HomeMy WebLinkAboutX2018-3491 - PermitsIxr City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
N Permit Counter Phone (949)644-3288
er Inspection Requests Phone (949)644-3255
a Combination Type - MFIP
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COMB Permit: X2018-3491
Project No: 1682-2018
Issued Date: 11/1612018
Inspection Area : 6
OR LAST VALID INSPECTION.
from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Construction Valuation: $2.000.00
e
PERMITS EXPIRE 180 DAYS AFTER /SSUAA
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturda
Job Address:. 12 DAUPHINE NB.
AfArchitect:e°
Description: MFR REMOVAL OF WALL COVERING LOFT AREA *STOP WORK* 118-1345
Legal Desc.: TRACT 14588 LOT 11 OF PROJECT
936-46 LOCATED ON AP 461-201.61
Owner: COOPERGREGORY
Contractor. OWNERIBLDR
Address: 12 DAUPHINE
Address. COOPER GREGORY
` NEWPORT COAST, CA 92657
Phone:
Phone:
Applicant: COOPER GREGORY
Con State Lie: Ole
.Address: 12 DAUPHINE
Lie Expire:
NEWPORT COAST, CA 92657
Bus Lie:
Phone: 714-720-5128
Lie Exp Date:
Code Edit : 2016
Worker's Compensation Insurance
Type of Construction:. V -B
Carrier:
- Occupancy Group: R211.1
Policy No:
Added /New sq.ft. Bldg 0
Expire:
Added /New sq. ft. Garage: 0
m
No of Stories: : 1
Building Setbacks Rear: /
No of Units : 6
Front: /
- Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
Flood Zone:
Use Zone: Parking Spaces: 0
COMB Permit: X2018-3491
Project No: 1682-2018
Issued Date: 11/1612018
Inspection Area : 6
OR LAST VALID INSPECTION.
from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Fire Hazard Zone : N
Construction Valuation: $2.000.00
e
90
AfArchitect:e°
0
o e
Address:
Excise Tax:
• ra�coe meo
Planning Department -
eo. �m®�o 0
u
Phone:
State Lie:
• e m o
$40.00.
Fire Inspection:
$0.00 -
Engineer:
LI PIN -CHINE
Grading Bonds Fee:
Address:.
20332 E CRESTLINE
eo° a°
Phone:
WALNUT, CA
909-396-6163 State Lic:C-038408
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+ m ammo. -
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mune
Investigation Fee: $104.00
Grading PC Consultant:
m
_ Designer
SAKET KENNY
oeoo
Address:
4482 LARD LANE
m
Grading Permit Fee:
YORBA LINDA, CA 92886
o.00no
Phone:
714-931-0295
00 0
Energy Compliance: $0.00
em m
Special Conditions: OWNER/BLDR ATTACHED
Public Works Department -
Fire Hazard Zone : N
Construction Valuation: $2.000.00
Building Permit Feer .$104.00.
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $90.48
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: $104.00
Grading PC Consultant:
$0.00
'. SJH Trans:
.$0.00
- Demolition Fee
Record Management: $4.00 :
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 %m:
$0.00 -
NMUSD Fee: .$0.00
'$0.00
' .Plumbing %:
$0.00
:
$0.00
TOTAL FEE: $343.48
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$343.48
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 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 appfioant 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 L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
liness 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
irovements 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 Code: The Contractors' State License Law does not
IIy to an owVJr q 4operty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I agi exempt fromlicensure under the Con4licensed
icense Law for the following reason:
my signatur;e'b;e[ovC 1 acknowledge that, exconal residence in h I must have resided for at least one year prior to completion of the improvements covers by this permit, I cannot Iegall
a structure that I have built as an owner -but been constr e irety by licensed contractors. I understand that a copy of the. applicable law, Secti 7044 of the Business and
fe9.y'ons Coda, is available upon request wtion is submi d t the followin b site:http://www.leginfo.ca.gov/calaw.htmi. to
Mature of Property Qwner or Authorized Ag
:EiNSED 03NTt*CTOR'S DECLARA
Heby affirm under penalty of perjury that I aer provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professio s Code, and my license is in full force
I.Wect. Li%erIA LESS License No Date Contractor Signature
DECLARATION
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 ($100,000(, IN ADDITION TO THE
:OMPENSAaIVI�,FIAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES
affirm under pLmalty of perjury one of the following declarations:
and•wifl 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
a of the Mrk for 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'
rance carrier and policy number are:
Policy Number
Date
me of Agent vnone rr
certify that, in the p rformanc ,the work �12_vlisions
s issued, I shall not employ any person in any manner so as to become subject to the workers' mpensation laws of California, and
t, if I should becom subj ct workers' of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applican ��-- Dat
CLARATION RE RDING ST CTIONLENDING AGENCY
;reby affirm unde penally of perju hat there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 , Civil Code).
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 property owner's behalf.
I have read this application and the information 1 h e ovided is corre
I agree to comply with all applicable city and coun nances a s relating to building construction.
I authorize representatives of this city or county t e abov Add tified property for inspection purposes. - 5�
nature of Prooertv Owner or Authorized AGent. Print Property Owner's or Authorized Agent'slae<' ����L.�Ys- ate l!
ACTION DATEI BY. ( REGULATIONS OART 81 O TNT E CE ITH AND DE OF FEDERACIMD RULE AL I FOR OFFICE USE ONLY
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
EIEPA
PERMIT EXTENDED
QM
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
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1
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