HomeMy WebLinkAboutX2019-1291 - Permitsw City of Newport Beach - Building Division
>34
100 Civic Center Drive, Newport Beach, CA 92660
h . Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
`per R, D Combination Type - MFP
VIII IXIIII ILII 0IIII ILII IIIIII IIT ILII I�I�I IIII III
TOTAL FEE: $434AA
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
COMB Permit: X2019-1291
Project No: 0919-2019
Issued Date : 04/24/2019
Inspection Area : 3
8 ( VHLlU (NJYtG NUN.
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR Ln
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from
Job Address: 8GOODWILL CT NB
.Address:
Description: MFR BALCONY REPAIR
Phone:
Legal Desc: TR 7852 LOT 1 UNIT 30 OF PROJECT LOCATED ON AP 424-031-01 TOGETHER
Owner NEWPORT CREST HOA
Address: -
Contractor: SMITH ANGUS CONSTRUCTION
201 INTREPID ST
- Address: 12342 CANYON TERRACE
NEWPORT BEACH CA 92663
SANTA ANA CA 92705
Phone:
Phone: 714-538.1191
Applicant:. SMITH ANGUS
Con State Lie: 637440 -
Address: 12342 CANYON TER
Lie Expire: 0212912020
SANTA ANA CA 92705
- Bus Lie: BT01101101
Phone: 714-538-1191
Lie Exp Date: 0 9/3 012 01 9
Code Edit : 2016
Workers Compensation Insurance
Type of Construction: V13
Carrier: EMPLOYEE SERVICE
Occupancy Group: R2/U
Policy No: AMX080003000
Added /New sq.ft. Bldg: 0
Expire: 10/01/2019
Added /New sq. ft. Garage: 0
San Dist:
No of Stories: 2
Building Setbacks - Rear: /-
No of Units : 8
NMUSD Fee:
Bldg Height: 0
Front: I
Bldg Sprinklers:
Left: /
Flood Zone:
Right /
Use Zone: Parkino �r,�°o.• n
TOTAL FEE: $434AA
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
COMB Permit: X2019-1291
Project No: 0919-2019
Issued Date : 04/24/2019
Inspection Area : 3
8 ( VHLlU (NJYtG NUN.
Construction Valuation: $9,800.00
Architect:
Building Permit Fee: $232.00
.Address:
Plan Check Fee: $201.84
Phone:
Overtime Plan Ck: $0.00
Engineer:
Investigation Fee. $0.00
Address: '
Record Management : $0.00
Grading PC Consultant:
Energy Compliance: $0.00.
Phone:
CA Seismic Safety: $0.00
c
Disabled Access: $0.00
Phone:
Hazardous Mat $0.00
Grading PC Fee:
Building Green Fee : $1.00
TOTAL FEE: $434AA
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
COMB Permit: X2019-1291
Project No: 0919-2019
Issued Date : 04/24/2019
Inspection Area : 3
8 ( VHLlU (NJYtG NUN.
8:00 a.m. to 6:00 P.m. No work on Sundays or Holidays
Architect:
R'^
.Address:
g/�_T ga�R
a��'. `�A 1 i 1 -.
Phone:
State Lie:
Engineer:
XIAO.QIANG -
Address: '
1520 BROOKHOLLOW DR #45
Grading PC Consultant:
SANTA ANA CA 92705
Phone:
714.662-0510 State Lica-005289
Excise Tax:
$0.00
Planning Department -
Designer.
Additional Fee:
$0.00
'. Plan check Fee:
Demolition Fee
Grading Bonds Fee:
Address:
Fair Share :
General Service
Grading PC Consultant:
a000
0000c.°
Grading Bond:
c
c
Phone:
o°co
Grading PC Fee:
$0.00
-Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
eo 0
Special Conditions:
°O °
P/W. Plan Check:
$0.00
Electrical W
$0.00
San Dist:
o oo
n o 0
Excise Tax:
$0.00
Planning Department -
Fire Inspection:
Additional Fee:
$0.00
'. Plan check Fee:
Demolition Fee
Grading Bonds Fee:
$0.00
Fair Share :
General Service
Grading PC Consultant:
$0.00
SJH Trans:
Grading Bond:
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Grading PC Fee:
$0.00
-Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
P/W. Plan Check:
$0.00
Electrical W
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing%:
$0.00
Plan Check Fee : $0.00
00 0
.°coo
oo°oo
OOUG O
ODUUO
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:
00 0
.°coo
oo°oo
OOUG O
ODUUO
O
°
0 00 0
0 6'.OQ o. ooco
�a.a6
$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 TOISSUE
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 repair
the checcture. prior
I have placed next to the applicable item(s)
lection 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
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 and
rofessions 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
it 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,
usiness 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
Tprovements 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).
7 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
ply 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:
y 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 4 this permit, I cannot legal)
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
Irofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htm[. Date
signature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION wslon oft*-r
ess and Professi ns o , and ,Nc nse is in full force
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) D,+ �' , Coature
and effect. License Class License No �f
VORKERS' COMPENSATION DECLARATION
O SEOURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO MINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
IARNING: FAILURE T
:OST OF,COMPENSA?IdId, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Rdlrbb •, affirm Bftlej penalty of perjury one of the following declarations:
T;ai
1 have and will 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, or t
�ehrvlance of th€ work for which this permit is issued. Policy No.
1:1 a;e and wijl�rlaintain 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' compensatlol
or sow, carrier and policy number are: Expiration Date
11� , Policy Number
rumio .'
trmoof Agent
cerQfy that, is the Rertor nce of th 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 laws of California, an agre,
it, if Pshouldb2CCICQ subj ct the rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 4e—
CCLAF&TJOW44631ADINIS CONSTRUCTION LENDING ACFNL;Y
hereby affirm under penalty of perjury that there is a construction lending agency forperformance
Address
of the work for which this permit is issued (Section 097, ivil
Lenderso e .
ender's Name
ly 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 count rdinan s and state laws relating to building construction. -
I authorize representatives of thi o ounty to n r theve-id ' ' d property for inspection purposes.
signature of Pro arty Owner or h zed A nt Print Propert Owner's or Authorized /Ient' Name
ACTION A BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
ASBESTOS NOTIFICATION TO
PERMIT FINAL I / / }' ESTOS N fiFl N�OTAPPLIC BLE TO
CERTIFICATE OF P D DRMOLITI N
OCCUPANCY ISSUED ` I ATU
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