HomeMy WebLinkAboutX2019-1306 - PermitsCity of Newport Bdach Building Division
Cr' 100 Civic Center Drive, Newport Beach, CA 92660
F PermitCounter Phone (949)644-3288
e$ Inspection Reyu$sts Phone (949)644-3255
an" " Combination Type - BLDG
1111111111111111111111111111111111111111111 11�it COMB Permit: X2019-1306
x 2 0 1 9 1 3 9 6 Project No :
Issued Date : 04/24/2019
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: 1124 ESTELLE LN NIS
Description: SFR REPLACE (E) WALL IN/BLOCK WALL 6'X 50 LF (INSIDE PIL) c3ht
Legal Desc.: N TR 5184 LOT 7 x: -
Owner: BRALEY-LUND ELIZABETH
Contractor:
OWNER/BLDR Architect:
Address: 1124 ESTELLE LIN
Address:
BRALEY-LUND
ELIZABETH Address:
NEWPORT BEACH, CA 92660
Phone:
Phone:
Phone:
State Lic:
Applicant: BRALEY-LUND ELIZABETH
Address: 1124 ESTELLE LN
Con State Lic:
Lic Expire:
OIB
Engineer:
Address:
„.
NEWPORT BEACH, CA 92660
Bus Lic:
Phone: 949-861-1100
Lic Exp Date:
Phone:
State Lic:
Code Edit: 2016
Worker's Compensation Insurance
Designer:
Type of Construction:
Carrier:
Address:
Occupancy Group: U
Policy No:
Added /New sq.ft. Bldg: 0
Expire:
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: 6
Special Conditions:
No of Units : 0
Front: 20
Bldg Height: 0
Left: 6
Bldg Sprinklers:
Right: 6
Flood Zone: X
Use Zone: Parking Spaces:
0 Fire Hazard Zone: N
Construction Valuation: $4.000.00
Building Permit Fee: $412.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $365.00
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: $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
PM 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 : $818.00
Plan
Check Fee:
$0.00 Fee Due at Permit Issuance :
$818.00
°
SL° Q BEO W6
PROCESSED BY:
-e�
PU*Llt, WORk!9S APRRtv)VAL:
ZONING APPROVAL:
PLAN CHECK BY:
M
GRADING APPROVAL:
`�` °°°AROeOVALT �15SYJtre)
-
c�c co ca o c pow °o
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 issuaCok, a,34 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).
1, 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,
3' ' ass 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
M290 ro menu 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
PI'm'Iexempt
forthepurposeofsale).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
n 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).
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
yell a structure that I have built as an owner -builder if IVES 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 whenh' apation 4
sub 1 d a the f wing W b 'te:http://www.l nfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARAT N
hereby affirm under penalty of perjury that I am licensed n r provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
Ind effect. License Class License No Date Contractor Signature
VORKERS' 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 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following 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 th,
erformance of the work 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:
of Agent
Policy Number Expiration Date
Phone #
`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 agre
tom, if I should become s bjec to he wor IS' cc pensati n pro 'cions of Section 3700 of t abor Code, I shall forthwith comply with those provisions. /
nature of Applicant
CLARATION REG4RMk—G COPPTRUCTION LENDING AGE �
Ireby affirm under fenalty ofr' ry that there is a constructio ending agency for the performance of the work for which this permit is issued (Section 367, 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 I have provided is correct.
I agree to comply with all applicable city and county ordinances nd state laws re Sting to buildin o struction.�/p/,-
I authorize representatives of this city or count to n ab �� rt spe;r-or on purposes. eRT%��%L �f
nature of Prooertv Owner or Authorized Acent at P Dertv Owner's or Authorized ADent's Nam
ACTION DATE BY DEC(AR�.TION OF COMPLIANCE WTH CODE OF FEDERAL FOR OFFICE USE ONLY
REG IONS PART 61 OF TITLE 40 AND AQMD RULE
1403 •• ••• • •••
PERMITEXP/RED(SUBMITTEl);ABEST®SNOTIR*iwiort TO *••
PERMITCANCELLED EPA • • ••
PERMITFINAL L�IASBESTOS NOIIIIIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF PR
OCCUPANCYISSUED SIGNATURE: (144I��.+%%
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