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HomeMy WebLinkAboutX2018-3869 - Permitstta� City of Newport Beach - Building Division o +� 100 Civic Center Drive, Newport Beach, CA 92660 E Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 `c'"rtrarlu Combination Type - SFP ELEC MECH PLUM 11111111111111p11111p11111111111111111111111111111 JillCOMB Permit: X2018-3869 x 2 9 1 8 3 8 6 9 Project No: Issued Date : 1212012018 Inspection Area : 8 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 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 20121 SPRUCE AVE NS ......-_.. - Description: SFR- BATHROOM REMODEL 120 SF *CITY STANDARD* Legal Desc.: N TR 1506 LOT 5 _�,,,,"' """•- `•` Owner. FRAZIER VIVIAN 0bneC!A!R'a ctoc AMERI N REMODELING INC Architect `��1i1'vu ��• Address: 20721 SPRUCE AV s: 43 5 DO TE 108 - Address: NEWPORT BEACH CA 92660AMPre'Ac'9Z88 0 ❑ '``t4({�EO Phone: F* �a 9091520.0654 CEone: ❑ � �0 State Lie: Applicant: AMERICAN HOME REMODELIN NC ta 8 9gineerAddress: 4375 PRADO RD STE 108 p 0 02 to whOMCORPhone: 909 540 0654 NA CA 92680 p 1301 9 Phone: State Lie: Code Edit: 2016 mpensation InsuranceType of Construction: V -B :resOccupancy Group: R31U N F 79Added /New sq.ft. Bldg: 0 : 0 01Added /New sq ft. Garage: 0 No ofSgorier;: of ac s Rear: / Special Conditions: rlNo aiVn1t9' 2.Front: IBldgHeight, ° ° �G Left: /pg 6�^gr'�,/.�yura BldgoSpriiatclars: Ri ht: I ®,-,u/ 9e'„31�. ar- Flood�oo: a s e I- alazzard Zone: N Cortrastion Valaationo:�o $10.000.00 111 cc {a BWldiiig Parmit Fe6:° 0$232.00 cis, Tax: `W®r��$�©0^�'ed) Planning Department- Fire Department Plan Check Fee: � �201a84 A ditional Fee : $0.00 Plan check Fee: $40.00 $0 0 O,_�erteme Plan Clc $0.00 G ding Bonds Fee: $0.00 Fair Shar .00 Fire Plap R�eyy , $0 0 , I nv€stigation Fee: ,, $0.00 Gr di8gll?,(#onsultant_ - Trans: $0.00 lils�mt3nt11ae5• !� R€corcrkl2nage�rfapt P , c $0.00 Gr if Fe -e $0.00 In -lieu Housing Fee : $0:00- Bu_ildin D -i00 Erergy Campliance: $0.00 Gr ing PC Fee: $0.00_l_a?�* s apartment- era Service $0.00 CA Seismic Safetq': $0.00 W Ins . .00 .00 Refund Deposit $0.00 Disabled Access: ` $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Ele ica o: $16.24 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $9.28 NMUSD Fee: $0.00 $0.00 Plumbing %: $20.88 $0.00 TOTAL FEE: $521.24 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $521.24 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER 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 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). ❑ 1, 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 im roved 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 coven 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, Sects 7 44 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 ate LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 Ivisl fi 3 of a Business and Profe ions de, and license is in full force and effect. License Class License No Date .:p Contractor Sig 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: 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 )e Trance of the work for which this permit is issued. Policy No. -:1I 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. AV464ers' coaipe°ns°atiol nsura ce carrier and policy number are: , ...... Policy Number Expiration Date : • • •: Vame of Agent Phone#. . °°°"°° 11 certify that, in the perform ce of th ork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation ••000 l9uft*df Californi24rg1 afire khat, if I should become subct to the rkers' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ° • •. ° 01 ° Signature of Applicant l/'�� Date"�: • DECLARATION REG DING C S U N LENDING AGENCY I • . ° hereby affirm under rally, of perj at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). • • ° ° -ender's Name Lenders Address • •• 3y my signature below, I certify to each of the following: •. . .. ° ° 1 am the property owner or authorized to act on the pro arty o er' behalf. I have read this application and the information I he PrOVID i orrect. : • • •: I agree to comply with all applicable city and co y ordina a and state laws relating to building construction. I authorize representatives of this city or coun to enter t bove-i mified property for inspection purposes. signature of Property Owner or Authorized Age Print PropertOwner's or Authorized Agent's Name Date ACTION DATE BYC F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG ,DAF61 OF TITLE 40 AND AQMD RULE % �f / 1403 C (.� U PERMIT EXPIRED 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED QMD PERMITFINAL ASBESTOS NOT CATIO SNOTA PLICABLE TO CERTIFICATE OF PROPOSED DIE LITION� OCCUPANCYISSUED SIGNATURE. i GL/