HomeMy WebLinkAboutX2020-2877 - Permitsegra,'US,,""
7 City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG
COMB Permit: X2020-2877
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Project No: 1400-2020
Issued Date : 12/1012020
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 12/11/2023 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: 440 FERNLEAF AVE NB /t
Description: SHORING & RETAINING WALL WI 19 CAISSONS � Vo Legal Desc.: CORONA DEL MAR BLK 433 LOT 22 QQA
Owner:
GALLO BUILDERS INC
Address:
1105 N COAST HWY
LAGUNA BEACH, CA 92651
Phone:
949-715-9874
Applicant:
GALLO BUILDERS INC
Address:
1278 GLENNEYRE ST #412
LAGUNA BEACH CA 92651
Phone:
949-683-3500
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Contractor:
GALLO BUILDERS INC
Architect:
Address:
127E GLENNEYRE ST #412
Address:
LAGUNA BEACH CA 92651
Phone:
949-683-3500
Phone:
Con State Lic:
852218
Engineer:
Lic Expire:
01/31/2021
Address:
Bus Lic:
BT30028998
Lic Exp Date:
08/3112021
Phone:
2019 Workers Compensation Insurance
Carrier:
STARNET INSURANCE
U Policy No:
BNUWC01522628
0 Expire:
11/20/2021
0
Building Setbacks
Rear: /V
Front: N5
Left: 13 '
Right: I J'
Building Permit Fee: $799.00
Plan Check Fee: $695.13
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,496.13
PROCESSED BY:
ZONING APPROVAL:
BRANDON CHRISTOPHER �" I���
151 KALMUS DR#G-1 �-Pe
92626
®
74-COSTA--44040 CA01tee Lic:C031637
MANSHADI FARHAD 1f
1800 E 16TH ST UNIT B V�®�
SANTA ANA CA 92701
714-835-2800 State Lic:C-036840
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone : N
INSPECTOR
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee:
$0.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication:
$0.00
Refund Deposit
$0.00
PM Plan Check:
$0.00
Grading Bond:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$1,496.13
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
Cft
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 issuance, also requires the applicant far
is 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
'rofessions 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
of 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness 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
nprovements 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
nproved for the purpose of sale).
1 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
pply 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:
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 covered by this permit, I cannot legally
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://V w .leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of D' isi �of the Business and Profession o e, and rhy license is in full force
nd effect. License Class License No Date Contractor Signatur.l
IIORKERS' COMPENSATION DECLARATION
'ARNING: 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
DST 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:
I 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 IN
,_Otmance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
of Agent
Date
JI 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 agref
lat, if I should become subject to the w/ofkers' comp/Gnsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. j� �n
ignature of Applicant — � IO it E Data !� 12. I l J /h�
DECLARATION REGARDING CONST TION LENDING AGENCY F/ I
hereby 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).
Ender's Name Lender's Address
y 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 county to ep*rAhe above -identified property for inspection purposes. /A VVI n I/1 An
ACTION DATE BY v 'OENLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
It 111, J`� L.JASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
Date