The URL can be used to link to this page

Home My WebLink AboutX2019-1414 - Permitslvnp City of Newport Beach- Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1414 x4 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 4 1 4 Project No H Permit Counter Phone (949)644-3288 c"S Inspection Requests Phone (949)644-3255 r� seryx�'x' Combination Type - SFP Issued Date: 0510112019 0 Inspection Area : 6 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: 8 VIA AVORIA NB - Description: SFR APPLY DEX-O-TEX TO REAR DECK (543 SF) ESR#1661 Legal Desc.: N TR 15079 LOT 46 Owner: CHANGWON CHEY Contractor: CRANK WATERPROOFING Architect: 1 t, i , , ku,�7 Address: 27431 GLENWOOD DR Address:. 134 COMMERCIAL WY Address: MISSION VIEJO,CA 92692 COSTA MESA CA 92627. Phone: Phone: 949-646-9356 Phone: State Lie: Applicant: CRANK WATERPROOFING Con State Lie: 1038420 Engineer: Address: 134 COMMERCIAL WY Lie Expire: 04/30/2020 Address: COSTA MESA CA 92627 Bus Lie: BT30063958 ... o Phone: 949-646-9356 Lie Exp Date: 06/30/2019 Phone: State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer. Type of Construction: VB Carrier: INS OF THE WEST. Address: Occupancy Group: R3/11 Policy No: WSD604603700 Added /New sq.ft. Bldg: 0 Expire: 01126/2020 Phone: .... ° • ° Added /New sq. ft. Garage: 0 No of Stories:. 2 Building Setbacks Rear: I Special Conditions: VHFSZ ° ° ° • ® ° No of Units : 1 Front: / Bldg Height: 0 Left: / ° ° ° ..... Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N o ° Construction Valuation: 97.000.00 Building Permit Fee: .$184.00 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 P/W 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: $185.00 1 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $185.00 PROCESSED BY: `- \� PUBLIC WORKS APPROVAL: ZONING APPROVAL: \ PLAN CHECK BY: 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 n roved for the purpose of sale). 1, 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 Ip ly 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). 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 legal 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 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/colaw.html. signature of Property Owner or Authorized Agent Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec on 7100) of Division 3 of e B iness and Professions Code, and ens is in full fo e Ind effect. Licen�g ��ss License No ate ` — 1 ' I �1 C ractor Signature VORKERS' COYLPFIGSATION DECLARATION IAf3fB1�1G: FAILUREd9 bEgpRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDREDTH ND DOLLARS (E700,000), IN AO ON TO THI MPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herebyaffirm under penalty of perjury one of the following declarations: I hese and wilj, p1ayfrtain 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 tl e mance of the work for which this permit is issued. Policy No. aV and will waintain 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' compensati( 1a arccec arriertigq poly number are: :T�fFiar• •CAS15n _ Policy Number S O Ll 12633^1 Q�) Expiration Date certify that, in the performance of the work for w (ch this p rmit 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 '1 isilo� become subject to the workers' com ensation rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ••.• •t iafure nfYSnnlir. • • /� A /Y _. J)eC€Z I hereby affirm under penal of rjury that there is Cottruction lending g� cy for the performance of the work for which this permit is issued (Sects 3D9Z(>rivil Code). 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 be f. I have read this application and the information I have provided is cc act. I agree to comply with all applicable city and county ordinances an state I s relating to building construction. I authorize representatives of this city or countyter the above ' ' d property for inspection purposes. Signature of Property Owner or th rized n Print Property Owner's or Authorized A Name SCkN2SnnQLD ACTION D BYDE LARATION O C MPLIANCY WITH C DE OF FEDERAL FOR OFFICE USE ON REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EMENDED OAQMD PERMIT FI NAL ZCp /� ASBESTOS NOTIFICATION IS NOT APPLI ABLE TO ED DE ITION OCCUPANCY ISSUED NA URE: _ f