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Home My WebLink AboutX2014-0717 - Permits&w,.r,�T City of New ort Beach -Building Division I�IIIIIIIIIIIIIIII'llllp I� COMB Permit: X2014-0717 04 G 100 Civic Center Drive, wport Beach, CA 92660 x 2 0 1 4 0 7 1 7 project No: 0172-2014 ti Permit Counter Phone (94 4-3288 ■iQg.* Combination Type - SFP ELEC MECH PLUM w I5 Inspection Requests Phone (949)644-3255 Job Address: 375 VISTA BAYA NB l: I n b, 5 glWiS Issued Date : 03/25/2014 Description:CHANGE OF CONTRACTOR - SFR ADD 210 SF (TO (E) BEDRM) REMODEL 200 SF ? o ,n Inspector Area: 3 Legal Desc.: N TR 2609 LOT 13 Owner: BELLI,DAVIDI KIMBERLEE Contractor: TRUSCHEL CONST Architect: ' ANDRADE STANLEY i Address: 375 VISTA BAYA Address: 4195 CHINO HILLS PKWY Address: 2880 S COAST HWY NEWPORT BEACH, CA 92660 CHINO HILLS CA 91709 _ Ss%' LAGUNA BEACH CA 92651 . Phone: Phone: 909-268-9799 Phone - 949-71 Ay747+L.'�" State Lic:C018971 Y 1 Applicant: HERRERA RICK Con State Lic: 4088649Yy3\ G. Engineer,iV UkI(E LEO Address: 2880 S COAST HWY Lic Expire: 03/� - 4 Address:'• 34167 PACIFIC C� 'T H LAGUNA BEACH CA 92651 Bus Lic ,�6T30035062 ^ `'!'. r a DANA POJNfi A'C 92629 Phone: 949-715-7474 Lic Ex 09l 0/2014 i� Phone: 949.2'26r7130 State Li-067404 Code Edit: 2013 is Compens�f�.r ante [�rgi�rr�Frt / Type of Construction: VB C ri TOWER s r ;g t � tiUAddress _ Occupancy Group: R31U �Po o W 7 31E7>0 Added /New sq ft. Bldg: 0 �Exere r1,07 /2VT `t Phone: Added /New sq. ft. Garage: 0 r?., No of Stories. 1 f)lake" Building Setbacks Rear /, S� `�.: Special Conditions: REPLACES X2014-0184 - No of Units Front l � el` _ Bldg Height: 0 Left /'�`_"-"" Bldg Sprinklers: ,�� `' Right. Flood Zone: voo` '` Use Zone Parking Spaces: b Fire Hazard Zor}e,.'N' Construction Valuation: 0. 0 ,r= _ - a g.�c ,.t,� Building Permit Fee: $0.00 3 :-..' Planning De rtrfaot -' �: +`t re Department Plan Check Fee: $0.00 - e x $0.00 Plan check ee ::,'"016` Fire Inspec' -y $0,00 Overtime Plan Ck: $0.00 Fair Share Fire Rev vC.30 Investigation Fee: $0.00 radi PtO�Consultant : $0.00 �SJH Trans : \ $0.00 olitioq,Eee Record Management: $0.00 �di it Fee: $0.00 1n-lieu Housing Fee: $0.00 Buifipg-tl'ept "'- $0.00 Energy Compliance: $0.00 G - g PC Fee: $0.00 - Public Works Department- General %Vice $0.00 CA Seismic Safety: $0.00 WQ Insp.Fee $0.00 Park Dedication : $ Retun'!j"beposit $0.00 Disabled Access : $0.00 y- it P/W Plan Check : $0.00 Fee Increase: Fee: $0.00 Else °%q;, $0.00 San Dist : $0.0-0 - Additional Fee : $35.00 ech n al%: - $0.00 NMU ee: 00 $0.00 Hazardous Mat: $0.00 u l: $0.00 / $0.00 Building Green Fee : $0.00 _ TOTAL FEE: $35.00 Plan`G`heck Fee - $Q Ob` Fee Due at Permit Issuance : $35.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: - PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE RADED 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 items) 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 licensors 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 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, :iness 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). 9 J I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions mode: 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 purl te°lfie 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 Jai year prior to completion of the Rnprovements 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 licens�d'c ntractors. I unoSrrstand that a copy of thel icable law, Section 7044 of the Business and rofessions Code, is available upon request when this a plign�tion is submitted or at the followir,),gk^f b site:http://wv eg1-aI a.gov/calayr. hjryJt•;;a'. tv` signature of Property Owner or Authorized Agent"'` JCENSED CONTRACTOR'S DECLARATI ASJart ®u j i ` K hereby affirm under penalty of perjury that I am licensed under pro of Chapter 9 (coma cing with Sectiefr70b9)Cdf Division 3 of the Busin d PTfessions Code, and my license is in full force nd effect. License Class lriai a No 5t;?'} CAR ctor Signature, PORKERS' COMPENSATION DECLARA fit IARNING: FAILURE TO SECURE WORKERS' CO TION COVERA E AND SHALL SUBJSCYAN EMPLOYER TO C 11?i VFFV�BIIi/.t ES AND CIVIL FINES UP TO ONE HUNDRE�THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSA 10��, DAMAGES A ED FOR IN S CTIO 3 06 LABOR CODE, INTEREST, AND ATTORNEV'S FEES +` n^.rehy nffirm under p:p perjury one of t e f I g declarations `., . I have and wi r Ids tain f¢Ofe consent to self Insore for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the ice m of the .vork or whh is permit is iss 4.� Ilcy IN Via••e and will mainfe workers' atiorfsurance as required by Section 3700 of the Labor. Code; for the performance of the work for which this permit is issued. My workers' compensatior swarl carrier aid polic num - re: t ' A earner_ _ _ `1 .`Policy Number -- Expiration L�aYe> 1 game of -Agent ' Phone # --it ]. .a;r;ify that, in the perform nce oWe"work for which this permit is Issued, I shall not employ any person in any.manner so as to become subject to the workers' comnsation laws of California, and agree '.at, if I rhould lb—imn subjec to the wo ompensation provisions of Section 3700 of the Labor Code,. I shall forthwith comply with those provisions. ignatum of APPli^art Date--,� EGLARATION REGARDIN NST CTIDN LENDING AGENCY - - W - ` hereby affirm under penalty of pry t Is'a construction lending agency for the performance of the work for which this permit is iss (Se on 30 e 'uCode). ender's Name Lender's Address y my signature below, I certify to a ch of the following I am the property owner or auth ized to act•pn the property owners behalf. I have read this application and t infoll have provided is corrects I - I agree to comply with all applicab city only ordinances ar state laws relating to bu ding construction. I authorize representatives of this c or ty to ter\he above Identified props Inspection purposes: - ignature of Property Owner orAuthoriz Agent Prink. Property Owner's or Authorized Agent's Name Dat 2S ACTTlN7 dE" Rl}TION OF COMPLLWCEWTHCODE OF FUR r h4i USl ONLT ft4L PEi TIONS PART 61 OFTITLE40AND VD ROLE7403. ❑ 1SI NI16T71rD ASfYSTOS N71RtMAiffIN TO_ ❑ EPA ❑ AQMD PCRfvT7 u4AKLtLLD /� PER1v7rT EYTEhXED .ASBESTOS NO77RCAROA NOT APPLICABLE TO PROPOSED DEMOLITiON- PERMIT ANAL CETT FfCATECF 0CCUDAIJCYi35LtED SIGMA I t7i