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Home My WebLink AboutX2020-0479 - PermitsCity of Newport Beach - Building Division e r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v. Inspection Requests Phone (949)644-3255 Combination Type - SFP IIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIII� II COMB Permit: X2020-0479 Project No : 0177-2020 Issued Date: 0212112020 Inspection Area : 8 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 4 MAIDSTONE DR NB Description: SFR REMOVEIREPLACE SIDING 600 SF Legal Desc.: N TR 15390 LOT 16 Owner: GUPTA PRACHI Contractor: FITZPATRICK CONSTRUCTION Architect: Address: 4 MAIDSTONE OR Address: 129 AVE BUENA VENTURA Address: NEWPORT BEACH, CA 92660 SAN CLEMENTE CA Phone: Phone: 949.370-3861 Phone: State Lic: Applicant: FITZPATRICK CONSTRUCTION Con State Lic: 773993 Engineer: Address: 129 AVE BUENA VENTURA Lic Expire: 0113112022 Address: SAN CLEMENTE CA Bus Lic: BT30071140 - Phone: 949-370-3961 Lic Exp Date: 0212812021 Phone: State Lic: Code Edit: 2016 Worker's Compensation Insurance Designer. Type of Construction: V-B Carrier: EXEMPT Address:Occupancy .Bldg: R31U No: 1 ^_ OR Added /N w sq ft 0 ExpoPolicy Phone: I I V S P LE- i.J I Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood /one: Use Zone: Parking Spaces: 0 Fire Hazard cone : N Construction Valuation: $3,600.00 Building Permit Fee: $136.00 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 Grading Bonds Fee: $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 PAN Plan Check: $0.00 Grading Bond: $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: $137.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $137.00 PROCESSED BY: Sd A / - ^�v ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: .: J �1. I �/ \ �Pc 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) 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 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 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, ;mass 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). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade: The Contractors' State License Law does not ily 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). LI I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature blow I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the in 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 appl Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. S'gnature of Property U,mer or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I nereh,, affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of ivi Ion 3 of the Business and and effect. Licen.;e Cfaas License No Date __ 2 ontractor Signa KERS' COMPEi4SATION DECLARATION law, Section 7044 of the Business and Date is in full force T!).SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN4 PENALTIES AND CIVIL FINES UP TO ONE HUARED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE STION. 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 hava and wi0 n,36hdain 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 ormance of the :vorkfor 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' compensa rance carrier and policy number are: Policy Number Date J me of Agent Phone # I ertify that, in the perf mance 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' co ¢ensation I ws of California, and agree if I should become s b' o rs' compensation provisions of Section 370 a Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Q� Date 21ZO Z�% )ECLARATION REG DING CONSTRUC ING AGENCY hereby affirm under enalty of perjury th a 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 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 rdmances and state laws relating to building construction. I authorize representatives of this city or count n ve-i e ' 'ed roe s. signature of Property Owner or Authorized Agent cy Print Property Owner's or Authorized Agent's Na cla IL2f 1 to 202 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGUTATrMS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED VL-IAQMD SBESTOS N TIFICA N IS NOT APPLICABLE TO 1'� PRO D ITION IGNATURE .v'+T— I PERMITFINAL 04/zlvzo CERTIFICATEOF aw OCCUPANCYISSUED