HomeMy WebLinkAboutX2019-1031 - Permits�L w1Pcy City of Newport Beach - Bt i oinca Dievision COe II IIIIIIIII IIIIIIIIIIIII IIIIIIIIIIIIIII�III II
a 100 Civic Center Drive, Newport Beach, CA D266o, e, ; • X 2 0 1 9 1 0 3 14
Permit Counter Phone (949)644-3288 �.. e e
Inspection Requests Phone (949)644-3259 • •_ o • • c • o
"ra znx'' Combination Type - CIP
COMB Permit: X2019-1031
Project No : 2137-2018
.Issued Date : 04/0212019
Inspection Area : 7
" •
Construction Valuation:
$93.000.00
VEMITS Q'PJREJ60 DAY j AfeTePoR ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday ° Ariday:7:00•�lh.�tg.630 p^lp. Apel Saturday from 6:00
a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 1441 SUPERIOR AVE NB
Building Permit Fee: $1,064.00
Description: COMM EXTERIOR STRUCTURAL COLUMN REPLACEMENT AND REMODEL 2ND FLOOR DECK AND PATIO 250 SF
Legal Desc.:: FIRST ADD TO NEWPORT MESA TR LOT 819 SWLY 56 FTNELY 189.38 FT IN
Planning Department -
Owner: DE LORIMER LISA
Contractor: REUTER HOMES.
.Architect: CASKEY BILL
Address: 120 VIA ORVIETO
Address: 1537 MONROVIA AVENUE
Address: 630 CAMEO HIGHLANDS DR
NEWPORT BEACH CA 92663
NEWPORT BEACH CA 92663
CORONA DEL MAR CA 92625
Phone:
Phone: 949.645.5824
Phone: 714-624-7086 State Lic:C017746
- Applicant: CASKEY BILL
- Con State Lic: 760411
Engineer: BURKE THOMAS
Address: 630 CAMEO HIGHLANDS DR
.Lic Expire: 03/31/2021
Address: 312 OCEAN AVE
CORONA DEL MAR CA 92625
Bus Lic: BT30043620
LAGUNA BEACH CA 92651
Phone: 714-624-7086.
Lic Exp Date: 05/3112019
Phone:. 949-494-0776 State Lic:S-005088
Code Edit: 2016
Worker's Compensation Insurance
Designer:
Type of Construction: V -B
Carrier: LIBERTY MUTUAL
Address:
Occupancy Group: B
Policy No:: XWS59339306
$0.00
Added /New sq.ft. Bldg: 0
Expire: 12101/2019
Phone:
Added /New sq. ft. Garage: 0
$0.00.
Building Dept Adm
No of Stories: 2
Building Setbacks Rear: /
Special Conditions:
No of Units : - 0
Front: /
7 ` a
Bldg Height: 0
Left: /
1 �v
Bldg Sprinklers:
Right:
WQ Insp. Fee:
Flond 7nner
Use ZoneParkine Snaces 0
Fire Hazard Zone , N
Construction Valuation:
$93.000.00
Building Permit Fee: $1,064.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $61.00
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
-PAN Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist:
$0.00
-
Building Green Fee :
$4.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $1,129.00
Plan Check Fee:
$0.00
Fee Due at Permit Issuance :
$1,129.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
fioc
JQ
PaS
PUBLIC WORKS APPROVAL: TOR
PLAN CHECK BY: al
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 reaa`onei) indicated below by the::heckmark(s) I have placed next to the applicable item(s)�e
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter,3mDrove,'.deinoiisli oc repair an 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' Stme LICMse Caw (Chapte4 9 (L!o mencing with Section 7000) of Division 3 of the Business and
trofessions 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 (_) all of or ortions of tke wok Qngthp stru'tu(O 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 propert?W o, tfougit ereploy`ees' or personal effort, builds or improves the property, provided that the
Tiprovements are not intended or offered for sale. If, however, the building or improvement is sold within orkygar•4f pomp1ejian,%i? Ownir-Builder will have the burden of proving that it was not built or
Tunroved 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
Ipply 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:
Iy my signature below I acknowledge that, except for my personal residence in which 1 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
trofessions 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 perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 �of`DiviSion 3 of the Business and P essions o, d my license is in full force
Ind effect. License Class License No DSII(' Contractor
VORKERS' COMPENSATION DECLARATION
(ARNING: 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
have and will maintaina 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(
��errr(jj/p� mance of the work for which this permit is issued. Policy No.
FFve 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' compensatior
u Ince carrier and policy number are:
Policy Number
Date
lame of Agent Nnone 9
I 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
tat, if I should become suba workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicata / ) D
IECLARATION RF*C)ING CONSTRU AGERCCy
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivll Code).
ender's Name Lender's Address
y 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 and state laws relating to building construction.
I authorize representatives of this city or cou2 j - = !fled ro erty for inspection purposes. / -ems
innahue of Prnnerty Owner nr Authnrizerl Anenf V i t PrDDertv Owner's or Authorized ADent's Nam9� V Pti> 10k Date
ACTION DATE BY V ` DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY v \
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
IJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITEXTENDED
PERMITFINAL 7-/r—/9 / UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
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