HomeMy WebLinkAboutX2019-2622 - Permitsa
City of Newport Beach - Building Division IIIIIIIIIIIIII�IIIIIIIIII�IIIIIIIIICOMB Permit: X2019-2622
100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 2 6 2 2 Project No: 1872-2019
Permit Counter Phone (949)644-3286
Inspection Requests Phone (949)644-3255
Combination Type - SFP Issued Date: 0812312019
Inspection Area : 6
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: 9 VIA EMILIA NB
Description: SFR REMOVE (2) WINDOWS & REPLACE WITH (2) BI -FOLD DOOR SYTEMS -
Legal Desc.:
Owner: NICHOLAS ROSE
Address: 9 VIA EMILIA
NEWPORT COAST CA 92657
Phone:
Applicant: HARKINS CONSTRUCTION
Address: 34167 PCH #D
DANA POINT CA 92629
Phone: 949-245-9028
Code Edit: 2016
Type of. Construction: VB
Occupancy Group: R3I1.1
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Contractor:
HARKINS CONSTRUCTION
Address:
34167 PCH #10
$0.00
DANA POINT CA 92629
Phone:
949-245-9028
Con State Lic:
935372
Lic Expire:
03/31/2020
Bus Lic:
BT30066134
Lic Exp Date:
02/29/2020
Worker's Compensation Insurance
Carrier:
NORGUARD INS CO
Policy No:
HAWCO21004
Expire:
0212212020
Building Setbacks
Rear: I
$0.00
Front: I
Left:
$16.00
Right: /
Architect:
Address:
INVPEV.I.0 l
Phone: State Lic
Engineer: BURKE LEO
Address: 34167. PACIFIC COAST HWY #D
DANA POINT CA 92629
Phone: 949-226-7130 State Lic:C-067404
Designer:
LOTTIE KRISTEN
Address:
34167 COAST HWY
$0.00
DANA POINT CA 92628
Phone:
949-973-6311
Special Conditions:
Planning Department-
Construction Valuation: $30.000.00
Fire Department
$40.00
Fire Inspection:.
$0.00
Building Permit Fee:
$526.00
Excise Tax:
$0.00
Planning Department-
Plan Check Feer $457.62
Additional Fee :
$0.00
Plan check Fee:
Grading Bond:
Overtime Plan Ck
$0.00
Grading Bonds Fee:
$0.00
Fair Share:
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
Record Management:
$16.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access:
$0.00
PAN Plan Check :
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee:
$2.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
TOTAL FCE : $1,041.62
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $497.62 Fee Due at Permit Issuance: $544.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: L-
APPROVAL TO ISSUE:
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Fire Department
$40.00
Fire Inspection:.
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $497.62 Fee Due at Permit Issuance: $544.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: L-
APPROVAL TO ISSUE:
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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)
ction 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
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
�fessions 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).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the. structure is not intended or offered for sale (Section 7044,
:iness 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
Movements 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
fly to an ownerof 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 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legallt
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
fessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html.
nature of Property Owner or Authorized Agent Date
:ENSEOD66 RACTOR'S DECLARATION
Ireby afrirhl"u`n-der penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section o !vision 3 of the Business and Profe�seion¢ Cody license is in full force
1'P.ffect. �' 94HU Class License No Dat s 9 Contractor Sil;;7 u
AKERS°COMPENSATION DECLARATION
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 (5100,000), IN ADDITION TO THE
OMPE#ISATI*, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
s
affirm.lmdel•penalty of perjury one of the following declarations:
Irhave ariV 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, for
*ante of-th�6aork for which this permit is issued. Policy No.
ha a 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' compensa
�'a a carrLeT ndPolicy number are:
Policy Number
Date
3I certify that, in the performance of the work r'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 agre
iat, if I should become subject to the wo s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applican Datie ��3/9
IECLARATION RE AR, CONSTRUCTION LENDING AGENCY -
hereby affirm unde 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).
ender's Name Lender's Address
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 correc .
I agree to comply with all applicable city and county ordinances ate laws relating to building construction.
I authorize representatives of this city or cour�y to�e.Qter t tidentified.property for inspection purposes. \����.M �Q��.f.. at
linnature of Pronerty Owner or Authorized ADent to Print Prooertv Owner's or Authorized Aaent's Name/<D
DATE I BY
PERMIT EXPIRED
PERMIT EXTENDED
PERMIT FINAL q
CERTIFICATE OF 1
OCCUPANCYISSUED
OF COMPLIANCE WITH CODE OF FEDERAL ('FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND ACIMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
ASBESTOS NOTIFICATI IS NOTAPPLICABLE TO