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Home My WebLink AboutX2015-0385 - Permits�,yRrbp City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2015-0385 �* d 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 5 0 3 8 5 Project No : 0295-2015 t~ Permit Counter Phone (949)644-3288 Ins ection Requests Phone (949)644-3255 u P Issued Date : 02I12I2015 Combination Type - MFP Inspection Area : 3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Job Address: 2704 VISTA DEL ORO NB Description: MFR REPAIR FIRE DAMAGE Legal Desc.: N TR 7148 LOT 61 Owner: ARAMBARRI NICHOLAS D Contractor: STUD CONSTRUCTION Architect: Address: 903 VAN NESS CT Address: 23372 MADERO RD #K Address: COSTA MESA, CA 92626 MISSION VIEJO CA 92691 " Phone: Phone: 714-612-5788 Phone: State Lic: -' Applicant: HAMPTON CHRIS Con State Lic: 983217 Engineer: RASKIN DAREN H� Address: 9980 INDIANA AVE #3 Lic Expire: 02/07/2016 Address: 11030 ARROW ROUTE #211 _ - RIVERSIDE CA 92503 Bus Lic: BT30049975 RANCHO CUCAMONGA CA 91730 Phone: 951-352-3588 Lic Exp Date: 02/28/2016 Phone: 909-980-8898 State Li¢C-057577 Code Edit : 2013 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: STATE COMP. Address: Occupancy Group: R21U Policy No: 9044735 Added /New sq.ft. Bldg: 0 Expire: 04130/2015 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: No of Units : 4 Front: I Bldg Height: 0 Left: / Bldg Sprinklers: N Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $25,000.00 Building Permit Fee: $444.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $319.68 Additional Fee: $0.00 Plan check Fee : $32.00 Fire Inspection: $0.00 Overtime Plan Ck: $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: $10.00 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 Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $806.68 Plan Check Fee: $351.68 Fee Due at Permit Issuance : $455.00 PROCESSED BY: ZONING APPROVAL: JPUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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 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 L) all of or U 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 licensors 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 legall, 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://w .leginfo.ca.gov/calaw.html. 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 7000)of Division 3 of the Business and Professi Coder a�rd my license is in full force and effect. License Class License No Date .t�/� � Contractor! i''" WORKERS' COMPENSATION DECLARATION NARNING: 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 (S'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. hereby affirm under penalty of perjury one of the following declarations: : 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 Ice of the work for which this permit is issued. Policy No. and w I maim " 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 Date of Agent 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 agre iat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Ap�,-Iicant Date_ IECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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 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 b�alf. I have read this application and the information I have provided is cornect. I agree to comply with all applicable city and county ordinances and Slate laws relating to building construction. I authorize representatives of this city or county to ant r he ab , e- ied property for inspection purposes. Iignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name 7 i ir%E� Dad ArTHNL D4]rF BY DECLARAITON O'FCOMPLUWCE WTH CODE OF FUN MWEZ US.k Uf1fiT FEDERAL REGULA TtONS PART 6f OF TTREAO AND jQVT)RU_1� 1-1Z. PFR?JfT FYPfRFr) U1 1SIR'1L1TTrI),k4fifY:T!.gM1RT1fdTKiNT?)- ❑ EPA ' ❑ 4011l PCR&PT CAI'fCZLLED _ P€rtAA.IT EXTEfu'C€�� ASBE5TOS NOiiACARON IS NOT APPLICABLE TO II/p�' POSEDDC M7 1, PCAMET RNAL j, CERT,FrCATECF i `✓ - S iN?'iL7 DCOUD.ANCYiSSLOED `� ,. J % i