HomeMy WebLinkAboutX2019-1739 - Permitsr ` City of Newport Beach - Building Division
a# *R 100 Civic Center Drive, Newport Beach, CA 92660.
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COMB Permit:
X2019-1739
`Permit Counter Phone (949)644-3288
Project No:
+fr Inspection Requests Phone (949)644-3255
cry ix'k Combination Type - SFP ELEC MECH PLUM
Issued Date:
06/03/2019
Inspection Area : 8
PERMITS EXPIRE 180 DAYS AFTER 111 IN OR LA5T.VALID INSPECTION.
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 and Saturday
p.m.
Job Address: 724 ALEPPO ST NB
Description:
from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holl S_
SFR KITCHEN REMODEL (272 SF) "CTY STD"200 AMP SERVICE UPGRADE
Legal Desc.:. N TR 4705 LOT 60 ,
Owner. HARKINS DANIEL M
Address: 724 ALEPPO ST Contractor: WRIGHTS LABOR SERVICE Architect:
i
Address: 9590 NAPOLI PL Address:
NEWPORT BEACH, CA 82660
CYPRESS CA
.Phone. ..Phone.
R
LABOR SERVICE
Applicant WRI6469
Phone:
State Lic
Con State Lic: 718557
DOS
Address:. 6469 DOS CA 9
.Lic Expire: 02/2912020
02/
Engineer:
9/2020
630
CYPRESS CA 80630 .Bus Lic: BT30/2020
Address:
Phone: 714-713-8545 Lic Exp Date:
Code Edit : 2016 Worker's Compensation Insurance
Type of Construction: VB
Phone:
Designer.
State Lic:
° ° o o
o m
Carrier. FUND STATE
Occupancy Group: R3/Ll
STATE6.
Address:
... °
- Policy No:
.Added /New sq.ft. Bldg: 0 Expire:
doom
°
com000
05/15/2020
Added /New sq, ft. Garage: - 0
Phone:
° o m
No of Stories: 1 Building Setbacks Rear: /
No of Units : 1
p
Special Conditions:
°
o
° 0 0 ° ° a
Bldg Height: 0 Front: /
° ° o m
o
0 0
Bldg Sprinklers: Lek: I
m o 0 0
m ° ° ° o
Flood Zone: Right: /
Use Zone: Parkin S aces:
ruction Valuation:
0 Fire Hazard Zone : N
o° o 000000
° 0 ° °.
0.0...
S21 760.00
°
g Permit Fee: $424.00 Excise Tax:
heck Fee: $368.88 $0.00
Planning Department -
0ommmo
0
Additional Fee: $0.00
me Plan Ck: $0.00 Grading Bonds Fee: $0.00
Plan check Fee: $40.00
Fire Department
Fire Inspection:
0
0 m o o
igation Fee: $0.00 Grading PC Consultant : $0.00
Fair Share : $0.00
SJH Trans
Fire Plan Rev
° $800
d Management : $2.00 Grading Permit Fee: $0.00 Compliance: $0:00
: $0.00
In -lieu Housing Fee: $0.00
Demolition Fee
Grading PC Fee: $0.00
Safety : $0.00 WQ Insp. Fee:
F
Public Works De artment -ismic
.Building Dept Adm
General Service
$0.00
$0.00
$0.00.
ed Access : $0.00
Park Dedication: $0.00
Refund Deposit
$0.00
ous Mat $0.00 Electrical %: $29.66
PAN Plan Check: $0.00 -
Grading Bond:$0.00
g Green Fee : $1.00 ° .
Mechanical /o. $16.96
San Dist: $0.00
Plumbing $38.16
NMUSD Fee: $0.00
$0.00
$0.00
TOTAL FEE: $920.68 Plan Check Fee :
$0.00
Fee Due at Permit Issuance :
$920.68
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
- -
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION cant for
I hereby affirm under penalty of Pes ons Cade: Any c fy orrcounty that requu s a permit to co stmct f elted improve,Idemol demolish, orrepairtany structure, prior to its issuance, also requires the app (a)
ection 7031.5, Business and Profes
e 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 an
ofessions 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 penally of
>t more than five hundred dollars ($500).
44,
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or w employees'
portions of the work, and the structure is not intended offered for sale (Section d rty the
the
Iprovements are not me dedeor offered for sa e. Sfehowlever,the bud'lld'mg ori pPlovement snsoldfwithtn one year of complet on, the Owner Owner -Builder effort, have improvess or the bu den of pro will have that itprovided
not built or
i roved for the purpose of sale). -tion 7044, Business and ions Code: The
ppli. as owner of y to an owner the
ppoperty who exclusively contracti
theng witlicensed Contractors to construct the project eonhand who contracts for the projects w th a licensedcContractor pur uant to he Contractors' State L censerLatw)s' State License Law does no
uilds or
Ily
I am exempt from licensure under the Contractors' State License Law for the following reason:
ell a structure y my signature belat ow I acknowledge built that,
except
f o i Kaspersonal
of been constructed hi itsch I must h by licensed Eve resided contracto s. I understand that a r at least on year r,Q copy of the happl cable law, Section 7044Dy ofthe Business and
his permit. I cannot lega
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi Date
',ignature of Property Owner or Authorized Agent en 'n full force
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ctio e ) of 'visio , f the Brsi esSignature e s
ind effect. License Class License No
VORKERS' COMPENSATION DECLARATION
IARNING: FAILUR4VSECIiRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E'100,000), IN ADDITION TO THE
:OST OF COMPENSAFIOIa,VAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
qhereby affirm unnalarpen alty of Perjury one of the following declarations:
%1 have and &II Mintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided far by Section 3700 of the Labor Code, for t
1:6ha�
nce of the Work for which this permit isissued. PolicyNo. �'J/-�s15
and wiN maintain worke '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' compensaho
caa%�.�r14f• olicy num er are: - ��2,-%s L Z / —� Expiration Date
,ave Policy Number i/ 6 Phone #
VTIPIBjJAgent •••
2I••r�tlTFq that, in jhe );formance of the work for which t ' ed, I shall not employ any person in any manner so as to become subject to the works 'compensation laws California, and agree
lhet, If I sYlould bee t3ub' t t *tion prov"" Ion f the Labor Code, I shall forthwith comply with those provisions.
Da
... ..
Slgnaturaof AP
I
DECLARATI R ING CONSTRUCTION NDING AGENCY
I hereby affirm unde .penalty of perjury that there is a construction lending agency for Lender's Address of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name
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 behalf.
I have read this application and the information I have provided is correct. ws relating to building construction.
I agree to comply with all applicable city and cou d d ro ert for inspection purposes. llMh /
1 authorize representatives of this Cly cou 0 ter = P Y P to
/� roperty Owners or Authorized Agent's me
Si nature of Propel Owner or Authorizkd nt
ACTION . DATE BY CE WITH CODE 0
REGULATIONS OF COMT 61 LI TITLE 40 AND AQMD RULE
RAL FOR OFFICE USE ONLY
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED