HomeMy WebLinkAboutX2018-2948 - Permits (2)rvn
City of Newport Beach - Building Division
Investigation Fee:
$0.00
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone (949)644-3288
CA Seismic Safety:
Inspection Requests Phone (949)644-3255
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Combination Type - MFP
IIIIIII�IIIIIIIIIIIIIIIIII�IIIIIII�I II COMB Permit: X2018-2948
Project No:
Issued Date :1010212018
Inspection Area : 2
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 8:00 a.m. to 6:00 p.m, No work on Sundays or Holidays
Job Address: 205 DIAMOND AVE NB
Description: MFR REMOVE & REPLACE SHINGLE SIDING WINEW SHINGLE SIDING "LIKE FOR LLIKE" ,yam
Legal Desc.: BALBOA ISLAND SEC 2 BLK 10 LOT 3
Owner: MAXWELL MARJORIE Contractor: OWNERIBLDR Architect: w®6 : TOR
Address: 205 DIAMOND AVE Address: MAXWELL RODGER Address:
NEWPORT BEACH, CA 92662
Phone
Applicant: MAXWELL RODGER
Address: PO BOX 134
NEWPORT BEACH, CA 92662
Phone: 949-645-6599
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $248.00
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: $249.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Phone:
Con State Lie: O/B
Lie Expire:
Bus Lie:
Lie Exp Date:
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: /
Front: /
Left: /
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lie:
State Lie:
Special Conditions: O/B AUTH ATTACHED
AE -8 FLOOD ZONE
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
PAN Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $0.00
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0
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$0.00
0
$0.0
$0.66
$0A)0
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $249.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
"
00000
0 0
0
o" o
oo" 0
0 0 0
00 0
00000
000000
0 0 0
O
0000u0
0
0000
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:
0
u00000
0000
0
0 0 0
sbto
$0.00
0
$0.0
$0.66
$0A)0
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $249.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
"
00000
0 0
0
o" o
oo" 0
0 0 0
00 0
00000
000000
0 0 0
O
0000u0
0
0000
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, priorto Its issuance, also requires the applicant for
is 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
Wm re than five hundred dollars ($500).
ner o the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
yISI ass 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
oprovements 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
n roved for the purpose of sale). I
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
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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
y my signature below I acknowledge that, except for my rsonal residence in which I must have resided for at least one year prior to completion of the improvements coJered by this permit, I cannot legal
-11 a structure that I have built as an ow ullder if it Jr l of been cons cted In its entirety by licensed contr ctors. I understand that a copy of the applicable law, Sect on 7044 of tpe Bu�iness and
rofessions Code, is available upon r uest a th s Js atio is b fitted or at the Ilowin�Web site://www.teginfo.ca.gov/calaw.html.s-
ignature of Property Owner or Autho ized
ICENSED CONTRACTOR'S DE MCRA ON
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comnfening with Section 7000) of Division 3 of the Business and Pro
nd effect. License Class License No Date Contractor Signature
1ORKERS' COMPENSATION DECLARATION
and my license is in full force
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 ($700,000(, IN ADDITION TO THE
'OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 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 t4E%grj:or which this permit is issued. Policy No.
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'
erat ogcv number are:
Policy Number Expiration Date
0 "."!form ce 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
Dejome s bj cyte_ w rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
!f;LAF ATION REGARDN(YCONSTRUCTION LENDING AGENCY k_�
3r;674fhrm unc er peryalty 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).
rider's Name ...... Lender's Address
vwy-D nature below, rcertify to each of the following:
• harm the property owner or authorized to act on the property owner's behalf.
I have read this application and the Information 1 have provided is correct.
I agree to comply with all applicable city and coupordinances and state laws relating to building construction.
I authorize representatives of IN ty or ounty/o�]Iter the above -identified propert for inspection purposes. ,/�( fn/ �p
,rnl„ro s or, no. %, nU,nor nr Ai ie �r� a�P�t l ��/��/JJJ LiG C"�- � Print Pronertv Owner's or Authorized ADent's Name ZV ro I VA f�
EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
IS NOTAPPLICABLE TO
laws 4f California, and