HomeMy WebLinkAboutX2019-2435 - PermitsCity of Newport Beach - Building Division II IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 I X 2 0 1 2 4 3 5
r. Permit Counter Phone (949)644-3286
Inspection Requests Phone (949)644-3255
eIr'g Combination Type - SFP
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Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m, and Saturda
Job Address: 219 E BAY FRONT NB
Description:. SFR RECOAT DECK ESR# 1661 519 SF
Legal Desc.: BALBOA ISLAND SEC 5 BLK 5 LOT 19
COMB Permit: X2019-2435
Project No:
Issued Date: 0810512019
Inspection Area : 2
3 OR LAST VALID INSPECTION.
from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Owner: WARLAUMONT LARRY
Contractor:
CRANK WATERPROOFING
Address: 219 BAY FRONT E
Address:
134 COMMERCIAL WY
NEWPORT BEACH, CA 92662
Overtime Plan Ck:
COSTA MESA CA 92627
Phone:
Phone:
949.646.9356
Applicant:. RAY SAVANNA
Con State Lic:
1038420
Address:. .2029 VIA SOLONA
Lic Expire:
04/30/2020
SAN CLEMENTE, CA 92673
Bus Lic:
BT30063958
Phone: 949412-0595
Lic Exp Date:
0613012020
Code Edit'. 2016
' Worker's Compensation Insurance
Type of Construction:. V -B
Carrier:
INS OF THE WEST
Occupancy Group: R31U•
Policy No:
WSD504603700
Added /New sq.ft. Bldg: 0
Expire:
01/2612020
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: I
No of Units : 1
Front: I..
Bldg Height: 0
Left:
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone: Parkina Soaces 0
Construction Valuation: $12.000.00
Planning Department -
Building Permit Fee:
$264,00,
Excise Tax:
Plan Check Fee:. $0.00 -
Additional Fee
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
Investigation Fee:
$0.00
Grading PC Consultant
Record Management:
$0.00
Grading Permit Fee:
Energy Compliance:
$0.00
Grading PC Fee:
CA Seismic Safety:
$0.00
WO Insp. Fee:
Disabled Access :
$0.00
San Dist:
Hazardous Mat
$0.00
Electrical %:
Building Green Fee :
$1.00
Mechanical %:
Plumbing %:
TOTAL FEE : $265.00
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lic:
State Lic:
Special Conditions: LIQUEFACTION
$0.00
Planning Department -
$0.00
Plan check Fee:
$0.00
$0.00
fair Share:
$0.00
$0.00
SJH Trans
$0.00
In -lieu Housing Fee:
$0.00
$0,00
Public Works Department -
$0.00
Park Dedication :
$0.00
$0.00
PM Plan Check:
$0.00
$0.00
San Dist:
$0.00
$0.00
NMUSD Fee:
$0.00
$0.00
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$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $265.00
PROCESSED BY: \. PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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Fire Department
$0.00
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: $0.00 Fee Due at Permit Issuance : $265.00
PROCESSED BY: \. PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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DECLARATION I.
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 applir*Ie' (s)
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 require theapplicant for
is 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
'rofessions 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
of more than five hundred dollars ($500).
7 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
n roved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply to anownerof property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below ) acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
ell a structure tbdt9'haaye built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessisns Code IS•2vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
relgneWre of Proppertp@wner or Authorized Agent Date
9CEN$ED COWfRAICTOR'S DECLARATION
44reb� affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 f Div! ion 3 of the Business and Pro ins Code, me is in full force
TId eff6ct. LicenSg"ass License No Date S� Contractor Signatur
y0AK8RS' CQ R9F4SATION DECLARATION
IARNIAQ: FAILURE.Tp$ECURE 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
4I)SWRCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Leer®my affrm under penalty of perjury one of the following declarations:
�•I;R3lrj3 and wiJ maigtain 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
erformance of the SW M��for which this permit is issued. Policy No.
i Aa've;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' compensatiol
Is ee carrief%Vjaptcy number are:
"ier Policy Number Expiration Date
is of Agent Phone #
certify that, in the perforrrpnce of the work f which thi permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
if I should become subj€moo the workers' ompensat' n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant ti vv
CLARATION REGARIDINP CODISTRUCTIOkLENYING XGWCY
ireby affirm Lit rjury that there onstruction lending agency for the performance of the work for which this permit is issued (Section
Ides 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 rovided is rre
I agree to comply with all applicable city and county dinances rid state aws relating to building construction.
I authorize representatives of this city or county t ter the at o e-identi ed property for inspection purposes.
nature of Prouertv Owner or Authorized Aaent �pOPrint Property Owner's or Authorized Agent's Name
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
DATE
)MPLIANC(O W ITH CODE OF FEDERAL
61 OF TITLE 40 AND AQMD RULE
NOTIFICATION TO
APPLICABLE ITO
FOR OFFICE USE ONLY
laws of California, and
(b/ Sll
Civil Code).
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