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HomeMy WebLinkAboutX2020-1174 - PermitsCity of Newport Beach - Building Division IIIIIIIIII'�IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-1174 100Civ,, Center Drive, Newport Beach, CA 92660 X 2 0 2 0 1 1 7 4 Project No " 'Permit Counter Phone (949)644-3288 ' Inspection Requests Phone (949)644-3255 a Issued Date :0511812020 P yNi> Combination Type - BLDG Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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 Jab Address: 504 WESTMINSTER AVE NB Description: SFR - TIO E ROCK ROOF. NEW SHEATHING, INSTIL 12 SQ COMP SHINGLE Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS ELK 30 LOT 2 Owner: HEIM WALTER Contractor: OWNER/BLDR Architect: Address: 504 WESTMINSTER AVE Address: Address: NEWPORT BEACH, CA 92663 Phone: Phone: Phone: State Lie: Applicant: HEIM WALTER J Con State Lie: O/B Engineer: Address: 504 WESTMINSTER AVE Lie Expire: Address: NEWPORT BEACH, CA 92663 Bus Lic: Phone: Lie Exp Date: Phone: State Lie: Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: V -B Carrier: Address: _ Occupancy Group: R31U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 '. No of Stories: 2 Building Setbacks Rear: I Special Conditions: 120-1585 (V' rc�®9 No of Units : 1 Front: I -. sp Bldg Height: 0 Left: I , Bldg Sprinklers: Right: I -�- Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone: N Construction Valuation: $12.000.00 ;l Building Permit Fee: $324.00 Excise Tax: $0.00 Planning Department - Fire Department - Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee: $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 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 $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Senrice $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 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 %: $0.00 $0.00 TOTAL FEE : $325.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $325.00 PROCESSED BY: IJA z ° ° PUBLIC 4i0'F1t5 APPR%'V4L: ; ' • ° < `° • y � o •oo e ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL, St) ISStIEe°� •o• •°+ 00 °° �o�; Sao r. z �•, �o `F� cco. 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 applipabl-O tElm(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 applican 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 L) 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 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). ❑ s 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 U 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: gnature below I acknowledge that, except for my personallrE nein wh 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalll ucture that I have built as an owner -builder if it has n9y1t,.bl en c6{� r ct q10TIen't�,,irety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request whe appligV169' �d Itt¢ A lowing Web site:http://www.leginfo.ca.gov/calaw.htmi.Signature of Property Owner orAuthorized Agentt-fDa LICENSED CONTRACTOR'S DECLARATI6 —`c 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION IARNING: 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 3106 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 erformance 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 e of Agent Phone # I, ertify that, in the performance of the wok f9` i 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 t if I should become subject tVh� W o tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. y^� if of Applicant , �/ / Dat)( CLARATION REGA D G dONSTR TIO LtNDrNG AGENCY areby 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 providedA cq r ct. I agree to comply with all applicable city and county ordipces)a d e �a� rt1ng to building construction. 1 authorize representatives of this city or county/to entedt Web' a-i� Ti�jf o for inspection purposes. � nature of Prooertv Owner or Authorized Aaent Y ,�-{ ..Y III, l s-�,, Print Prooertv Owner's or Authorized Aaent's Name :1' �A-L ACTIONI DATE BY DECLARATIONREGULATIONS OAR OM LIANT E 40ANDD CE WITH CODE OF RUDEFEDERAL I FOR OFFICE USE ONLY PERMITEXPIRED • • kJ I SUBMITlZDASBESTQS N(;TI©CATION TO PERMIT CANCELLED LJ@m 0 • • i • i PERMIT EXTENDED gVID PERMITFINAL SBESTOS NOTIFICATIOFI IS NO i PPLICABLE TO CERTIFICATE OF f 01,16V/„Ir+� •� 'PuclosfD OLITI`d�11/ - OCCUPANCYISSUED Lf' • SIGNATUR ' s • • • V 1a Civil Code). • O c L a) a) c WO) >, le) a) — •O W L a) a) m m - 0)a) T 0 c 7 a) m w: — N@ y U .0 ? d O C m O C $ T o €� m0o mom`o `o �w E ° aa)i �mm �C.0 of a) )°y o ayy333 _ m.3 'a 0m 3�° o �d7n' Eo S c vl > O O L$ m@ O y .� al )a j C 0U° c a7 O0 Z m O) +' L y y m N y m V 7 'mE 'vc0- O c cca0i3-m �o -Lo oc tma (D c =d °moo cQm H w o5oayiCD0 >w oU o c doT v crn y. a w `, i y N m r 'C d-0 0.-1 c c y '0 y U U 7 -p m mO N .y .. a) C tm 'O A °- a) a N C O.'- •r0 3 w V N C c Eff E C G 4),-0 c .F .^y.. 0 cum O 0 mEma) Oa) c ��,�> °3 LL o admmom E E- d m 3Nd 30C` a)c >, Es C c a d 3 m m«L m m'w ° o c o c 0 O o G s _L 0) o «� m CL :3 c �_ C C L T m O LL .m. a) T'O 0 0 O N .0 ` L 0-o W d E a) C .7�. 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