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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: u 4 ,1„ ,•.,r CRs. ••.. ° NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92660 q, ' p ° o • • ° Phone Phone: 714.434-2567 Phone: i c State I5 r v •"•. oo•ooc Applicant: ATP BUILDERS INC Con State Lie: 1013686 - Engineer: Y � b'° to " , o Address: 3600 BIRCH ST #220 tic Expire: 0513112020. Address: • "o"° ; NEWPORT BEACH CA 92660 Bus Lie: BT30066365 Phone: 714-434-2567 Lie Exp Date: 08131/2019 Phone: State Lie: : o • ° o o • o • • c Code Edit: 2016 Worker's Compensation Insurance Designer. o° ° c o•aoc Type of Construction: V -B Carrier: EXEMPT Address: toto 0.... c Occupancy Group: R3/U Policy No: NO EMPLOYEES. - Added/New sq.ft. Bldg 0 Expire: Phone: ° ° ` ° ` Added/New sq. ft. Garage:. 0°0�°• ° C No of Stories: 1. Building Setbacks Rear: / Special Conditions: • o o a o ° c v No of Units : 1 Front: / ` 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