw.html. Iignature of Property Owner or Authorized Ag .ICENSED CONTRACTOR'S DECLARIll hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ion 7 0) of Division 3 of the Business d Pr salons nd effect. License Class License No CCMPENSATION DECLARATION VARNING: FAILURE TO SECLRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CF !DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370$ OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm wider penalty of perjury one of the following declarations: co ed by this permit, I cannot legal eahn 7044 of the Business and ate /D / Code, and my license is in full force PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE I hays 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 'ormance of the work for which this permit is issued. Policy No. ;lave 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' compensa Trance carrier and po:icy number are: Policy Number Date ertiW that, irr 1he�pe Onnance 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 worke ' compensation laws of California, and agre 1a , if I should (bee Subject to the wo kers'compens ti n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignLtula of IECLARATA G CONSTR ION LENDING AGENCY hereby affirm 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). ender's Name Lender's Address ly 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 cityyoftunty tc\enter the abgvgr-identified propertv for inenectinn Durposes. ACTION DATE — BY RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFS USE ONLY^ REGULATIONS PART 61 OF TITLE 40 AND ACIMD RULE 1 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED 0AQMD PERMIT FINAL j 'tIV ASBESTOS NOTIJICATION IS NOT APPLICABLE TO CERTIFICATE OF I k z_p P 1tv POSED DENot OiI OCCUPANCY ISSUED