HomeMy WebLinkAboutX2020-2656 - Permits�gN rrJ4,r City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
5, Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP
ii X 2 0�►�2� 0� 2 6 5 �6uii
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and $ail I froomU8:00 a.mm.. to 6:00 p.
JobNB
D sc iiption: SFR REMO ELEKITCHEN CABINETS, STUCCO REPAIR @ DECK, WOOD FLOORING, REMOVEIREPRP �j 5. HANII
Legal Desc.: N TR 673 BLK A LOT 24
Owner: LYSTER BARBARA Contractor: OWNERIBLDR Architect:
Address: 20 POPPY AVE Address: LYSTER BARBARA _ ApC�-
CORONA DEL MAR CA 92625 m•+��
Phone:
Applicant:
Address:
Phone:
COMB Permit: Xi
Project No : 2109-2020
Issued Date :
Inspection Area
ry OR PERMIT WILL
No work on Sundays or
"STOP WORK" 120-2349
949-280-4627 Phone: Phone:
h r
LUCERO JACOB Con St 16 ►f apP�j� n le' YAGHI SHUCRI I DIl
806 S AQSE • Lic Expire: Addre1c 1 i f{ �
Code Edit
Type of Construction:
Occupancy Group: fir:
Added /New sq.ft. Blde_;
Added /New sq. ft. Gare:
No of Stories: .; 2
No of Units : 'f-1
Bldg Height:�a 0
Bldg Sprinklers: r
X
Construction Valuation:'
Building Permit Fee:
Plan Check Fee: $695.
Overtime Plan Ck:
Investigation Fee:
Record Management
Energy Compliance:
CA Seismic Safety
Disabled Access
Hazardous Mat
Building Green Fee
12 B ' :" 0 $d% or GE CA 92866
_ Lic Exp Date: .� 6gam a Phone: 714-997-9120
Worker to Wh,ggner: E[i�
1� ddress: 1907 N WOODSIDE .
WOW ORANGE CA 92865
Exp1-" Phone: 714-709-7934
0
Building Setback, Special Conditions: HIGH DENSITY
I► TOTAL FEI.. $V,351.38
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Excise Tax: •^ ""
Additions' �-
�yjgg49oilsult nt: $0.00
"Grading Qermj md) $0.00
jICC $0.00
insp. Fee : $D'rlp
i (�C
Electrical°' $0.00
echanical %: $0.00
Plan Check Fee:
0 Fire Hazard Zone : N_ /
,tea.+. 1— - Fir epart
�� ch e�e� ��q�a� ire inspe
`Fair Shar nQ WQr'K star l (P ire Plan R
SJH Tra $0.00 Demolition
In -lieu Housing Fee : $0.00 ui
W Ian Check: {��pVt�O�a-t.�. trjltlais•
Dist: 0.9 -.
$0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
4PPPOVPL TO ISSUE:
[® Lic:'
It
te,.I_ic:C-0432 0J,'q
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$2,351.38
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 for
1e 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 (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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
Ih- yements 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
Dpro ed for the purpose of sale).
St I, s 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
p 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).
KI am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below 1 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 legall,.
ell a structure that I have built as an owner -builder if it has not bee constructed i9,Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the B iness a d
(rofessions Code, is available upon request when I Ic ion Submitted jj�,,,,''//''��q�1'� the f lowing Web ske:hftp://www.leginfo.ca.gov/calaw.htmi.
lignature of Property Owner or Authorized Agentt�6�4 Da
.ICENSED CONTRACTOR'S DECLARAT N
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license i in full force
nd effect. License Class License No Date - Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: 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
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 th
erformance of the work for which 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:
Policy Number Expiration Date
ie of Agent
certify that, in the performance of the work for which
if I should become su the wor rs' compene
Iature of Applicant I/ --<--
t is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation aws of California, and agre
isions Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
D Z.�
ICY
Ireby 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).
Ider's Name Lender's Address
3y 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 law relating to building construction.
I authorize representatives of this city or cou toe t e a ove-identifie ropert or inspection purposes.
lignature of Property Owner or Authorized Agent rint Property Owners or Authorized Ag
ACTION DATE BY DECLARATION OF COMPUAN E WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTI FICATIPN TI
PERMIT CANCELLED OEPA
PERMIT EXTENDED LJAQMD
PERMIT FINAL 04ASBESTOS NOTIFII�C{'�q'MTIIION�II NNOT/AP Ll�
OCCUPANCY ICERTIFICATE SSUED Fw SGNPROPATUOSEDDS
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