HomeMy WebLinkAboutX2019-1624 - Permits1u1 City of Newport Beach - Building DivisionII IIII IIIIIIIIIIIIIIII VIII IIIII�IIIIIIp II
off. 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 6 2 4
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
a4'PrYK� " Combination Type- SFP ELEC PLUM
COMB Permit: X2019-1624
Project No : 1152-2019
Issued Date: 06/04/2019
Inspection Area : 1
- 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: 112 VIA KORON NB
Description: SFR -FIRE DAMAGE REPAIR TO KITCHEN, LAUNDRY & BATHS 100 SF, RPR STUCCO, DRYWALL & WINDOWS 1,000 SF
Legal Desc.: TR 907 LOT 647(AND NELY112 LOT 646
Owner:: KING MICHAEL& MARY Contractor: AMERICAN TECHNOLOGIES INC Architect:.
Address: 112 VIA KORON Address: 210 W BAYWOOD AVENUE Address:
NEWPORT BEACH, CA 92663 ORANGE CA 92865.
Phone: 949-887-4155 Phone: 714448-2210 Phone: State Lie:
Applicant: VILLA LOUIS
Address: 10447 EL BRARO DR
WHITTIER CA 90603
Phone: 714401-6079
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Construction Valuation: $60.000
Building Permit Fee:
$833.00
Plan Check Fee: $724.71
Overtime Plan Ck
$0.00
Investigation Fee:.
$0.00
Record Management:
$10.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$3.00
PROCESSED BY:
Con State Lie:
571784
Engineer:
Lie Expire:
06/30/2021
Address:
Bus Lie:
ST30003010
Plan check Fee :
Lie Exp Date:.
03/31/2020
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
STARRINS
Address:
Policy No:
1000002309
$0.00
Expire:
0 8/0112 01 9
Phone:
TOTAL FEE: $1,743.99
ZONING APPROVAL:
GRADING APPROVAL:
ORELLANA FREDY
51DEVONSHIRE
IRVINE CA 92620
949.754.2826 State Lic:C-068955
Building Setbacks Rear: I Special Conditions: LIQUEFACTION AREA
Front: I
Left: I -
Right: I
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee:
$0.00
Plan check Fee :
$40.00
Fire Inspection:
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
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
Grading PC Fee:
$0.00
Public Works Department -
General Service
WQ Insp. Fee:
$0.00
Park Dedication :.
$0.00
Refund Deposit
PAN Plan Check:
$0.00
Grading Bond:
Electrical%:
$58.31
San Dist:.
$0.00
Mechanical W
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$74.97
Plan Check Gee
: v. $724.71
Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
�n:ae
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,019.28
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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
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).
1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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
nprovements 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
nproved for the purpose of sale).
I, 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
pply 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 legally
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 application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
herebyaffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) ivisi n 3 of the Business and P ess' ,Code, and my licei�a is in full force
nd effect. License Class License No Date Contractor Signatural
I/ORKERS' COMPENSATION DECLARATION
DARNING: 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
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:
7 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
eryrmance of the work for which this permit is issued. Policy No.
have and willal tain 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 an p icy number pp
ter llfl ) I tlS0 icv t9uVne,& 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
if I should become subject to the wgrkers' compensation po%sions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ) i
of Applicant
: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,
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 state laws relating to building construction.
I authorize representatives of this city or countyter th above -identified pypgarty for inspection purposes. /'
mature of Pronertv Owner or Authorized ADent ,.%--�- Print Property Owner's or Authorized Agent's Name�,�/ �c�-
ACTION DATE BY EC DATIONS U RATION OF CO M OF NT E CE ITH AND DE OF RUDERAL FOR OFFICE USE ONLY
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PERMIT EXPIRED
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ASBESTOS NOTIFICATION TO : •
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PERMIT CANCELLED
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PERMIT EXTENDED
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SB OS lJOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
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