HomeMy WebLinkAboutX2020-1194 - Permits�`t`a City of Newport Beach - Building Division *X20201194* COMB Permit: X2020-1194
o 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 1067-2020
'y Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
`'+a rrup'�' Combination Type - MFP PLUM Issued Date : 05120/2020
0
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0512112023 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: 280 CAGNEY LN NB St: 1 FI: 2 Unit: 211
Description: MFR- CONVERT TUB TO SHOWER i NI ep�7� Fr.T
Legal Desc.: TR 8336 LOTS UNIT 116 OF PROJECT LOCATED ON AP 423-011-22 TOGETHER 9
Owner:
LANZANO JAMES
Address:
280 CAGNEY LN #211
Occupancy Group:
NEWPORT BEACH, CA 92663
Phone:
0
Applicant:
LANZANO JAMES
Address:
280 CAGNEY LN #211
60
NEWPORT BEACH, CA 92663
Phone:
Bldg Sprinklers:
Code Edit:
2019
Type of Construction:
V -A -SPR
Occupancy Group:
R2
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage: 0
No of Stories:
3
No of Units:
60
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
Building Permit Fee: $107.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $117.63
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor
Address:
Phone
Con State Lie:
Lie Expire:
Bus Lie:
Lie Exp Date:
OWNERIBLDR
LANZANO JAMES
949400-3816
O/B
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
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: /
Left: /
Right: /
'arkina Soaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$9.63
Plan Check Fee
Phone:
Special Conditions: O/B FORM ATT
"PERMIT UPDATED INCLUDE
ARCHITECT "6/1912020'
Planning Department -
Fire Department
Architect:
DEMARCO CHERYL
Address:
9121 ATLANTA 826
SJH Trans :
HUNTINGTON BEACH, CA 92648
Phone:
714473-6623 State Lic:CO23965
Engineer:
Park Dedication :
Address:
P/W Plan Check:
Phone:
State Lie:
Designer:
NMUSD Fee:
Address:
Phone:
Special Conditions: O/B FORM ATT
"PERMIT UPDATED INCLUDE
ARCHITECT "6/1912020'
Planning Department -
Fire Department
Plan check Fee:
Fire Inspection:
Fair Share :
Fire Plan Rev
SJH Trans :
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
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0
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$0.00
$0.00
$105.00 Fee Due at Permit Issuance : $12.63
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
ococc
e
000c
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
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0
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$t1.e0U
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A0.Q9
6 A0.7
$0.00
$0.00
$105.00 Fee Due at Permit Issuance : $12.63
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
ococc
e
000c
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)
lection 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
ie 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
'rofessions 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
Kt e n five hundred dollars ($500).
I, ner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved for the purpose of sale).
11, 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
pply 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for y 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
ell a structure that I have built as an owner -builder if It as not been "rutted in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon requests lication is u 'fled or at th Ilowing Web site:http://www.leginfo.ca.gov/calaw.htmi. / p
'signature of Property Owner or Authorized AgMR to 06
.ICENSED CONTRACTOR'S DECLARATI
hereby affirm under penalty of perjury that I am nsed under provisi sof Chapter 9 (commencing with Sec' 000) of Division 3 of.t Weaws Code, and my license is in full force
nd effect. License Class License No ........... - -- -`"_-- on rac(or I u
COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE NUNaRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OST 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:
] 1 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 VRI"Mgtain 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 cardenarrd-policy number are:
ief .... Policy Number Expiration Date
'tl t, '-The pertor����9§nce of the work fo hich 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 ogre
I, if l s uId Gd7i� to the worker ' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / F't �cL
rore of AD t _ N• .°•_J1 // Dat+Ix ' "Lr� "2
nS
EB+r4RATION �Rg(t1RDIf�G CONSTRUCTIONG AGENCY
ieraby affirm un er p�n�31��Cy of perjury that the construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
W*O %Name Lender's Address
it my slgnaturl Delg0:1 certify to each of the following: / ,
�a"the pro fifty owner or authorized to act on the property owner's behalf. _/"ifLArJ'/1,
have read4RA 9pglication and the information I h e provided is C rPC
I agree to comp"ith all applicable city and coun n state laws relating construction. _
I authorize representatives of this city or c er the a ov identified erty or inspectio oses. f rl ,
of
PERMIT EXPIRED
PERMITCANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
Print Property)Nner's or Authorized Ag
WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PRT 61 OF TITLE 40 AND AQMD RULE
1403
I SUBMITTED ASBESTOS NOTIFICATION TO