HomeMy WebLinkAboutX2019-1009 - Permitswn� City of Newport Beadh - Building Division
b4 - 100 Civic'Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
'I9spection Requests Phone (949)644-3255
Combination Type - SFP
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COMB Permit: X2019-1009
Project No : 0690-2019
Issued Date: 04/0412019
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: 308 HOLMWOOD DR NS
Description: SFR REMOVE (E) WINDOW & DOOR, INSTALL NEW DOOR
Legal Desc.: N TR 1136 LOT 36
Owner:
TERRY/SALON]
Address:
308 HOLMWOOD DR
Record Management:
NEWPORT BEACH, CA 92663
Phone:
949-633.3188
Applicant:
WALKER BARRY
Address:
P.O. BOX 11658
Hazardous Mat
NEWPORT BEACH CA 92658
Phone:
949-2464085
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No ofUnits: 0
Bldg Height: 0
Bldg Sprinklers: N
Construction
Building Permit Fee: $264.00
Plan Check Fee: $229.68
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
Contractor: O W NERIBLDR
Address: AUTH AGENT:
BARRY WALKER
Phone:
Con State Lie: OIB
Lie Expire:
Bus Lie:
Lie Exp Date:
Worker's Compensation Insurance
Carrier:
NEWPORT BEACH CA 92658
Policy No:
949-2464085 State Lic:C019637
Expire:
GROVERMAN DAVID RICHARD
Building Setbacks
Rear: /
In -lieu Housing Fee:
Front: /
Phone:
Left: I
Designer:
Right: I
Use Zone:
Parking Spaces
10.00
NMUSD Fee:
Excise Tax:
$0.00
Additional Fee:
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant:
$0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee:
$0.00
Electrical %:
$0.00
Mechanical %:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $536.68
0
Architect: WALKER BARRY
Address: P.O. BOX 11658
Phone:
Special Conditions:
Fire Hazard Zone: N
Planning Department -
NEWPORT BEACH CA 92658
Phone:
949-2464085 State Lic:C019637
Engineer:
GROVERMAN DAVID RICHARD
Address:
541 BUCKHORN
In -lieu Housing Fee:
HALEY ID 83333
Phone:
949-500.0653 State Lic:C-043663
Designer:
P/W Plan Check:
Address:
San Dist:
Phone:
Special Conditions:
Fire Hazard Zone: N
Planning Department -
- Fire Department
Plan check Fee
$40.00
Fair Share:
$0.00
SJH Trans
Fire Plan Rev
In -lieu Housing Fee:
$0.00
Public Works Department-
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
nry�r
$0.00
$0.00
Plan Check Fee : $229.68 Fee Due at Permit Issuance : $307.00
a
PROCESSED BY: ' q^ o e 4�•�I�f ORKw^.APPAOVAL:
ASB II4T°P
ZONING APPROVAL: rVID` E- ° V':
OSE ALLSTRtCjR
GRADING APPROVAL: ECTRICAL, PLIM II%L TO ISSUE,
MECHANIC e <1. Comp° ``JE N
o � ,C;�I�ENt11
c�
- Fire Department
$40.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $229.68 Fee Due at Permit Issuance : $307.00
a
PROCESSED BY: ' q^ o e 4�•�I�f ORKw^.APPAOVAL:
ASB II4T°P
ZONING APPROVAL: rVID` E- ° V':
OSE ALLSTRtCjR
GRADING APPROVAL: ECTRICAL, PLIM II%L TO ISSUE,
MECHANIC e <1. Comp° ``JE N
o � ,C;�I�ENt11
c�
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
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 fhb 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 (_) 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
I1�rrvo, ements 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
rlly,tao's
d for the purpose of sale).
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
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).
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 legally
sell a structure that I have built as an owner -builder if it has of 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 thja a tion is submittAt^ r at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Dat
Signature of Property Owner or Authorized Agent' I /1—/,1
LICENSED CONTRACTOR'S DECLARATIINN
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section '^" if Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Data Contractor Signature
WORKERS' 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:
1 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, forth
3erformance 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
Date
Tie of Agent enone M
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 become� s/uubj rlee workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant 7t yl //lAAA/_�
CLARATION REG D COASTRUCTION 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 or¢¢¢��(ggqances and state laws relating to building construction.
1 authorize representatives of this city or co my enf,e+ieyD,ye-i entified property for inspection purposes. % f�,A v
nature of Prcoertv Owner or Authorized Aoent I �' ��(/ ( Print Property Owner's or Authorized Agent's Nar1fP YdK2� t
ACTION DATEI BY ' I DECLARATION OF COMPLIANCE WITH -CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATIO TO • •-•
PERMITCANCELLED EPA •• •.• ♦ ' 'y� w•••.:i
PERMIT EXTENDED OAQMD
PERMITFINAL Q ASBESTOS NO'rif1CP.TLDNIS NOT APPLICABLE TO
CERTIFIC4TEOF L PR POSED DEM LIT! N -
OCC
UPANCYISSUED ✓ I ZB SIGNATURE: < _ •`•
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