HomeMy WebLinkAboutX2019-3116 - Permitsw r City of Newport Beach Building Division IIIIII�IIIIIIIIIIIIIIIIIIIIIIIII'III II COMB Permit: X2019-3116
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 1 1 6 Project No:
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)6443255 --
' Combination Type - SFP PLUM Issued Date: 2019
Inspection Arearea : 4
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: 7 POINT SUR DR NB
Description: SFR- REPLIREROUTE PORTION OF WATERLINE
Legal Desc.: N TR7510 LOT 60
Owner. KIRSCH STEVEN Contractor: OWNER/BLDR Architect ' I I i�.�.I ���®
Address: :- 7 POINT SUR DR Address: Address: �
CORONA DEL MAR, CA 92625
Phone: 949-400-1019
Phone:
Phone:
State Lie:
Applicant: KIRSCH STEVEN
Con State Lie:
O/B
Engineer:
Address: 7 POINT SUR DR
Lie Expire:
Address:
-
CORONA DEL MAR, CA 92625
Bus Lie:
Phone: 949-400-1019
Lie Exp Date:
Phone:
State Lie:
Code Edit: 2016
.Worker's Compensation Insurance
Designer:
000000
Type of Construction:. VB
Carrier:
Address:
• ° • •
e • • °
Occupancy Group: R3/U
Policy N¢
.....
Added /New sq.ft. Bldg: 0
Expire:
Phone:
°
• ° ° ° °
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: I
Special Conditions:
O/B FORM ATTACHED
• •
• °
°°•°
No of Units: 1
Front: I
O°°°
o
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
` ° ° :
° ° • °.� °
Flood Zone:
Use Zone: Parking Spaces:
0
Fire Hazard Zone
: N
Construction Valuation: $2.500.00
°
Building Permit Fee: $120.00
Excise Tax:
$0.00
Planning Department -
Fire Department
° • °
o G ° ° `o
Plan Check Fee: $0.00
Additional Fee :
$0.00.
Plan check Fee:
$0.00
Fire Inspection:
• �p�•
o o ° °
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
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 %:
$10.80
$0.00
TOTALFEE:
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee : $0.00
PUBLIC WORKS/
PLAN CHECK /
APPROVALTO
Fee Due at Permit Issuance : $131.80
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) '+
(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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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
I oved for the purpose of sale).
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 net
pply 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:
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 legal)
sell 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
Professions Code, is available upon request wh nthi a plication is Submitted or at the follo ing Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent - �4 Dat 1 G— -Z.— <
LICENSED CONTRACTOR'S DECLARATIO
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE 61186ZRE 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
jOST OF&OMPENSATION, CAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
;I1let6bly.affirm grRl@tpeynalty of perjury one of the following declarations:
:11 hove and calif 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 IN
Serfbagnce of thd'work for which this permit is issued. Policy No.
••
l. •
havg and vril� m•aintain 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' compensatio
Rsureoce carrier anri policy number are:
VamIcn • • �: Policy Number Expiration Date
of Agent Phone#
l :y that, !%the performance of the work for 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 agree
I, It I Should t)EMhnsubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
rjtYraof ApPkcant �"�"---'' Dat
CLARATION REFnA DING CONSTRUCTION LENDING AGENCY
�reby affirm under pe ally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 7, 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.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above _identified-proaerty for inspection purposes. /
nature of PrODertv Owner or Authorized AGent-_ F;t==� - Print Prooertv Owner's or Authorized ADent's Name-,>��' � `*"4N��-(O Date,,��
ACTION DATEI BY DECLARATION OF I REGULATIONS PART61 OF IITLE 40 AND AQMD RULECE WITH CODE OF (� FOR OFFICE USE ONLY
PERMIT EXPIRED USUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
PERMIT EXTENDED III LJAoMD
TIR ASBESTOS ION IS NOT APPLICABLE TO
CERFICATEOF pPOS'D DEMON
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