HomeMy WebLinkAboutX2019-1875 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)6443288
.Inspection Requests Phone (949)644-3255 -
Combination Type - SFP
COMB Permit: X2019-1875
X 2 6 1 9 1 6 7 5 Project No:
Issued Date : 06/13/2019
Inspection Area : 3
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: 1615 CORNWALL LN NB
-
Description: SFR DRYWALL REPAIR 10 SF
Legal Desc.: N TR 3607 LOT 21.
Owner: KINNEY KENDRICK
Contractor:
ATP BUILDERS
INC Architect:
Address: 1615 CORNWALL LN
Address:
3600 BIRCH ST#220
Address:
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NEWPORT BEACH, CA 92660
NEWPORT BEACH
CA 92660
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Phone
Phone:
714.434-2567
Phone:
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Applicant: ATP BUILDERS INC
Con State Lie:
1013686 -
Engineer:
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Address: 3600 BIRCH ST #220
tic Expire:
0513112020.
Address:
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NEWPORT BEACH CA 92660
Bus Lie:
BT30066365
Phone: 714-434-2567
Lie Exp Date:
08131/2019
Phone:
State Lie:
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Code Edit: 2016
Worker's Compensation
Insurance
Designer.
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Type of Construction: V -B
Carrier:
EXEMPT
Address:
toto
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Occupancy Group: R3/U
Policy No:
NO EMPLOYEES.
- Added/New sq.ft. Bldg 0
Expire:
Phone:
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Added/New sq. ft. Garage:. 0°0�°•
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No of Stories: 1.
Building Setbacks
Rear: /
Special Conditions:
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No of Units : 1
Front: /
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0000
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right:
Flood Zone:
Use Zone: Parking Spaces:
0 Fire Hazard Zone :
N
Construction Valuation: $600.00
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 Feer
$0.00
Public Works Department •
General Service
$0.00
CA Seismic Safety: $0.00
WO Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access: $0.00
PAN 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 %:
$9.00
$0.00
TOTAL FEE : $105.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance : $105.00
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:.
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 items)
(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 applicant for
the 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
Professions 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
not more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
improvements 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
im rovedfor the purpose of sale).
1, 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 nct
apply 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).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By 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 legally
sell a structurotiiairhave 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
Professions COW,, V available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Sig11atpre of Prop" Owner or Authorized Agent Date
hICENSED 9010RACTOR'S DECLARATION
I hereby affirm urder penalty of perjury that/L�8m licensed under provisions of Chapter 9 (co mencing with Section 7 0) of ivisi n 3 of the Business and Profe ions Co and my license is in full force
anri�ffect. License Mass k� License No (� /h Date Contractor Signature
IAKERST069 ISISATION 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 ($700,000), IN ADDITION TO THE
e(Mi7F COMPENSATION}DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hhcieby affirm under penalty of perjury one of the following declarations:
Mve 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 thl
perforrihance ditREf✓Qrk forwhich this permit is issued. Policy No.
•••
I ha•✓e and wig 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' compensatior
inssursnce carBarAJ'policy number are:
Policy Number
Date
rple of Agent Phone #
'certify that, in the performance oft a work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' c mpensation laws of California, and agre
of I should beco7enalty
ect to th o er 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �J
nature of ApplicaD
CLARATION REG CONSTRUCTION LENDING AGENCY
�reby affirm undeof perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 304, 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.. /",4 I/ 4)/,OL
I agree to comply with all applicable city and cou•,73,y ordinances and state laws relating to building construction.
I authorize representatives of this city or county jb anter�{.je�b e -identified property for inspection purposes.. /
nature of Prooertv Owner or Authorized Aaent / l/� Print Property Owner's or Authorized Agent's Name ate
ACTION DATE BY /DECLARATION OF I I REGUUTIONS PARTO61 OF NTE 40 AND AQMD RULE CE WITH CODE OF AL FOR OFFICE USE
PERMIT EXPIRED I I X❑ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITFINAL I rl/7,17 .SG/y/ PROASBEEDOSMOIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF / v /
OCCUPANCYISSUED SIGNATU : t