HomeMy WebLinkAboutX2020-1459 - Permits�$wnfi City of Newport Beach - Building Division
tis 100 Civic Center Drive, Newport Beach, CA 92660
E' Permit Counter Phone (949)644-3288
U Inspection Requests Phone (949)644-3255
Combination Type - MFP
COMB Permit: X2020-1459
IIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIInIII
Project No: 1709-2019
Issued Date : 06/24/2020
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0612512023 OR PERMIT WILL BE INVALID
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: 1700 BEDFORD LN NB
Description: MFR WINDOW (12) CHANGE OUT "LIKE FOR LIKE'
Legal Desc.: N TR 1893 LOT 24
Owner: BCH FRONT WATERFORD DOVER NEW
Contractor:
EMERICON BUILDERS INC
Address: 130 NEWPORT CENTER OR #230
Address:
1045 W KATELLA AVE
NEWPORT BEACH CA 92660
$0.00
ORANGE CA 92867
Phone:
Phone:
949466.2011
Applicant: EMERICON BUILDERS INC
Con State Lie:
931272
Address: 1045 W KATELLA AVE
Lie Expire:
04/30/2021
ORANGE CA 92867
Bus Lic:
BT30062512
Phone: 949466-2011
Lie Exp Date:
03/3112021
Code Edit: 2016
Worker's Compensation Insurance
Type of Construction: VB
Carrier:
NOVA CASUALTY
Occupancy Group: R2IU
Policy No:
SISWK1000066300
Added /New sq.ft. Bldg: 0
Expire:
01/31/2021
Added /New sq. ft. Garage: 0
Energy Compliance:
$0.00
No of Stories: 2
Building Setbacks
Rear: I
No of Units : 6
$0.00
Front: /
Bldg Height: 0
Park Dedication :
Left: I
Bldg Sprinklers:
$0.00
Right: I
Architect
Address:
Phone: State Lie:
Engineer:
Address:
Phone: State Lie:
Designer:
Address:
Phone:
Special Conditions: UNIIpTSE - F 0
Construction Valuation:
$0.00
$0.00
Fire Inspection:
$0.00
Building Permit Fee:
$0.00
Excise Tax:
$0.00
Planning Department -
Plan Check Fee: $0.00
Building Dept Adm
Additional Fee :
$35.00
Plan check Fee
$0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Record Management:
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access:
$0.00
PAN Plan Check :
$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
Plumbing %:
$0.00
TOTAL FEE: $35.00
PROCESSED BY:
ZONING APPROVAL:
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $35.00
PUS 001/ORKS APPROVAL:
°PLAN CHECK BY:
GRADING APPROVAL: c`c `oc APF},ROVkL-TO ISSUE:
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Goc aoc c c oo� cv eco
Fire Department
$0.00
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: $0.00 Fee Due at Permit Issuance : $35.00
PUS 001/ORKS APPROVAL:
°PLAN CHECK BY:
GRADING APPROVAL: c`c `oc APF},ROVkL-TO ISSUE:
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Goc aoc c c oo� cv eco
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 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 (_) 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).
❑ 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
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 legal)
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://www.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 700 ) o Div's' 3 of the Business and P fe s'on C y �i en !n full force
and effect. License Class License No Date Contractor Signatur
WORKERS' COMPENSATION DECLARATION
WARNING: 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 ($100,00D(, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 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
Pa rmance of the work for which this permit is issued. Policy No.
I I h ve 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' compensatio
Ins r nce carrier and policy number are:
r Policy Number Expiration Date
Name of Agent Phone #
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 became subject to the workers' compensation Is sof California, and agre
that, if I should become su{bjegltt to In rk rs' co p anon p'o Ions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions.
Signature of Applicant DZ1'�'y��
DECLARATION RE I C NS UC ON LE14DI G AGEEP Y V�
I hereby affirm unde enalty 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).
Lender's Name Lender's Address
By 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.
1 have read this application and the information I have provided is correct.
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 r I. JU-1diltilli r rty for inspection purposes.
Si nature of Property Owner or Authorized Agen Print PropertyOwners or Authorized Agent's Name ' l / Date
ACTION DATE BY DEC F COKAPLNANn WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED-[Ti SUBMITTED ASBESTOS°fl n 6fION IV ° • o
PERMITCANCELLED EPA i i °° • •• �•i •••
PERMIT EXTENDED OACIMID ° • • • • • • e
PERMITFINALIq ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF '�ll� PROPOSED DEMOLITION •�• e•e •°• • • + ••
OCCUPANCYISSUED SIGNATURE:
••• •• Y• • • ••f •e•