The URL can be used to link to this page

Home My WebLink AboutX2015-0091 - Permits (3)�$wvop� City of Newport Beach - Building Division oA o� 100 Civic Center Drive, Newport Beach, CA 92660 E v Permit Counter Phone (949)644-3288 u m Inspection Requests Phone (949)644-3255 Sr4�wR,pcT Combination Type - MFP IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2015-0091 x 2 0 1 5 0 0 9 1 Project No: Issued Date : 01/12/2016 Inspection Area : 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. IN,CTAI I OR VFRIFV .CMnKF1rARRON MONOXIDE DFTFCTORS /Ft f/MRING FIXTURES TO BE UPGRADED Job Address: 99 CORSICA DR NB Description: MFR -REPLACE DOOR @ GARAGE TO HOUSE WITH FIRE RATED DOOR Legal Desc.: TR 12306 LOT 6 UNIT 109 OF PROJECT LOCATED ON AP 442-053-15 TOGETHER Owner: WILLETTE KRISTI Contractor: CARDIN CONSTRUCTION Address: 99 CORSICA DR Address: 822 W 4TH STREET NEWPORT BEACH CA 92660 ONTARIO CA 91762 Phone: 949-433-9410 Phone: 909-560-2579 Applicant: CARDIN JOSEPH Con State Lic: 730241 Address: 822 W 4TH ST Lic Expire: 12/31/2016 ONTARIO CA 91762 Bus Lic: SP1739 Phone: 909-560-2579 Lic Exp Date: 01131/2015 Code Edit : 2013 Type of Construction: V-B Occupancy Group: R2/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 4 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Construction Valuation: $300.00 Worker's Compensation Insurance Carrier: SECURITY NATL Policy No: SWC1058033 Expire: 1012612015 Building Setbacks Rear: / Front: / Left: I Right: / Use Zone: Architect: W Address: Phone: State Lic: - Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: (OK PER SCHO TO ISSUE) Building Permit Fee: $99.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $0.00 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: $0.00 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 P/W Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $100.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $100.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 he 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 lot 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, 3usiness 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 �rn:ements are not:ntended 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 mpm"Pd for the purpose of sale). I, ac owner c9 ae property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Inph' 10 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 zm exempt from licensure under the Contractors' State License Law for the following reason: 3v 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 nave 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 'rc`essions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi. Signature of Property Cwner 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 7 of the Business and Professi s d and my license is ip4ull force end effeo. Lica,se Class License No Date Contractor Signature VORKERS' COMDENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T USAND DOLLARS ($100,000), IN ADDITION TO THE ;OST 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: �ve 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 thl e r ance of the work for which this permit is issued. Policy No. Bfha a 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' compensatior is nce carrier and policy number are: Crier Policy Number Expiration Date me of Agent Phone # I certify that, in the performanc f 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 I. if I should become subjec a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date l Z CLARATION REG 0 CTION LENDING AGENCY �reby affirm under pena f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the propeKd ner's behalf. I have read this application and the information I have pris correct. I agree to comply with all applicable city and county o and state laws relating to building construction. I authorize representatives of this city or coun t rve-id Ie property for inspection purposes. n/ _=C nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name D',fif /1 %�� Date Ti AITM Oct IF RY DECLARATION Of COMPLLMICEE WITH CODE OF FOIL OI-Nft Mk UNIT FEDERAL REGULATIONS PART 61 OF TITLEA0 AND ADfAD RULE 1403. PFanr(T FxalrfFn ❑ISIffIL4TTrf)ASfirSTO-SfM)TfrK.4TAONTOr ❑ EPA C ) ATOS F1511?'ITCAPPCCLLLD PERuf.IT EYTENDELD BESTOS NO TIONLS NOT APPLfCA5LE TO PERMIT FINAL '/S S(6" — , LER77f1G0.TEC'F L7 SIGNAf Oftt: OCCUDANCYiSSUED