HomeMy WebLinkAboutX2019-2682 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-2682
100. Civic Center Drive, Newport Beach, CA 92660 X 2 0. 1 9 2 6 6 2 _ Project No : 1911-2019
Permit Counter Phone (949)644-3288
Insoe<;4on Requests Phone (949)644-3255
Combination Type - SFP Issued Date : 2019
Inspection Arearea : 4
PERMITS EXPIRE 160 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: 1030 SANDPIPER DR NB
Description: SFR REMOVEIREPLACE WINDOWS & DOORS WI (3) BI FOLDING DOORS �����i�T®�
Legal Desc.: N TR 3660 LOT 31 t 1
Owner: LANE FELICIA & DANNY
Contractor:
OWNERIBLDR
Architect:
• •..
Address: 1030 SANDPIPER DR
Address:
Address:
•
•„®'
CORONA DEL MAR, CA 92625
Phone:
Phone:
Phone:
State Lic:
Applicant: STANS CHRIS
Con State Lic: OIB
Engineer:
BOROSSAY ARPAD STEVE
°
. • °
Address: 616 S EL CAMINO REAL ST
Lic Expire:
Address:
5260 HARVEST CT
SAN CLEMENTE, CA 92672
Bus Lic
OEANSIDE CA 92507
0° ®° ° ° m
• • °
Phone: 801.547-7017
Lic Exp Date:
Phone:
State LicC-023312
..<m °
•m°
Code Edit: 2016
Worker's Compensation
Insurance
Designer:
•
Type of Construction: V -B
Carrier:
Address:
'
° m C °
Occupancy Group: R31U
Policy No:
cem°oo
�
Added lNew, sq.ft. Bldg: 0
Expire:
Phone:
m
°
Added/New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: /
Special Conditions:
LANDSLIDE
No of Units : 1
Front: I
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone:
Parkin S aces:
0 Fire Hazard Zone : N
Construction Valuation: $30.000.00
Building Permit Fee: $526.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $457.62
Additional Fee:
$0.00
Plan check Fee :
$40.00 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: $24.00
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 Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PM Plan Check: $0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee : $2.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
- Plumbing %:
$0.00
$0.00
TOTAL FEE . $1,049.62
Plan Check Fee :
$497.62 Fee Due at Permit Issuance :
$552.00
PROCESSED BY:
PUBLIC WORKS APP
OVAL:
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(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 DiviiOun 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 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 ved 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 signVII& 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 Iegall)
sell a structulakhAt I have built as an owner -builder if it has not been constructed in its an ' Sty by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Busine' s and
riof?,ssions Godo, i¢¢ available upon request wh thi plicationmitted or oil wing Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of'P,rppslrfy Owner or Authorized Age'nt - Date
LIOENSED CONTRACTOR'S DECLARATIO
thereby affirrn undef, penalty of perjury that I am lic nsed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Co deand my license is in full force
and effect. kieenSE-Class License No Date Contractor Signature
NCdkERS;CClXL-ENSATION DECLARATION
!V{1CNING: FAILB O 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 COMPS ATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
u•
hereby affirm ulSder penalty of perjury one of the following declarations:
I have and ;At? hiintain 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
leV pWvance of the work for which this permit is issued. Policy No.
have and Wj14aintain 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
nsurance carrier and policy number are:
Policy Number
Dale
IanSe f Agent Phone #
,511. ce ify 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 become subject to the workers' compensation Is of Cali rnia, and agre
tat, ' I should become su act to the work compensate n proves s of Section 3700 of the Labor Code, I. shall forthwith comply with those provisions.
signature of Applicant �� Dat /
IECLARATION REGARDING CONSTRUCTION LENDING AGS'
hereby affirm under p�nalty 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).
ender's Name Lender's Address
sy 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. t�
I authorize representatives of this city or cou ente�F-6tie above -i a property for inspection purposes. y \, '� L / r�
ionature of ProOertv Owner or Authorized Ace �/ Print Prooertv Owner's or Authorized Acent's Nam R -r' vv �j-jlJ� DEW,—)
DATE BY l DECLARATION OF IN REGULATIONS PART 61 OF COMPLIAITTLE 40 AND AQMD RULECE WITH CODE OF RAL FOR OFFICE USE ONLY
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED III LJAQMD
CERTIFICATE OFw SBESTOS NOTIFICATION IS NOTAP LICABLE TO
PROPOSED DE
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