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Home My WebLink AboutX2020-0739 - PermitsCity of Newport Beach - Building Division t ' 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 Combination Type - SFP 111111111111111111111p111111111111111111p111111111JillCOMB Permit: X2020-0739 Project No : 0557-2020 Issued Date : 04117/2020 Inspection Area : 8 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID 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 - REPLACE 2ND FLOOR DECK 85 SF Legal Desc.: N TR 15390 LOT 16 Owner: GUPTA PRACHI Contractor: BURNS COMPANY THE Architect: �@ -�� Address: 4 MAIDSTONE DR Address: 630 S EL CAMINO REAL STE B6 Address: �.so `�•J NEWPORT BEACH, CA 92660 SAN CLEMENTE CA 92673 Phone: Phone: 949-386-5928 Phone: State Lic: Applicant: FITZPATRICK THOMAS Con State Lic: 605145 Engineer: Address: 129 AVE BUENA VENTURA Lic Expire: 0113112021 Address: SAN CLEMENTE CA 92672 Bus Lic: BT30047416 Phone: 9491370-3861 Lic Exp Date: 0513112020 Phone: State Lic: .. ''� Code Edit: 2019 Workers Compensation Insurance Designer: SEVILLA AARON R Type of Construction: V-B Carrier: NAT'L LIABILITY & FIRE INS CO Address: 630 EL CAMINO REAL, STE B Occupancy Group: R31U Policy No: V9WCOB9367 SAN CLEMENTE CA 92673 Added Mew sq.ft. Bldg: 0 Expire: 0510712020 Phone: ^' Added /New sq. ft. Garage: 0:; °`'•-�" No of Stories: 2 Building Setbacks Rear: 10' Special Conditions: .:. No of Units : 1 Front: 10' Bldg Height: 0 Left: 5' Bldg Sprinklers: Right: 5' Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10,000.00 Building Permit Fee: $232.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $201.B4 Additional Fee : $0.00 Plan check Fee: $40.00 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: $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: $1.30 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Band: $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: $486.14 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $486.14 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING 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 resson(s) indicated below by the checkmark(s) I have placed next to the applicable Item(s) ;action 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 e permit to file a signed statement that he orshe 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 Iicensure 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 penally of it more than five hundred dollars ($500). 1024 IRON POINT ❑ as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business rd 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 iprovements 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 (proved for the purpose of sale). 11, 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 (ply 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), J I am exempt from Iicensure under the Contractors' State License Law for the following reason: 3y 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 impro ;ell a structurq 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 applicab 'rofessions Code, is available upon request when this application is submitted or at the following Web slle:hllp:llwww.leginfo.ca,gov/calaw.html. 3b9sFJre of Fr�p ty-Owner or Authorized Agent -ICENSED CONT!�ACTOR'S DECLARATION :nPrdhy'afgrm ur9Pr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) of ivi on 3 of the Business and Pro lad cffeut. License Jlass License No Data 20 Contractor Signature YORKERS' %GMpENSATION DECLARATION YARd„vG: FAILUPE TO 8sIORE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L NALTIES AND CIVIL PINES UP TO ONE HUNDRL :DST OF. COMPEt'S:Y'KW, -1,MAGES AS PROVIDED FOR IN SECTION 370e OF THE LABOR CODE, INTEREST. AND ATTORNEY'S FEES. hereh;• affirm under penalty of perjury one of the following declarations: law, Section Date and is In full farce DOLLARS 111100,0001, IN ADDITION TO '1.•1 I %Lve 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 ocOcrmmce of the .icik for which this permit is Issued. Policy No. va and will 'rulrt.in 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' compensatiei pI.1 '3Ice carrLLr and ouecy number are: �Calrial _ Policy Number Expiration Date �Nafhl '&Agent ___ Phone# 711 certify that, in thegperfe f w f rwhich this permit is issued, I shall not employ any person inany manner so as to become subject to the workers' compensation laws of California, and afire that, If I should becomt w rk rs' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of ApplicanDate 7DECLARATION REG5 RUCTION LENDING AGENCY I hereby affirm underrjury that�there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097, 1 11 Cade). Lender's Name Lender's Address By 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 co my e a C a t e law relating to building construction. I authorize representatives of this city or county t b e nti property for Inspection purposes. //T�Signature of Property Owner or Authorized Agent Print PtyOwner'sorAuthorized A ent's NameZPak,� I14 DV I 7/�C ACTION DATE BY III R ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 1 0 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED INSTALLED U ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION. e 1A--5