HomeMy WebLinkAboutX2019-2348 - Permits1p City of Newport Beach - Building Division Illlllllllllllllllllllllllllllllllllllu
COMB Permit: X2019-2348
+� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 6 1 9 2 3 4 8
Project No:
Permit Counter Phone CQ49)fj,44,3288
$ Inspection Requests Phone (949)644-3255
Combination Type - MFP PLUM ELEC NO CONS'TRUCT'ION NOISE
Issued Date : 08/1412019
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
.. ..'KEND
Job Address: 1411 N BAY FRONT NB
Description: MFR SHOWER & HOT MOP AND RETILE @ DOWNSTAIRS BATH(REPLACES EXP PERMIT X2018-0467)
Legal Desc.: BALBOA ISLAND SEC 4 LOT 21 BLK 14(AND E1/2 LOT 20 BLK 14
Owner: WATSON NOEL Contractor: OWNERIBLDR Architect:
Address: 800 VIA LIDO NORD Address: AUTH AGENT: Address:
NEWPORT BEACH, CA 92663 KIRSTIN WATSON
Phone: Phone: 949-644-5866 Phone:
State Lie:
Applicant: WATSON NOEL Con State Lica. O/B- Engineer;
Address: 800 VIA LIDO NORD Lie Expire:. - Address:
NEWPORT BEACH, CA 92663 Bus Lie:
Phone: 626-578-6801 Lie Exp Date: - Phone:
State Lie:
Code Edit :. 2016 Worker's Compensation Insurance Designer.
Type of Construction: V -B Carrier: Address:
Occupancy Group: R3IU Policy No:
Added /New sq.ft. Bldg: - 0 Expire: - Phone:
Added /New sq. ft. Garage: 0
No of Stories: i Building Setbacks Rear: / Special Conditions: *NO PLANS REQ PER TT*
No of Units : 2 Front: / 117-1128
Bldg Height: 0 Left: I LIQUEFACTION AREA
Bldg Sprinklers: Right:
Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N
Construction Valuation: $0.00 -
Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department-
Fire Department
.Plan Check Fee: $0.00 Additional Fee .$97.00 Plan check Fee : $0.00
Fire Inspection:
$0.00
Overtime Plan Ck $0.00 Grading 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 PAN Plan -Check : $0.00
Grading Bond:
$0.00
Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00
Building Green Fee : $0.00 - Mechanical %: $0.00 NMUSD Fee: $0.00
$0.00
Plumbing %: $0.00...
..
$0.00
TOTAL FEE : $97.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $97.00
,s
PROCESSED BY: C 4 ° v PUhUC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY: -
GRADING APPROVAL: - APPROVAL -TO i96UE:
mac cu oc o o �oc oo
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, prig to i:s 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
Irofessions 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).
7 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
iNgvements 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
vrod d for the purpose of sale).
s 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
y to an owner of property who builds or improves thereon, and who contracts for the projects with a li sed C In ra for pursuant to the Contractors' State License Law).
7 I am exempt from licensure under the Contractors' State License Law for the following reason 3 i
ly my signature below I acknowledge that, except for my personal residence in which I must have re ed for at least one year prior to completion of the improvements 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. I understand that a copy of the applicable law, Section 7044 of the Business and
Irofessions Code, is available upon request when this ppli 'on' U= at the following Web site:http://v�.leginfo.ca.gov/calaw.html.
.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Dat / 19
.ICENSED CONTRACTOR'S DECLARATI
hereby affirm under penally of perjury that I amYTIcensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10D,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES 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 have and will maintain 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 th
erformance of the work for which 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
me of Agent Phone #
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 California, and agre
t, if I should becomZb, o the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.nature of ApplicaD��ry�i9
CLARATIONRQIaAONSTRUCTION LENDING AGENCY -� `'
:reby 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).
rder's Name Lender's Address
3y 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.
1 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 �o er�t�r �bQve-identified property for inspection purposes.
Signature of Property Owner or Authorized Agen �F/ /AiZ'j Print Property Owner's or Authorized Age
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 63 OFTITLE 40 ANDAQMD RULE
PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICA410N TO-
• e
PERMIT CANCELLED OEPA • • • • • • • • • •
PERMIT EXTENDED QMD
PERMITFINAL SRESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF PRO OSED DEM I " " • • "
OCCUPANCYISSUED SIGNATURE:
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