HomeMy WebLinkAboutX2019-1290 - Permitswo City of Newport Beach - Building Division
100: Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
- Inspection Requests Phone (949)644-3255
o"'zrtauxr Combination Type - MFP
PERMITS EXPIRE 180 DAYS AFTER
Construction Hours: Monday- Friday 7:00 a.m, to 6:30 p.m. and
Job Address: 5 GOODWILL CT NB
Description: MFR BALCONY REPAIR
Legal Desc.: TR 7852 LOT 1 UNIT 27 OF PROJECT LOCATED ON AP 424-031-01 TOGETHER
Owner. NEWPORT CR
IIIIII�X201 9129��ll�'VIII
COMB Permit: X2019-1290
Project No: 0919-2019
Issued Date: 04/24/2019
Inspection Area : 3
from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Address:
EST HOA
201INTREPID ST Contractor: SMITH ANGUS CONSTRUCTION
..
Pho: NEWPORT BEACH CA 92663 Address: 12342 CANYON TERRACE
ne
Applicant: SMITH ANGUS
Address: 12342 CANYON.. TER
SANTA ANA CA 92705
Phone: 714-638-1191
Code Edit : 2016
Type of Construction: VB
Occupancy Group: R2/U
Added /New sq.ft. Bldg: 0' -
Added /New sq. ft. Garage: 0
No of Stories:. 2
No of Unit's: 6
Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee: $232.00
Plan Check Fee: $201.84
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: $434.84
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Phone:
SANTA ANA CA 92705
0
714-638-1191
Con State Lic:
637440
Lic Expire:
02/29/2020
Bus Lic:
BT01101101
Lic Exp Date:
09/30/2019
Worker's Compensation Insurance
Carrier:
EMPLOYEE SERVICE
Policy No:
AMX080003000
Expire:
10/01/2019
Building Setbacks Rear: /
Front: /
Left: /
Right: /
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
t T
XIAO QIANG
1520 BROOKHOLLOW DR #45
SANTA ANA CA 92705
714-662-0510'.,, State Lic:S-005289
.Special Conditions:
Use Zone:
Parkin S aces:
0
0000
�°
00000c
Fire Hazard Zone : N
0
Excise Tax:
Additional Fee
$0.00
PlanningDepartment-
00 ®
o0 0
0 o e
:
Grading Bonds Fee:
$0.00
$0.00
Plan check Fee:
co0o
$0.00
FFire Department
re Inspection:
Grading PC Consultant:
$0air
.00
F are:
SJH Trans
$0.00
Fire Plan Rev
Grading Permit Fee:
Grading PC Fee:
$0.00
:
In -lieu Housing Fee:
$0.00
$0.00
Demolition Fee
WQ Insp. Fee:
$0.00
Public Works Department -
Building Dept Adm
$0.00
Park Dedication :
$0.00
General Service
Electrical %:P/W
$0.00
Plan Check:
$0.00
Refund Deposit
Grading Bond:
Mechanical %:
$000
San Dist:
$0.00
Plumbing %:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee
0ooe
o c
0000
�°
00000c
0
° o
• 0 0
00 ®
o0 0
0 o e
• 0 0
co0o
°O <
ocoo
0000c
°
eovo c
00000�o c ° o
o ° c
$0.0®0 oo0c o
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance
$434.84
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I WN affirm under penalty A perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) 1 have placed next to the applicable item(s)
Y
appl
applicant for a permit subjects the applicant to a civil penalty of
section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the Business
or
e permoin$oCode) or that hestatement
o she is exempt from licensure and the basis for provisions
allegedfexempl oContn. Any vblationractors' State lof Section 7031.5 cense Law lby any app encing with Section 7000) of Division 3 of the Business and
rofess
3t more than five hundred dollars ($500). all of or U portions of the work, and the structure is not intended r offered for sale (Section,providedt44,
hatthe
I, as owner of the property, or my employees with wages as their sole compensation, will do i_) who, through employees' or personal effort, builds or improves the property, p
usiness and Professions Code: The Contractors' Stale License Law does not apply to an owner of property
nprovemend 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
nproved 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 no
3 1, to an owner of property who builds iv 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: til law Section 7044 of the Business and
3y 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 legs
;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
3rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.hlml.
signature of Property Owner or Authorized Agent _,q
LICENSED CONTRACTOR'S DECLARATION Dat (Contr'
b affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectl 7000 of D' bl4 3 of the BD
the appllca e ,
Date
3 and Professio od and ntY�ll rise is in full force
Signature A��11''�_
I here y License
and effect. License Class
TO THE
WORKERS' COMPENSATION DECLARATION
WARNING: 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 ($700,0001, IN ADDITION
COST OF COMCMJ'MQN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. th
I herby affirrd Gilder penalty of perjury one of the following declarations:
}.• have and...Wi•ll 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
pe ante of}he work for which this permit is issued. Policy No. for the performance of the work for which this permit is issued. My workers' compensatio
•h ve and pill plaintain workers' compensation insurance, as required by Section 3700 of the Labor Code, Expiration Date
nsLra ce cafrie.rend policy number are: policy Number phone #
arFler and a rel
e of A ant
Certify that, in the performance of the ork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation n laws California,
112t'ij I sho I ecorril subject o the rk rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. i
• ...... _
Si n tur of ApplicarR
C1.4 TIONi2E DING STRUCTION LENDING AGENCY
RgTeby a Irm uR Penalty of perjury that there is a construction lending agency forLthe endeer's Address of the work for which this permit is issued (Section 3 9 ,CivilCode).
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 1 have provided is correct. , ��` ( G
I agree to comply with all applicable city and county ina and stat laws relating to building construction. - ate `T
Print PropertOwners or Authorized A n a Na e
I authorize representatives of this city or county toe ter he bove-ide t' i d property for inspection purposes.
Signature of Propert O r or AuthorizedFOR OFFICE
Avant
E BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL USE ONL
ACTION REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1.403
TO
CERTIFICATE OF
OCCUPANCY ISSUED
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