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HomeMy WebLinkAboutX2019-1947 - Permitsa City of Newport Beach - Building Division IIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-1947 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 9 4 7Project No Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG Issued Date: 06/21/2019 Inspection Area : 4 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: 1833 PORT CHARLES PL NB Description: SFR DEMO (E) POOL, CITY STD METHOD W (ABANDON POOL SHELL IN PLACE) Legal Desc.: N TR 6622 LOT 31 ___-,;;:=•.u,;=., TOTAL FEE: $404.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee: T n�. E f< $0.00 Fee Due at Permit Issuance : $404.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Owner: BRANEK MONYA Contractor: FRISCH & SONS CONST. INC Architect: - Address: 1833 PORT CHARLES PIL Address: 2546 NORTH ORANGEHILL ROAD Address: NEWPORT BEACH, CA 92660 ORANGE CA 92867. Phone: Phone: 714-282-0643 Phone: State Lic:„ Applicant: FRISCH & SONS CONST. INC Con State Lic: 696810 Engineer: Address: 2546 NORTH ORANGEHILL ROAD Lic Expire: 0613012021. Address: ORANGE CA 92867 Bus Lic: BT30060076 714-282-0643 Lic Exp Date: 08/31/2019 Phone: State Lic: .Phone: Code Edit: 2016 Workers Compensation Insurance Designer: j Type of Construction: Carrier: STATE FUND Address: wt, Occupancy Group: U Policy No: 9040338 Added/New sq.ft. Bldg: 0 Expire: 01/0112020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: No of Units : 0 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: /. Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $6.000.00 Building Permit Fee: $103.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $208.00 Additional Fee : $0.00 Plan check Fee: $90.00 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: $2.00 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: $404.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee: T n�. E f< $0.00 Fee Due at Permit Issuance : $404.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 items) lection 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 ie 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 of more than five hundred dollars ($500). 7 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, lusiness 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 nprovements 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). 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 pply 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: ly 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.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of pggrj that I am licensed under provisions of hf r (commencing with Section 00 of Divi Ion of the Business and Pr a s&.D.LI.Rl e in full force end effect. License Class fi'_ License No % �'� Date d L/ 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 TH (5100,000), 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 following declarations: I have and will maintain a certificate of consent to self -insure for w rkers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th ormance of the work for which this permit is issued. Policy No. �__2_ a — Z >l9' have and willtain 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' compensatiol isurance carrier arNp!licy number are; _ r /11 is of Agent certify that, in the performal , if I should become subject of Date s 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 copTpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Datl 66 :reby affirm under peMalty of per7ary chat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 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. 1 have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordi s and at a laws relating to building construction. I authorize representatives of this city or couhove= ntified pr for Inspection purposes. nature of Prooertv Owner or Authorized Aqent 7(Print Properly Owner's or Authorized Agent's Nart `J ACTION I DATE PERMIT EXPIRED PERMITC4NCELLED PERMIT EMENDED DF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO + • ; +• , • �• EPA • { . . { • •• PERMITFINAL2 A > ❑ASBESTOS NOTIFICATION IS NOT APPLICABLE TO \ CERTIFICATE OF �/ . ,!' l r!°%_� PROPOSED DEMOLITION • ° • • a . • • ° ° OCCUPANCYISSUED ` SIGNATURE' % e Civil Code). 'lLrcSv