HomeMy WebLinkAboutX2021-0300 - PermitsCity of Newport Beach - Building Division
A 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
v.. -. Inspection Requests Phone (949)644-3255
'r'a�rvaxat „" Combination Type - MFP
*X20210300* COMB Permit: X2021-0300
Project No: 1946-2018
Issued Date: 0211212021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/13/2024 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: 203kKLINE DR NB
Description: MFR REMOVE EXISTING STUCCO AND SIDING AND REPLACE W/ 318 COX PLYWOOD AND NEW CEMENT SIDING FOR ENTIRE HOUSE
Legal Desc.:
Owner:
LEE HOWARD
Address:
20434 KLINE DR
Record Management :
NEWPORT BEACH CA 92660
Phone:
626-780-1127
Applicant:
LEE HOWARD
Address:
20434 KLINE DR
Hazardous Mat
NEWPORT BEACH CA 92660
Phone:
626-780-1127
Code Edit : 2019
Type of Construction: V -B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Building Permit Fee: $161.00
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: $162.00
PROCESSED BY:
ZONING APPROVAL:
Contractor:
Address:
Q GENERAL CONSTRUCTION
543 MAR VISTA AVE
Architect:Y
Address:
, ��
IN
�ai79
Fair Share :
Fire Plan Rev
WILMINGTON CA 90744
Demolition Fee
In -lieu Housing Fee:
t
Phone:
310-947-6791 -
Phone:
State Lic:
$0.00
Con State Lie:
1040559
Engineer:
$0.00
Lie Expire:
06/30/2022
Address:
Bus Lie:
BT30074234
Lie Exp Date:
02/26/2022
Phone:
State Lie:
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 9272095
Expire: 03/0512021
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: I
Right: I
Parking Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee:
Designer:
Address:
Phone:
Special Conditions: CONTRACTOR AUTH ATT
0
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
PM Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
0 0
000mmm
0
..$0.00
ftQdf
0
0.$0.00
$100
0
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $162.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
0
eoo.oU
0
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 0
000mmm
0
..$0.00
ftQdf
0
0.$0.00
$100
0
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $162.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
0
eoo.oU
0
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 thclapplicant 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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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
II p, ved for the purpose of sale).
I�lp���T��pyyrfTT44//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
aj'Slply 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 tMe resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall)
sell a structure that I have built as an owner- er if it has not been constructed in its entire �ilicensed contractors. I understand that a copy of the applicable law, Sec7044 of the Business and
Professions Code, is available u n st when this application is submitted or at the folio �JBlab-site:hltp://www.leginfo.ca.gov/calaw.html. a
Signature of Property Owner or ized Agent I a
LICENSED CONTRACTOR'S D CLARATION
I 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
WORKERS' COMPENSATION DECLARATION
WARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 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
performance of the work for which this permit is issued. Policy No.
❑1 have and will.rnaiatain 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' compensatioi
insurance carrier' j"Udlicy number are:
Policy Number
performance of the work for which this permit
Lcubject to the workers' compensation provii
Date
mol employ any person in any manner so as to become subject to the workers' compensation laws of California, and
3700 of the Labor Code, 1 shall forthwith comply with those provisioDIL�
ylgnature of t
35G4ARATION.RE ING CONSTRUCTION LENDING AGENCY
JVLepy-affirmunder penalty o ury-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
:y
.••..
my signature belomFJ certify to each of the following:
I arr the property owner or authorized to act on the property owners behalf.
i have read ttys application and the information I have proved is correct. �.
1 5ree to cErfiplf Wth all applicable city and county ordinan nd state laws relating to building construction.
I authorize representatives of this ci nt enter the =dentiffed property for inspection purposes. " C�
-,,..,,f—..f or,,.,o.r., n...n.r �r A,e6 rltf Print Property Owner's or Authorized rygenr s N�aa
DATE BY CELLAR gAlOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
EXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED L_lAQMD
PERMIT FINAL SBESTOS NOTIFICA ISNOT BLE TO
CERTIFICATE OF POSED DEMOLITION
OCCUPANCYISSUED ,.Bm A7URE:
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