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HomeMy WebLinkAboutX2016-3119 - PermitsCity 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 - SFP PLUM )Address: 49 SHEARWATER PL NB 3cription: SFR PEX REPIE "INCLDS lal Desc.: N TR 12530 LOT 24 nec LEVY HEATHER cress: 571 SOMERBY PARKWAY $0.00 BRYON MN 55920 TALLEUR WALTER 3311 FINLEY AVE NEWPORT BEACH CA 92663 949.338.5699 Is Edit: 2013 )e of Construction: V -B oupancy Group: R3/U Jed/New sq.ft. Bldg: 0 Jed /New sq. ft. Garage: 0 of Stories: 2 of Units : 1 g Height: 0 g Sprinklers: "X2016-3119* COMB Permit: X2016-3119 Project No : 0873-2015 Area: 8 LOR VERIFY!140-PTO mON NOXIDE DETECTOR /Pl rrnea� rywwc. °. ��'11yy.��{{��aa S,ING FIX TO BE UPGRADE'R'LxP/LIRi°A'[56 L X2 1 1127 ❑ 8r�C/C tir d „ Dontr or: P4WECE CtO W�iOri1• °yoddre 6ress: ° mY hone: � State Lie: on SE / ngin r: cEx o' s Li ExPhone: State Lia Worker's Compensation Insurance Designer:° i Ea rNo: ho es iscard plan �.. Ian o0 ono work started} 1=94ing Se(wokrk$'l y:O) Spec i Conditions: Left: / / Right: I \IrU=Zone: _ Fire Hazard ZonetdJcn lttltl�, �R m r ee omomoc 00 ° ® o me e em me Building Permit Fee: $110.00 ci�T x-= -_�$o 00 - Fire Department Plan Check Fee: $0.00 ddit1 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 a Borgp Gra i`cInng 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 P/W 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 %: $9.90 $0.00 TOTAL FEE : $120.90 Plan Check Fee: $120.90 Fee Due at Permit Issuance : $0:00 G� c -M,h`� ROCESSED BY: \. PUBLIC WORKS APPROVAL: NTNG APPROVAL: ADING APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: _ _ S V IVB / (, D em o e0000 0 mm000 ommoco 0 o n comm"° c o 000c 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 ie permit to file a signed statement that he orshe 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 `) all of or U 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 II rovemenI 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 itwas not built or jr ved 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 not Iy loan owarerof eroperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempNfrb?n licensure under the Contractors' State License Law for the. following reason. ly g signature below I acknowledge that, except for my personal residence in which I must have resided for at least ogle year prior to completion of the improvements covered by this permit, I cannot legal ell a Ittructurg M 4 gave 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 Busin as and 'rofessions Code„ is available upon request when t is application i u d -,or ollowing Web site:http://www.leginfo.ca.gov/calaw.htmi.. I19vature of Property Owner or Authorized Agent Date ICFaNSED G6WACTOR'S DECLARATI J Hl affirm under penalty of perjury that Iam isnsed under provisions of.Cnapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force n df ect. Liuegse'Glass License No Date Contractor Signature )(gRRERS' MiAPENSATION DECLARATION SJtf IMQS: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUB.IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($`100,000), IN ADDITION TO THI �`RCOMPEN5AT10N,I)AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby°affirm under penalty of perjury one of the following declarations: ,.,. I tie and,�AiO'ruaintain 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 tl erlformance of -the "rk forwh'ich this permit is issued. Policy No. - have 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' rance carrier and policy number are: Policy Number of Agent Date ]I certify 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 alifornia, and agre rat, if I should become/subjjeect to the work/er' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /ice ignature of Applicant/ Gl v -Y' Date DECLARATION RE RDING CONSTRUCTION LENDING AGENCY hereby 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). ender's Name Lender's Address y my signature below, I certify to each of the following: I am the propertyowner 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 Jlo enter the a -id ied property for inspection purposes. U� ��E_ icnature of Prooertv Owner or Authorized ADent � /I�-"Print Property Owner's or Authorized Agent's Name / iiy/TG/� /// Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY I( REGULATIONS PART 61 OFTITLE 40ANDAQMD RULE 1403 PERMIT EXPIRED U I S U B M ITTED ASBESTOS NOTI FICATION TO All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained forthe life of the pool. PERMIT CANCELLED OEPA PERMITEXTENDED CPAQMD PERMITFINAL El RESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOOCCUPANCYISF POSED DEMOLITION— OCCUPANCYISSUED SIGNATURE: