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
$0.00
BRYON MN 55920
TALLEUR WALTER
3311 FINLEY AVE
NEWPORT BEACH CA 92663
949.338.5699
Is Edit: 2013
)e of Construction: V -B
oupancy Group: R3/U
Jed/New sq.ft. Bldg: 0
Jed /New sq. ft. Garage: 0
of Stories: 2
of Units : 1
g Height: 0
g Sprinklers:
"X2016-3119*
COMB Permit: X2016-3119
Project No : 0873-2015
Area: 8
LOR VERIFY!140-PTO
mON NOXIDE DETECTOR /Pl rrnea� rywwc. °.
��'11yy.��{{��aa S,ING FIX TO BE UPGRADE'R'LxP/LIRi°A'[56 L X2 1 1127 ❑ 8r�C/C tir d „
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ExPhone: State Lia
Worker's Compensation Insurance Designer:° i
Ea rNo: ho es iscard plan
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ono work started}
1=94ing Se(wokrk$'l y:O) Spec i Conditions:
Left: / /
Right: I
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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
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ROCESSED BY:
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PUBLIC WORKS
APPROVAL:
NTNG APPROVAL:
ADING APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: _ _ S V IVB / (, D
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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)
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: