HomeMy WebLinkAboutX2020-2179 - Permits�, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�III II COMB Permit: X2020-2179
4 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 1 7 9 Project No : 1753-2020
Permit Counter Phone (949)644-3288 x,w L _ ZI 7 )
"`v. Inspection Requests Phone (949)644-3255
`�'i+:.renk'� Combination Type - SFP ELEC MECH Issued Date: 10122/2020
9 LCi"Vic YV1 Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1012312023 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: 18 CORMORANT CIR NB
De§cription: SFR R/R WINDOWSIDOORS. NEW DUCTWORK & ELECTRICAL THROUGHOUT. NEW STAIR RAILING *STOP WORK* 120-2396
Leal Desc.: N TR 12529 LOT 9
Owner: VOSS MELANIE& MICHAEL Contractor: OWNER/BLDR Architect:
Address: 18 CORMORANT CIR Address: AUTH AGENT: Address:
NEWPORT BEACH, CA 92660
Phone
Applicant:
INNES ELIZABETH
Address:
9521 IRVINE CENTER DR
Record Management :
IRVINE CA 92618
Phone:
949-861-2244
Code Edit : 2019
Type of Construction: V -B
Occupancy Group: R3/LI
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Construction Valuation: $90.000.00
Building Permit Fee: $1,129.00
Plan Check Fee: $982.23
Overtime Plan Ck:
$0.00
Investigation Fee:
$1,129.00
Record Management :
$8.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$4.00
TOTAL FEE: $3,422.67
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
PAT SIMONIAN
Phone: 949-721-8585
Con State Lie: Die
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: I
Front: I
Left: I
Right: I
Phone:
State Lie:
�`�
o••..
0
$0.00
Engineer:
`0
Address:
$0.00
`�A
Phone:
State Lie:
Designer:
TRABERT ERIC
$0.00
Address:
9521 IRVINECENTER DR
°
SJH Trans :
IRVINE, CA 92618
m°®••• ._
Phone:
949-861-22"....
oeo•o°
o •. • n
Special Conditions: 120.2396
o••o
° $080
OWNERIBLDR ATTACHED
° • ° ° m
co •
° c • o 0
O OO V • V
•o °
eo a
o••..
0
$0.00
Planning Department -
Fire Department
• ° , o ° ° e `
$0.00
Plan check Fee :
$46.25
Fire Inspection:
$0.00
Fair Share :
$0.00
Fire Plan Rev
f0.00 a • ° ° • �
$0.00
SJH Trans :
$0.00
Demolition Fee
°
• • • ° • ° °
$0.00
In -lieu Housing Fee: -
$0.00
Building Dept Adm
° $080
$0.00
Public Works Department -
General Service
$0.00
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PNV Plan Check : $0.00
Grading Bond:
$0.00
$79.03
San Dist: $0.00
$45.16
NMUSD Fee: $0.00
$0.00
$0.00
$0.00
Plan Check Fee
: $0.00 Fee Due at Permit Issuance :
$3,422.67
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER
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 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 `) 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
i��mrp//roved for the purpose of sale).
Id+l, 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).
L! I am exempt from licensure under the Contractors' State Lic a Law for the following reason:
By my signature below I acknowledge that, except form pers ial r9bidence in which I must Il resided for at least one yearprior to completion of the improvements covered by this permit, I cannot legalll
sell a structure that I have built as an owner-builde if i as n t be constructed in a tiret y licensed contractors. I unde and that a copy of the applicable law, Section 44 of the Business and
Professions Code, is available upon request when 's appl' ati i ubrnitted or at t foll n Web sitA,http://www.leginfo. .gov/calaw.html.
Signature of Property Owner or Authorized Agent '': 6yJZL Date
LICENSED CONTRACTOR'S DECLARATIO
I hereby affirm under penalty of perjury that I am licdhsed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C Is, a d my license is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: 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 ur0er WDalty of perjury one of the following declarations:
0 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 the
otIV8iT kce of fieWonk.forwhich this permit is issued. Policy No.
...•
otIhav %and will ryaintain 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' compensatiol
.neuranee carrier and policy number are:
Carrier- • • • • Policy Number Expiration Date
NBrrle•OF Aaent n Phone #
berFfy that, 1n the perfo anc of th work for which this per pis issued, I shall not employ any, person in any manner so as to become subject to the workers' co pensation laws of California, and agre,
t,QiAl should becpme su ct t the orkers' cQmpens n pr isions of Section 3700 of the Lab'r Cade, I shall forthwith comply with those provisions. �1
••••• • Date I.IG-ZCJ
rmturl of App1k!ar
CLARATION RSCA N CONSTRUCTION LENDING AGENCY
!4814ffirm undo )a Ity of erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, vil C de).
kV1 Name • Lender's Address
my signature below, I certify to each of the followia7A
I am the property owner or authorized to act on trtowner's behalf. �--�
I have read this application and the informatio Ied is correct.
I agree to comply with all applicable city and ues and state law relating to building constructio .
I authorize representatives of this city or cou above -id Ifie roperty for inspection purpose .
nature of PrODertV Owner or Authorized ADen . nA/i .F niY!_ (QPfih)fA141� ner's or Authorized Agent's Name S IYYIQ DeI07-
�-2
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE I BY
OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
PART 61 OFTITLE 40 ANDAI RULE
SUBMITTED ASBESTOS
IS NOT APRLICABUE' TO
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