HomeMy WebLinkAboutX2019-1523 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1523
'.. 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 5 2 3 Project No: 0275-2019
Permit Counter Phone (949)644-3288
- Inspection Requests Phone (949)644-3255
x,° Combination Type - BLDG PLUM Issued Date : 05/14/2019
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: 7006 W OCEAN FRONT NB
Description: DEMO (E) SFR W/GARAGE (3) BEDROOMS 2,448 SF
_
Legal Desc.: SEASHORE COLONY TR LOT 4 BLK J SWLY 60 FT -INC POROF ST ADJ-
Owner: FLANAGAN J M& M S
Contractor:
R D M S INC
Architect:
-�
Address: 506 SIGNAL RD
Address:
250 E BAKER
ST # 300 Address:
NEWPORT BEACH, CA 92663
COSTA MESA
CA 92626,
Phone:.
Phone:
714.448-9835
Phone:
State Lie:,,,,
Applicant: FISHER CRAIG
Con State Lie:
815672
Engineer:
Address: 250 E BAKER ST # 300
Lie Expire:
12131/2020
Address:
COSTA MESA CA 92626
Bus Lie:
BT30008726
Phone: 714-448-9835
Lie Exp Date:
01131/2020.
Phone:
State Lie:
Code Edit: 2016
Worker's Compensation
Insurance
Designer.
Type of Construction:
Carrier:
EVERST NATIONAL INS Address:
Occupancy Group: R31U
Policy Na
7600015443
c °
°° •�•`
Added /New sq.ft. Bldg: 0
Expire:
09/01/2019
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: I
Special Conditions:
HAULER: TIGHT OUARTERS
No of Units : 1
Front: I
LIQUEFACTION AREA
0
Bldg Height: - 0
Left: /
NO CITY TREES ON SITE
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Bldg Sprinklers:
Right: /
Flood Zone: X
Use Zone: Parking Spaces:
0 Fire Hazard Zone :
N
Construction Valuation: $15,000.00
Building Permit Fee: $103.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $0.00
Additional Fee:
$0.00.
Plan check Fee : $0.00
Fire Inspection:
® 40.01)
Overtime Plan Ck: $0.00.
Grading Bonds Fee:
$0.00
Fair Share : $0.00
Fire Plan Rev
° Wto
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
$26.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$210.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$1,692.00
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 : $1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$9.27
$0.00
TOTALFEE : $2,041.27
Plan Check Fee:
, $0.00 Fee Due at Permit Issuance :
$2,041.27
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
-
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
-
i
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(sl
(Section 7031.5, Business and Professions Cade: 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 L) 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
improved for the purpose of sale).
❑ 1, 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
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 legall}
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://w .leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of 'vi;i 3 of the Business and Profgsts' nd m lice se is in full force
and effect. License Class License No Date 'l Contractor Signature.CS�
WORKERS' COMPENSATION DECLARATION
0*
NARNING: FAILURfsTO SECIfRE 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 COMPENSA?ION,bAMAGES AS PROVIDED FOR IN SECTION 0700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I: ereby 9ffirm urtllr rfepalty 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 the
3E rpoce of the Work for which this permit is issued. Policy No.
have and will-91 Nin 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' compensatior
Wanse carrier a po lcy number are:
a,crwr. . /'N'� 1/i ) PaWcv.Numfie(/ Expiration Date
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 agree
bt e(M8 Subject to thew kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _
plieane at S l
VLNRM I IVIY RCVYYRVIIYV VVIYJ I RVV I IVIY LCIYVIIYV NVGIYVI
)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 state laws relating to building construction.
I authorize representatives of this city or county to an ( the above -identified property for inspection purposes.,f ^ �lGG
nature of Prooertv Owner or Authorized ADent ri. Print Property Owner's or Authorized Agent's Na (^�A1. 5
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
DATE
OF COMPLIANCE WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION TO
ISNOTAPPLICABLE TO
1
FOR OFFICE USE ONLY
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