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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 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllll 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