HomeMy WebLinkAboutX2019-4012 - Permits""te"4r City of Newport Beach Building Division
100 Civic Center Drive, Newpo:t,SC-,.: -CA 92660
` n Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP ELEC PLUM
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COMB Permit: X2019-4012
Project No: 2758-2019
Issued Date : 12/17/2019
Inspection Area : 3
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: 220 NICE LN NB St: 1 FI: 2 Unit: 207
Description: MFR CAN LIGHTS AND REMOVE/REPLACE SHOWER PANS
Legal Desc.: TR 8336 LOT 13 UNIT 202 OF PROJECT LOCATED ON AP 423-011-22 TOGETHER
Owner:
BOLLINGER BRENDA
Address:
220 NICE #207
Phone:
NEWPORT BEACH, CA 92663
Phone:
562-397-4316
Applicant:
BOLLINGER BRENDA
Address:
220 NICE #207
Lic Exp Date:
NEWPORT BEACH, CA 92663
Phone:
562-397-4316
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 3
No of Units : 49
Bldg Height: 0
Bldg Sprinklers:
Contractor:
O W N ER/BLDR
Address:
BOLLINGER BRENDA
Phone:
562.397.4316
Con State Lic:
O/B
Lic Expire:
$0.00
Bus Lic:
$0.00
Lic Exp Date:
$0.00
2016 Worker's Compensation Insurance
V -S Carrier:
R21U Policy No:
0 Expire:
0
Building Setbacks Rear: I
Front: I
Left: I
Right: I
Building Permit Fee: $152.00
Plan Check Fee: $132.24
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE : $362.20
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Architect:
MCVAY BRUCE
Address:
6440 E EL ROBLE ST
LONG BEACH CA 90815
Phone:
562-310-2759' State Lic:C011870
Engineer:
$0.00
Address:
$0.00
Phone: State Lic:
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department-
Fire Department
Additional Fee :
$0.00
Plan check Fee: $40.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00
Fire Plan Rev
$0.00
Grading PC Consultant :
$0.00
SJH Trans : $0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee: $0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PAN Plan Check: $0.00
Grading Bond:
$0.00
Electrical %:
$21.28
San Dist: $0.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$13.68
$0.00
Plan Check Fee : $172.24 Fee Due at Permit Issuance :
$189.96
�t -V
Wf0
V O V
m u ° c,PUBL'I9VFORiiS APPROVAL:
PLAN CHECK BY:
9PPROYAL 70 ISSYE:
C O 4
n�
C L
GOu Cali BO O O CtiG OG
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, priorto 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 L) all of or L) 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
inn ovements 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
impr ved for the purpose of sale).
VVas 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
PI 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 legalll
sell a structure that I have built as an owner -build r if it has not b n co r t 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 whe t applicatto mitt or t the following Web site:http://w .leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Ager Daf�?(� ?�/
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed 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
and effect. License Class License No Date Contractor Signature
NORKERS' COMPENSATION DECLARATION
NARNING: 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 THE
COST 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:
:11 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 Expiration Date
of Agent
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
G if I should becomes j the worke� provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applica
CLARATION RE,0ARQfNG CONSTRUCTION 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).
Ider's Name Lender's Address
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.
I agree to comply with all applicable city and county ordinances and s to laws relating to building construction. �{
I authorize representatives of this city or cottnty�o gfit§I'tTie c -Iden ified property for inspection purposes.
of ProDertv Owner or Authorized
ACTION DATE BY— bEECARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 .. ... • ••• I •••
PERMITEXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
SUBMITTED
NOTIFICATION IS NOTAPPLICABLE TO
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