HomeMy WebLinkAboutX2019-2538 - Permitswnp�
City of Newport Beach - Building Division
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100 Civic Center Drilfe,. Newpnrt Beach, CA 92660
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Permit Counter Phone (949j344-3288
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Inspection Requests Phone (949)644-3255
Applicant:
Combination Type - MFP
COMB Permit: X2019-2538
X 2 0 1 9 2 5 3 6 Project No: 1809-2019
Issued Date : 00/1212019
Inspection Area : 2
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: 627 WESTMINSTER AVE NB
Description: MFR *ADDITIONAL SCOPE* ADD HEADERS AT CLOSETS AND KITCHEN- ®�
Legal Desc.: N TR 27 BLK 2 LOT 19. GT
'Owner:
ESPINOSA
Address:
527 WESTMINSTER AVE #B
31402 ISLE VISTA
NEWPORT BEACH CA 92663
Phone:
LAGUNA NIGUEL CA 92677
Applicant:
CONTREX INC
Address:
31402 ISLE VISTA
Con State Lie:
LAGUNA NIGUEL CA 92677
Phone:
714-420-1806
Code Edit: 2016
Type of Construction: VB.
Occupancy Group: R3.
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: N
Contractor:
CONTREX INC
Architect:
Address:
31402 ISLE VISTA
Address:
Plan Check Fee: $90.48
LAGUNA NIGUEL CA 92677
$0.00
Phone:
714-420.1806
Phone:
Con State Lie:
533798
Engineer:
Lie Expire:
06130/2020
Address:
Bus Lie:
BT30067650
Record Management:
Lie Exp Date:
06/3012020
Phone:
Worker's Compensation Insurance
Carrier: NO EMPLOYEES
Policy. No:
Expire:
Building Setbacks Rear: I
Front: I
Left: I
Right: I
State Lie:
State Lie:
Designer:
Building Permit Fee:
$104.00
Excise Tax:
$0.00
LAGUNA NIGUEL CA 92677
Plan Check Fee: $90.48
Additional Fee :
$0.00
Building Dept Adm
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
$0.00
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
Record Management:
$2.00
Grading Permit Fee:
$0.00
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
Building Green Fee :
$1.00 -
Mechanical %:
$0.00
Plumbing %:
$0.00
TOTAL FEE : $197.48
Plan Check Fee
State Lie:
State Lie:
Designer:
TULLENERS ROBIN
Address:
31402 ISLE VISTA
Fair Share
LAGUNA NIGUEL CA 92677
Phone:
714-420-1806
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
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0:00
rkq
$0.00 Fee Due at Permit Issuance
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$0.00
$0.00
$0.00
$0.00
$197.48
PROCESSED BY: r / pN p" �' PUBLIC WORKS APPROVAL: /
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: 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:
$0.00 Fee Due at Permit Issuance
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$197.48
PROCESSED BY: r / pN p" �' PUBLIC WORKS APPROVAL: /
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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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) d 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 (_) 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
im roved for the purpose of sale).
1, as ownerofthe property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply 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:
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 when this application is submitted or at the following Web site:http://www.leginfo.ca.govtcalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm Vfift%enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700' P Div' !on 3 of the Business and Pro as my license is in full force
end effect. Liceaes, Class License No Date Contractor Signature
:RS' gOVIFDFNSATION DECLARATION / !��` o
FAILURE TOSlCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUN6RED THOUSAND DOLLARS ($100,000), IN ADDITION TO
OMPENSATJON, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
rr0t7y affirm ugder penalty of perjury one of the following declarations:
J here and will mafntain 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
fotrfiance of the work forwhich this permit is issued. Policy No.
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and wilt fnairRain 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' compensal
trance carrier and policy number are:
tiiy that, in tele performance of
I should bdb?jM subject to the
ire of Applicant
Policy Number
Date
this permit is issued, I shall not employ any person in any manner so as to become subject to the workq/s' compensation laws of California, and
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / ' I
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 I Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the pn
I have read this application and the information I have
I agree to comply with all applicable city and county yyrr
I authorize representatives of this city or county to ehti
nature of Prooertv Owner or Authorized ADent
ACTION I DATE I BY
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EMENDED
CERTIFICATEOF
OCCUPANCYISSUED
owner's behalf.
to laws relating to building construction.
led property for inspection purposes.
Print Property Owner's or Authorized Ag
OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
APPLICABLE TO
Name