HomeMy WebLinkAboutX2020-1260 - Permitsgwlro City of Newport Beach - Building Division
4 100 044c Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP
COMB Permit: X2020-1260
IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII�IIIII II
Project No: 0971-2020
Issued Date : 06101/2020
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT IMLL 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: 504 WESTMINSTER AVE NB
Description: SFR NEW ROOF FRAMING OVER EXISTING ROOF (HOUSE ONLY) 1215 SF
Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BILK 30 LOT 2
Owner:
HEIM WALTER
Address:
504 WESTMINSTER AVE
Record Management:
NEWPORT BEACH, CA 92663
Phone:
949-645-6565
Applicant:
HEIM WALTER
Address:
504 WESTMINSTER AVE
Bus Lie:
NEWPORT BEACH, CA 92663
Phone:
949-645-7089
Code Edit: 2019
Type of Construction: V -B
Occupancy Group: R3
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Construction Valuation: $12,000.00
Building Permit Fee: $264.00
Plan Check Fee: $229.68
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$6.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat $0.00
Building Green Fee : $1.00
TOTAL FEE: $540.68
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
ADD VENTURES
Address:
504 WESTMINSTER AVE
Address:
NEWPORT BEACH CA 92663
Phone:
949-645-7089
Con State Lie:
383558
Lie Expire:
10/3112021
Bus Lie:
BT30028534
Lie Exp Date:
07/3112020
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expire:
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: I
Right: I
�arkina Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee:
Architect:
HEIM WALTER
Fire Department
Address:
504 WESTMINSTER AVE
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$0.00
Fair Share :
NEWPORT BEACH CA 92663
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$0.00
Phone:
949-645-7089 State Lic:C013423
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In -lieu Housing Fee:
$0.00
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Engineer:
•e o
e e
Address:
e
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Phone:
State Lie:
ee••
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eemo
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San Dist: $0.00
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Designer.
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Address:
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Phone:
I lECIEO
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Special Conditions:
V
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m <,
Dome
Planning Department -
Fire Department
Plan check Fee:
$40.00
Fire Inspection:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
SJH Trans :
$0.00
Demolition Fee
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Public Works Department -
General Service
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PAN Plan Check: $0.00
Grading Bond:
$0.00
San Dist: $0.00
NMUSD Fee: $0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance :
$540.68
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:�
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
1 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 tl% 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).
111, 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).
❑ 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 legall
sell a structure than 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
Prgfessiortb Code, MlaGBilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
SiQUNPO Qf Propglt ewger or Authorized Agent Date
LIC€NSVD CONTRACTOR'S DECLARATION
'n
hereby affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00 of Division 3 of the Business and Profe io de a full force
and effee-A. License Class License No Date — —`LC% Contractor Signature
WQhK�RS' COMRGbI§ATION DECLARATION
WARNING: FAILURE TO AECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUND, ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COarOP010ji7PENSA198if, BA AGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hBreby affirm underpenalty of perjury one of the following declarations:
:I*fiave�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
performanCe of the yupfk for which this permit is issued. Policy No.
M haUve and will rnaint®in 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
VIV a
insurance carrier ard,pDliey number are:
Carrier Policy Number Expiration Date
N me of Agent Phone #
t�Sertify that, in the perforrpance f r ch 1 permit is issued, I shall not employ any person in any manner so as to become subject to the workers' comp nsation laws of California, and agre
3700 the Labor Code, I forthwith comply with those
that, if I should become sub' ct t an provisions of Section of shall provisions.
Signature of Applicant Dat/1VIC,_,de).
DECLARATION REGAR ING ONSTRUC N LENDING AGENCY
I hereby affirm under pe ally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,
Lender's Name Lender's Address
By my signature below, I certify to each of the following: t
I am the property owner or authorized to act on the property owner's behalf. r n .,n f f
U
I have read this application and the information I hav prokad is co ct. (AVA
I agree to comply with all applicable city and county rdi s n s s r ting to building construction. (A— /— 2c7
I authorize representatives of this city or county to id 'epro for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized A ent's Name Date
ACTION
DATE
BY bkjdXTION OF'r6MYLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGU IONS PART 61 OFTITLE 40AND AQMD RULE
14
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
0EPA
PERMIT EXTENDED
OAQMD
PERMIT FINAL
sLJ ASBESTOSTIFICATIONI OT PLI BLE TO
CERTOCCU/PANCy
1b (14'
PROPOSED OLITIO
SUED
GNATURE•