HomeMy WebLinkAboutX2018-0467 - Permitsawn City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2018-0467
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 0 4 6 7 Project NO
,. �. Permit Counter Phone (949)644-3288
- fiY . Inspection Requests Phone (949)644-3255
°.fir xis• Combination Type - MFP PLUM 1�L eC, Issued Date : 02/15/2018
9
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. to6:0 Nolwork on Sundays or Holidays
Job Address: 1411 N BAY FRONT NB
Description: MFR SHOWER AND TUB HOT MOP AND RETILE (REPLACES EXP PERMIT X2017-1145
Legal Desc.: BALBOA ISLAND SEC 4 LOT 21 BLK 14(AND El/2 LOT 20 BLK 14 s•� �$R
Owner: WATSON NOEL Contractor: OWN �p Architect:
Address: 800 VIA LIDO NORD Address _ ,aA ORIZED AGE1yg HED Ad�r�IS
NEWPORT BEACH, CA 92663 ,, •"" BILL CORE 'dt-F�� ®Id I••k. � '� %�'''
Phone: .,,,Phoone. �� bo 0/0
O� Q ��Phone: State Lic:
Applicant: WATSON NOEL Con State : O/B
Address: 800 VIA LIDO NORD lh Li re: resa:
// U o 0
NEWPORT BEACH -e9
6 Bus Lic: eL
dl"n'
Phone: 626-51M801`°-� � Lic E '(Q � Phone: � State Lic:
Code Edit : X16 u�?, ` C pen n e Designer: - - • ° ® ° e • • o
Type of Constr tion. a r"rt °�` ie Address:
Occupancy Gro' R31U C'1 cy v'? y o: • i ° ° ° ° °
Added /Newsq. Bldg: K.'''._ '._..__.Expire .____..._. _ Phone:
Added /New sq. Gar art .. • o ° ° o °
No of Stories: 1 Buil ' elRe / Special Con P N f PER TTeNoofUnits: s,spp +. ° fOYo°O
�sg� 1
Bldg Height: ft: / 4✓✓``
0
Bldg Sprinklers' Right: I • ' +' oo=•°°
0
Flood Zone: e: Parkin Spaces 0 Fie rd Zone:, a; _ ° ° • • o • °
Construction Valuati 0 10VA k S
Building Permit Fee: ` Excise Tax: •� $0.00 Plan i'�epaOrtment - ' e ape b_. t
Plan Check Fee: $0. 0 " Additional Fe `� ,$97.00 Pla check Fee : 0.00 resp $0.00
Overtime Plan Ck: $0.00 Gra in $0.00 _ Fair Share:` L� Fl ev $0.00
Investigation Fee: $0.00 C su tent : $0.00 SJH Tr ii11 0:00 emolition Fee
Record Management: $0. g Per 1. -$0.00 u Housing Fe�tl5i0� Building Dept Adm $0.00
Energy Compliance: $0.0 Gra 1 $0.00 Public Works 9rtme General Service $0.00
CA Seismic Safety: 0.0 1 sp. Fee: 6 Par icati $0.00 Refund Deposit $0.00
Disabled Access : O.OD \\ AN eck : $0.00 - Grading Bond: $0.00
Hazardous Mat .00 Electrical %: $0.0 ist : $0.00 ,
Building Green Fee : $ 00 Meda cal %: .00 NMUSD Fee: $0.00 $0.00
Ap®'Ce. lambing %: 0 $0.00
TOTAL FEE 1$97.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $97.00
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER-BUILDER DECLARATION
that I exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable iterri(s)
I hereby affirm under penalty of perjury am
(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
the 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
Professions 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
not 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,
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
ovements 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
oved for the purpose of sale). ,
Iness
as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Pro si s Code: The Contractors' State License Law does not
,
y to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant t ontra ors' State LicenseLaw).
am exempt from licensure under the Contractors' State License Law for the following reason: •-
By my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least ear prior to completion of Ve improvements covered by this permit, I cannot legal)
sella structure that I have built as an owner-builder if it has not been constructed in its entirely by licensed conUlssttrg. I understand that a copy of the pplicable law, Section 7044 of the Business and
thi 'on is submitted or at the following Web p:/Iwww.le info.ca.gov/calaw.ht
Professions Code, is available upon request when pf a
Pi• i Date
Signature of Property Owner or Authorized Agent
LICENSED COATRRACTOR'S DECLARAT N ' �yO
I hereby unditlenalty of perjury that I am licensed under provisions of Copter 9 (commencing w* %Etion 70001lovi�ib'n 3 of the Business n Professions Code, and my license is in full force
gffirm
a:d affeCC. License Pl*s License No - Dater O` Cont Signa re
V
QRK.ERS' COMPEASATION DECLARATION
V4RMti%FAILURE TOSECURE WORKERS' COMPENSATION CO IB UNLAWFUL, AND Sy9 UN.S eJECT AN E COYER TO CRIMINAL PE TI CIVIL FINES UP TO ONE HUND D THOUSAND DOLLARS (5100,000(, IN ADDITION TO THE
COST OF COMPENSAQON, DAMAGES AS PROVIDED FOR I ONS SOF THE LABOR t INTEREST, NEY'S FEES. '44�QD-
14eraby affirm unr%�`peaalty of perjury he foto i g&clar 'err t0
••
�I,F�ye and eQi6 jnalgtai IficatP%pi nen -insure for w e , compe _ Ion,.'s y the Director of Industrial Relations as provided fo y Section 3700 of the Labor Code, for th
No.
performance ofthe w r which this peddjt i_ e . �Polic
..•.
LhP.vrg,and will mai ain v�pKcgf�IQed pens a ion anc 'Te S 3700 of the L e, for the performance of the work for which this p rmit is issued. My workers' compensatio
njuMncPcarrier ajJV cy n3rfiEer are: -
Cg0�+ p mb Expiration
-
dwspj Agent , .. - Pon -
• ..
I certify that, in the perfo and of the w for which this permit is ed n e person in any manner w a s ect to the o ensation laws of California, and agre
'
that , if I should become sub ct to compens ns ti0 7 of the Labor Code, .l she ll foQh htosg-provisi -
Signature ofApplicant E'+ _ ate.
DECLARATION REGARDING ON EN Y ntt
permit
1 hereby affirm under penalty o I u. th t e a co on lending agency for the performanc of ork f �Ai0i1)tln§ is issued (S , CI ii ode ).
Lender's Name Leader's Address
By my signature below, I certify t each ng: \t,�'
I am the property owner or au ��orize o ct on the property own b a n
I have read this application an he information I he pr i to
r T
I agree to comply with all applio le city a un a d sta relating to building constr n.
I authorize representatives of this ity o coun to e a v d property for inspec' urposes.
Si nature of Property Owner or ALitho ed A e Int Property 0 s or rized A ant's Name Date
ACTION
DATE B DEC RATION OF COMPO ITH CODE OF FEDERRMAL OFFICE USE ONLY
REGULATIONS PA FTITLE 40 AND DR
1403
PERMIT EXPIRED
UBMITTED ASB9STOS7NOJW@ATIONTO
EPA
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ESTOS NOTIFICATION IS NOT APPLICABLE TO
PERMIT CANCELLED
PERMIT EMENDED
PERMITFINAL
CERTIFICATEOF
InPOSED DE OLITI
OCCUPANCYISSUED
SIGNATURE:
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