HomeMy WebLinkAboutX2019-1183 - Permitskyr City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter. Phone (949)644-3288
--- Inspection Requests Phone (949)644-3255
Combination Type - MFP
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COMB Permit: X2019-1183
Project No :
Issued Date: 04/15/2019
Inspection Area : 1
Applicant:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Address:
.22686 S CANADA CT
Record Management:
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
Phone:
Job Address:
507 35TH ST NB
$0.00
Disabled Access:
Description:
Le al Desc.:
9
Owner
MFR REMOVE 8 REPLACE SIDING @ THE DETACHED GARAGE WILIV ABOVE
CANAL SECTION BLK 535 LOT 17
JAMES A J JACOBS Contractor: SIDING MILLWORK INC Architect:.
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Address:
507 35TH ST Address: 22686 S CANADA CT Address:
NEWPORT BEACH CA 92663 LAKE FOREST CA 92630
Phone:
Phone: 949-633.9036 Phone:
State Lic:
Applicant:
SIDING MILLWORK INC
Address:
.22686 S CANADA CT
Record Management:
LAKE FOREST CA 92630
Phone:
949.633-9036
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee: $264.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE : $265.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic:
1034616
Lic Expire:
01/31/2020
Bus Lic:
BT30066901
Lic Exp Date:
04130/2020
Worker's Compensation Insurance
Carrier: PACIFIC COMPENSATION
Policy No: WA00060705
Expire: 0312212020
Building Setbacks
Use
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical W
Plumbing %:
Rear: I
Front: I
Left: I
Right: I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.06
$0.00
$0.00
Planning Department -
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Plan check Fee
Fire Department
Fair Share:
Fire Inspection:
SJH Trans :
Fire Plan Rev
In -lieu Housing Fee:
Demolition Fee
Public Works Department -
Park Dedication :
$0.00
PM Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
State Lic:
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$0.00
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Plan Check Fee: $0.00 Fee Due at Permit Issuance : $265.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
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Plan Check Fee: $0.00 Fee Due at Permit Issuance : $265.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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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)
lection 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness 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).
I, 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 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:
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 imp ovements covered by this permit, I cannot legal
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the appl' able law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Char 9r( om encinrp g with S ion 70 0) 16 ivisi n of the Bus!JessProfessi s C ylicens s' once
nd effect. License Class License No �'0 (�'ii ) (,� D t Contracat re
✓ORKERS' COMPENSATION DECLARATION
ARNING: 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 ($100,000), IN ADDITION TO THI
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
he N4 affirm under penally of perjury one of the following declarations:
have and wNjll jnaintain 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,
rmance ofihe work for which this permit is issued. Policy No.
and vylj, giaintain 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' compe
ance carrier M policy number are:
Yr - Policy Number Expiration Date
qa of Agent , Phone #
certify that in he performance of the work for which this permit is issued, I shall not empl�77oy any person I an ma er so as to become subject to the
I shou Care subject to the workers' compensation provisions of,Sggtion of the,.E;�bor Coda mply with those provisions.
1446;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).
mder'S Name• • • • : Lender's Address
y "Vnature pelow„I certify to each of the following:
•
-Darn the prdpejttpWner or authorized to act on the property owners behalf.
1 have read this application and the information I have provided is c rrect.
I agree to comply with all applicable city and county ordinances an a IsEat[ tobuilding construction.
I authorize representatives o ity or county t n ve-ide ifiefor' spection purposes.
Signature of Pro ert Owner uthori d A ent rint Property Owner's or Authorized Ag
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
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PERMIT EXTENDED
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