HomeMy WebLinkAboutX2018-3020 - Permitst Baty of Newport Beach - Building Division
4` 100 Civic Center Drive, Newport Beach, CA 92660
e. .; Permit Counter Phone (949)644-3288
fiy Inspection Requests Phone (949)644-3255
Combination Type - MFP
111111111111111111111111111111111111111111111111111111N II COMB Permit: X2018-3020
Project No:
Issued Date: 10/0812018
Inspection Area : 2
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: 996 W BAYSIDE COVE NS
Description: MFR REDECKING (WATERPROOFING) W/ POLY DECK 400 SYSTEM 200 SF
Legal Desc.: TR 8073 LOT 2 UNIT 802 P B G OF PROJECT LOCATEDON AP 50.383-09 e
Owner:
TAYLOR ELLEN
Address:
996 BAYSIDE COVE DR
Record Management:
NEWPORT BEACH, CA 92660
Phone:
$0.00
Applicant:
ABC WATERPROOFING
Address:
3002 JEFFREY DR, UNIT A
Hazardous Mat
COSTA MESA CA 92626.
Phone:
714-444-1111
Code Edit: 2016
Type of Construction: V -B
Occupancy Group: r2
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Building Permit Fee: $120.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $121.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: ABC WATERPROOFING
Address:
3002 JEFFREY DR, UNIT A
Plan check Fee :
COSTA MESA CA 92626
Phone:
714.444-1111
Con State Lic[
598440
Lic Expire:
07/3112020
Bus Lic:
BT30059083
Lic Exp Date:
05/31/2019
Worker's Compensation Insurance
Carrier: STATE COMP INS
Policy No: 9218467
Expire: 09/26/2019
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: /
Left: /
Right: I
Parkina Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
Architect:
Address:
Phone: State Lic:
Engineer:
Address:
Phone: State Lic:
Designer:
Address:
Phone:
Special Conditions:
Planning Department -
Fire Department
Plan check Fee :
Fire Inspection:
Fair Share
Fire Plan Rev
SJH Trans
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00-
NMUSD Fee:
$0.00
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$0.00 Fee Due at Permit Issuance : $121.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: / v
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Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $121.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: / v
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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 applicant 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
,rovements 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).
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
Ily to an owrd ptgrpperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I aria exempt from IPcensure under the Contractors' State License Law for the following reason:
1"gnaturg t8lb* J 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
a structure thail 4 wave 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
Ifedsions Code„is available upon request when this application is submitted or at the following Web site:http://www.le nfo.ca.gov/calaw.html.
n9tLre of Property Owner or Authorized Agent t I. Date
`LfY�L4! VVJ1 S,�V,v,� V Vrvrr„"-„v�
areby affirm under penalty of perjyy !htor licensed under provisions of Chapter 9 (commencing with Section 7 of ivi oq 3 of the Business and Profe ler, Code, nd n y is se is 1 II force
S offect. License Gloss l.rv' License No Date C! Contractor Signature
BRKtRS' COMPENSATION DECLARATION
PNINGI FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE HUND ED THOUSANDS LARS ($100,000), IN ADDITION TO TH
TT OFt OMPENJS/�f4qN, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
W tjy affirm under penalty of perjury one of the following declarations:
-1 tlnve and +Nlll,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 1
formance of I& Mrk for which this permit is issued. Policy No.
have and will main Sin 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
1 new carrieiaAld oNicv number are: 1
Policy Number
Date
TIS of Agent " ._
1.
certify that, in the performqNe of the hi I per it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensatio laws of California, and agre
I, if I should become s / the workers' com s ti n pr isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
nature of Applicant Dat
CLARATION REGAAD1N4-ei5WSJRUbTION LENDING AGENCY
;reby affirm under nalty of perjury that 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 I h rovided is correct.
I agree to comply with all applicable city and count finances and Mate ws latin t buildingconstruction. I I
I authorize representatives of this city or county to er the above -i en f e pr artygf inspection purposes.
.,_,, :,f o... 11 ..r AuthnrlvnH Anwnr N Print Property Owner's or Authorized Agent's N/
me
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION TO
PERMIT EXTENDED LIAQMD
PERMIT FINAL t SBESTgCNOTI CAT ISNOT
CERTIFICATEOF 'l]1ti1�(� POSE DE
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