HomeMy WebLinkAboutX2019-2274 - Permitsluno City of Newport Beach - Building Division
c�� 100 Civic Center Drive, Newport Beach, CA 92660
�" Permit Counter Phone (949)644-3288
S � Inspection Requests Phone (949)644-3255
4 rz,`°'; Combination Type - MFP
COMB Permit: X2019-2274
X 2 0 1 9 2 2 7 4�� II
Project No: 1635-2019
Issued Date: 08/0212019
Inspection Area : 1
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. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 423 E BALBOA BLVD NB
Description: MFR *WORK IN PRGRS•. REPLACE DECK RAILING & COATING, STUCCO REPAIR INSPECTOR
Legal Desc.: BALBOA TR BLK 4 LOT 10
Owner: XENOS JANE J Contractor: ZANGGER CONSTRUCTION INC Architect: BUNNEY WILLIAM SCOTT
Address: 423 E BALBOA BLVD Address: 7882 SEABREEZE DR - Address: 12121 HERMON DR
NEWPORT BEACH, CA 92661 HUNTINGTON BEACH CA 92648 TUSTIN, CA 92782
Phone:- Phone: .714-925-4653 Phone: 714.669-4511 State Lic:C031201
Applicant:
ZANGER CONSTRCUTION
Address:
7882 SEABREEZE DR
Occupancy Group:
HUNTINGTON BEACH CA 92648
Phone:
714-925-4653
Code Edit:
2016
Type of Construction:
V -B
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
0
Added New sq. ft. Garage: 0
No of Stories:
0
No of Units :
2
Bldg Height:..
0
Bldg Sprinklers:
Address:
Policy No:
Flood Zone:
eooe•
Expire:
Construction Valuation: $4.500.00
Phone:
Building Permit Fee:
$152.00
o •
Plan Check Fee: $132.24
c o
Overtime Plan Ck:
$0.00
Investigation Fee:
$152.00
0
Record Management:
$6.00
Energy Compliance:
$0.00
CA Seismic Safety:
.$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $483.24
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic:
758559
Engineer:
Lic Expire:
1213112020
Address:
Bus Lic:
BT30054429
In -lieu Housing Fee:
Lic Exp Date:
0313112020
Phone:
Worker's Compensation Insurance -
Designer:
Carrier:
STATE FUND.
Address:
Policy No:
9136299 -
eooe•
Expire:
06123/2020
Phone:
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant:
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: I
Left: I
Right: I
arking Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0
NO CONST UCTIOXt NOISEe
mo o eoe•ec
State Lic: °••°e• ` °
Special Conditions: 119-1596
Planning Department-
Fire Department
Plan check Fee:
$40.00
Fair Share:
00
SJH Trans .
Fire Plan Rev
In -lieu Housing Fee:
m•
Public Works Department-
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Feer
$0.00
Plan Check Fee : $172.24 Fee Due at Permit Issuance : $311.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:/v
Fire Department
$40.00
Fire Inspection:
00
ON SATURDAYS
Fire Plan Rev
$0.00
m•
Demolition Fee
00
•o e
Building Dept Adm
® o 0
0000•
o mo
c
eooe•
0
Grading Bond:
0000e•
o m
o •
coomoo
c o
•
$0.00
c00000
c 00
0
0 0 0
ocoo
Plan Check Fee : $172.24 Fee Due at Permit Issuance : $311.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:/v
Fire Department
$40.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $172.24 Fee Due at Permit Issuance : $311.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:/v
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 by the checkmark(s) I have placed next to the applicable item(s)
action 7031.5, Business and Professions Code: Any city br county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
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
Ifessions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
31ness 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
wovements 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
(roved 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
)ly 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:
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 legal;
I 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 _
Ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
nature of Property Owner or Authorized Agent Date
TENSED CON.T.9ACTOR'S DECLARATION
3reby affirm dlxfeC pdnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7)00 of Ivis'on 3 of the Business a99 Profe ions ode an license is in full force
1,yfat. Licegse glass License No Z ) Contractor Sfdnature �.
)RKtRS' CQMP�SATION DECLARATION x/71k
JNII?%FAILURE TQ 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
IT-OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
,retry affirm enr%r penalty of perjury one of the following declarations:
• ••••
('have and 411 rl-jntain 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 th
fdh"hence of th ewoNc for which this permit is issued. Policy No.
;have 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' compensatlol
TWa rarrierand Policy number are:
if I
W, N41W 0T_U lJP Policy Number Expiration Date_
Agent Phone #
y that, in tNepertormance 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
;houlabecojrle subject to the wormers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Of
compensation laws of California, and
Ireby 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, Civil Code).
Ider's Name Lender's Address
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 cou toe er t ebo adentified property for inspection purposes.
nature of Prnnerfv Owner or Authorized :4e€nt P Print Property Owners or Authorized AuenIt5 me XPi I1� X rel"C')
ACTION
DATE
B%
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
L1 I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
LIEPA
PERMITEXTENDED
LJAC1MD
FINAL
PERMIT FINAL
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BES OS NOTIFICATION IS NOT APPLICABLE TO
CERMIT
PR OS DEMO TION
OCCUPANCYISSUED
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