HomeMy WebLinkAboutX2019-0488 - Permits�: City of Newport Beach - Building Division IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIII� II COMB Permit : X2019-0488
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 4 8 8 Project No:
N 'p Permit Counter Phone (949)644-3288
er +a Inspection Requests Phone (949)644-3255
.rv,,a Combination Type - SFP Issued Date : 02/14/2019
Inspection Area : 2
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: 501 HARBOR ISLAND DR NB
Description: SFR RESURFACE (E) DECK 190 SF
Legal Desc.: TR 3283 LOT 9 AND POR NW114 SEC 35 T 6 R 10
Owner: SERRA PIERO
Contractor:
CRANK WATERPROOFING
Architect:
Address: 501 HARBOR ISLAND DR
Address:
134 COMMERCIAL WY
Address:
e NEWPORT BEACH, CA 92660
$0.00
COSTA MESA CA 92627
• •�..Y
Phone: -
Phone:
949.646-9356
Phone: State Lia
Additional Fee :
$0.00
Plan check Fee :
$0.00
�t E"h! eo°ooc
Applicant: CRANK WATERPROOFING
Con State Lie:
1038420
Engineer.
° °
Address: 134 COMMERCIAL WY
Lie Expire:
.04130/2020
Address:.
° e•
COSTA MESA CA 92627
Bus Lic:
BT30063968
$0.00
SJH Trans :
Phone: 949.646-9356
Lie Exp Date:
06/3012019
Phone: State Lie:
Record Management:
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
•°o®
Code Edit: 2016
Workers Compensation
Insurance
Designer:
$0.00
Type of Construction: V -B
Carrier:
INS OF THE WEST
Address:
General Service
Occupancy Group:. R3/IJ••°e
Policy No:
WSD504603700
WQ Insp. Fee:
ommoo
-:�0000,o
Added /New sq.ft. Bldg: 0
Expire:
01/26/2020
Phone:
°
Added/New sq. ft. Garage: 0
$0.00
..
No of Stories:. 2
Building Setbacks
Rear: /
Special Conditions: USING CITY STANDARD PLAN
° o
No of Units: 1
Electrical %:
Front: I
ESR #1661
o•e000
o
Bldg Height: 0
Left: I
Building Green Fee:
a•d
o�,000 •eeo°
Bldg Sprinklers:
$0.00
Right: I
$0.00
Flood Zone:
Use Zone: Parkins Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $2.000.00
Building Permit Fee: $104.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $0.00
Additional Fee :
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
Overtime Plan Ck:
$0.00 _
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management:
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access :
$0.00
P/W Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat -
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee:
$1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $105.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee:
$0.00 Fee Due at Permit Issuance : $105.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: a
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 requiresa 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).
I, 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
rovements 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 Contractorsto construct the project (Section 7044, Business and Professions Code: The Contractors` State License Law doe-, ❑:
Iy 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 cover
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
Ifessiong,CM V, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
nature of Pfbf grty Owner or Authorized Agent Date .
TENSED CCINTRACTOR'S DECLARATION
-Aby affirm and& penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of Division 3 of the Business and Prof sions Code,
!effect. License Class License No Date Contractor Signatur C�.. .
of the Business and
is in full force
VURKERS' C,gVrENSATION DECLARATIONv �J
I\AR�fGIlIG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM AL PENALTIES AND CIVIL FINES UP TO ONE HUM RED THO SAND DOLLARS (6100,000(, IN ADDITION TO THE
V•,'iOF COMPFAI VIION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
!a®reby affirm ug4grpenalty of perjury one of the following declarations:
2N•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, for th
aijimmance of jhe work for which this permit is issued. Policy No.
ave and will malhtain 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' compensatioi
Isut a carries and policy number are:
9T tdF • •: • Policy Number Expiration Date
lame of Agent Phone #
3 certify that, in the p ormance of the work f r which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' pensation laws of California, and agre
Iat, if I should become ubject to the worke co pensation pr ' 'ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
.ignature of AppIican a
iECLARATION I RD TRU T N LEND N GENCY
hereby affirm unde pen It perjury that re is a cons ction lending agency for the performance of the work for which this permit is issued (Section 3;7, Civil Code).
ender's Name Lender's Address
y 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 ha e. provided is correct.
I agree to comply with all applicable city and coino ordinances and stat aws lating to building construction.
I authorize representatives of this city or countyt r the above-ide ified pr party for inspection purposes.
ignature of Property Owner or Authorized A ant 6 A A ^ riot party Owners or Authorized Agent's Name L
(CTION DATE BY ftLVARATION OF PLIANCE WITH (9PE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED
PERMIT EMENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
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