HomeMy WebLinkAboutX2019-0554 - PermitsCity of Newport Beach - Building Division
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COMB Permit: X2019-0554
- 100 Civic. Center Drive, Newport Beach, CA 92660
X. 2 0 1 9 0 5 5 4
Project No.: 0400-2019
Permit Counter Phone(949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type- MFP
Issued Date : 0212 812 01 9
Inspection Area : 3
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: 203 COLUMBIAST NB
-
Description: MFR -DECK REPAIR FOR NEWPORT CREST HOA
Legalpesc.: TR 7817 LOT 3 UNIT 194 OF PROJECT LOCATED ON AP 424.041.01 TOGETHER
Owner: NEWPORT CREST HOA Contractor:
SMITH ANGUS
CONSTRUCTION Architect:
Address; 201 INTERPID ST. Address:
12342 CANYON TERRACE Address:
NEWPORT BEACH CA 92663
SANTA ANA CA 92705
Phone: Phone:
714538-1191
Phone:
State Lic:
Applicant: SMITH ANGUS Con State Lic:
637440 -
Engineer:. XIAO QIANG
.Address: 12342 CANYON TERRACE Lic Expire:-
02129/2020'.
Address:. 1520 BROOKHOLLOW DR #45
SANTA ANA CA 92705 - Bus Lic:
BT01101101
SANTA
ANA CA 92705
Phone: 714-538-1191 Lic Exp Date:
09/3012019
Phone: 714.662.0610 State Lic:S-005289
Code Edit: 2016 Worker's Compensation Insurance
Designer.
Type of Construction: V -B _ Carrier:
EMPLOYEE SERVICE Address:
Occupancy Group: R21U Policy No:
AMX080003000
Added /New sq.ft. Bldg: 0 Expire:
1 0/0112 01 9
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2 Building Setbacks
Rear: I
Special Conditions
l 1 t 3
No of Units : 6
Front: I
_ Bldg Height: 0
Left: /
{ ..-�j
`-,...'
Bldg Sprinklers: N
Right: /
Flood Zone: Use Zone: Parking Spaces:
0 Fire Hazard Zone�t N
'1
Construction Valuation: $9.200.00
Building Permit Fee: $232.00 Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $0.00 Additional Fee :
$50.46
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 -
RfE86r8tltanagerfltrZt° $0.00 Grading Permit Fee:
$0.00
In -lieu Housing Fee: $0.00
Building Dept Adm .$0.00
Efi6rjv E6mpliance: $0.00 ',Grading PC Fee: -
$0.00
Public Works Department-
General Service $0.00
CA Seismic Safes P... $0.00 WQ Insp. Fee:
$0.00
Park Dedication :. $0.00
Refund Deposit $0.00
D(s361_d&Access ° ` ' $0.00-.---`
PM Plan Check : $0.00
Grading Bond: $0.00
Haccrdous Mat ` $0.00 Electrical 0/,
$0.00
San Dist: $0.00
BoUdiggfreenfft@,;°G° :$1.00 Mechanica�t%:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
Y07A`L FEE: $283.46 Plan Check Feet
o . .
$50.46 Fee Due at Permit Issuance : $233.00
PR1!7,P�SS)zD BY:° ° ° ° o .� lf'i
PUBLIC WORKS APPROVAL:.
ZONING APPROVAL: ° �
PLAN CHECK BY: C�/FrU
,
GRADING APPROVAL:
-
APPROVAL TO ISSUE:
OWNER -BUILDER
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 (_) 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
Tlprovements 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
ro 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
Ipply 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).
7 I am exempt from licensure 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 improvements 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 licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
_ICENSED CONTRACTOR'S DECLARATION
hereby affiml under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 o jviSlon 3 of the Business and rofessiQ Cod and rpy license is in full farce
Ind effect. License Class License No Dat �— 2f I Contractor Si ure q T c�/Y�I/6'�
YORKERS' COMPENSATION DECLARATION
IARNING: 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
: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 fallowing declarations:
I have 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 IN
lgRtQrmance of the work for which this permit is issued. Policy No.
ave 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
nce carrier and policy number are:
vier Policy Number Expiration Date
Jame of Agent Phone #
JI certify that, in the performance 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' compensation
laws of California, and agree
hat, if I should become subto a workers''compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
�`t
signature of Applicant II '1' innATl) Date,,::f �'� •� 0
/
)ECLARATION RE�DDIP G—'CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there 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:
• • • • o
I am the property owner or authorized to act on the property owner's behalf.
, o • °
I have read this application and the information I have provided is correct
: ° • °
I agree to comply with all applicable city and county in ces and state laws relating to building construction. %]N G'US I
•,••oo
• ° • ° o
I authorize representatives of this city or county t e t t above-ide if' d property for inspection purposes. ii
,fie r9 6
3i nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name !
' )
ACTION
DATE
BY J
VIECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
• • • • ° °
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PART 61 OF TITLE 40 AND AQMD RULE
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