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HomeMy WebLinkAboutX2019-2831 - Permitsa City of Newport Beach - Building Division IIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2831 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 8 3 1 Project No :.2016-2019 Permit Counter Phone (949)644-3288. Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC Issued Date: 0912512019 Inspection Area : 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: 1842 PORT BARMOUTH PL NB Description: SFR BATTERY BACK UP Legal Desc.: N TR 6622 LOT 66 Owner:. MONEY JILL Address: - 2005 PORT ALBANS CIR NEWPORT BEACH, CA 92660 Phone: 2016 Applicant: MEYERS SEAN Address: 933 NEWHALL ST Added /New sq.ft. Bldg: COSTA MESA CA 92627 Phone: No of Stories: Code Edit: 2016 Type: of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 1 Bldg Height: 32 Bldg Sprinklers: Worker's Compensation Insurance Flood Zone: X Policy No: Construction Valuation: S10,00E Expire: Building Permit Fee: $232.00 Plan Check. Fee: $201.84 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $6.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $640.21 PROCESSED BY: ZONING APPROVAL: Contractor: BRIGHT LIFE REMODELING Address: 933 NEWHALL ST Grading Bonds Fee: COSTA MESA CA 92627 Phone: 908-489-3911 Con State Lic: 1029267 Lic Expire: 07/31/2021 Bus Lic BT30060552 Lic Exp Date: 09/30/2019 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9053332 Expire: 04/19/2020 Building Setbacks Rear: 10' Front:. 20' Left: 5' Right: 5' Excise Tax: $0.00 Additional Fee: $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $30.37 Mechanical %: $0.00 Plumbing %: $0.00 Architect: : IPIKTOFl Address: , l Phone: State Lic: Engineer:. Demolition Fee Address: Building Dept Adm Phone:. State Lic Designer: BARBA VIN Address: 933 NEWHALL ST Fair Share: COSTA MESA CA 92627 Phone: Demolition Fee Special Conditions: Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share: Fire Plan Rev SJH Trans : Demolition Fee In -lieu Housing Fee Building Dept Adm Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 00000 0 o m o c00000 c c m $O.W mmeoc S1c7atm�le o c e 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $384.97 Fee Due at Permit Issuance : $255.24 PUBLIC WORKS APPROVAL: PLAN CHECK BY: - GRADING APPROVAL: APPROVAL TO ISSUE: Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00. Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: 00000 0 o m o c00000 c c m $O.W mmeoc S1c7atm�le o c e 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $384.97 Fee Due at Permit Issuance : $255.24 PUBLIC WORKS 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 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 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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 only 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 Trom licensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:hltp://www.leginfo.ca.gov/calaw.htm]. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se fi 16 ) f Divi ion 3 of the Busines `'d Professio Code, ay icense is in full farce nd effect. License Class License Note Z Contractor igrTpture nd :��o� VORKERS' COMPENSATION DECLARATION IARNING: FAILURP�TG VCURE 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 OST OF COMPE41SATIONADAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm AM penalty of perjury one of the following declarations: �. o •• I have and•�ijl%ainfain 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 thI EEr nce of the work for which this permit is issued. Policy No. e and wijl myiptain 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 Isurance carrI%E1rfd aolicy number are: :alder Policy Number Expiration Date % c f n.,enr• • _ • Phone # _. that, in 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 ould becoms subiegMo the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. J S weby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 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 toe the above-ide ified property for inspection purposes. nature of ProOertv O�r/ uthor(zed Agent AMU, � e -r Print Property Owner's or Authorize isName ,a✓G�L /V G'lJ ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED 0 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EMENDED LJAQMD PERMITFINAL (� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF��'1 PROPOSED DEMOLITION OCCUPANCY ISSUED Y! v// SIGNATURE: