HomeMy WebLinkAboutX2019-1851 - Permits�wtr City 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
Combination Type - MFP
COMB Permit: X2019-1851
IIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
Project No: 1338-2019
Issued Date : 01/1412020
Inspection Area : 1
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 5:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 1200 W BALBOA BLVD NB
Description: MFR REPAIRIREPLACE (E) STAIRWAY & GUARDRAIL
Legal Desc.: N TR 234 BLK 112 LOT 1
Owner:
MCBRIDE JULIE
Address:
6016 VICTORIA AVE
Record Management:
RIVERSIDE CA 92506
Phone:
949-887-0996
Applicant:
MCBRIDE JULIE
Address:
6016 VICTORIA AVE
Hazardous Mat
RIVERSIDE CA 92506
Phone:
949-887-0996
Code Edit : 2016
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : - 3
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Construction Valuation: $25.000.00
Building Permit Fee: $472.00
Plan Check Fee: $471.64
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$10.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $994.64
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: O W N ER/BLD R
Address: MCBRIDE JULIE
Phone:
Architect:
Address:
Phone:
State Lie:
Con State Lie: OIB Engineer: FRANCISCO, DOUGLAS RICHARD
Lie Expire: �+Tryy ��d y j��� SLOW AVENUE
Bus Lie: NO CONS t-t6Jl✓� ON ow EY CA 92708
Lie Exp Date: Phone: 714-397-5067 State Lic:C-003379
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: /
Parkina Soaces
$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:
ON THE WgEKEND
Special Conditions: LIQUEFACTION AREA
O/B AUTH ATTACHED
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
PNV Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$450.64 Fee Due at Permit Issuance : $544.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
0
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Fire Department
$40.00
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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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$450.64 Fee Due at Permit Issuance : $544.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
0
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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 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 tin 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 L) portions of the work, and the structure is not intended or offered for sale (SectioiT 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
vements 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
PEd for the purpose of sale).
, 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
y 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 per nal residen ' which�rnust have resided for at least one year prior to completion of the improvements co ered by this permit, I cannot legal)
sell a structure that I have built as an owner -builder if it 1 e truc 'n'I ' Sty by licensed contractors. I understand that a copy of the applicable law, Sec Ion 7044 of t e Business and
Professions Code, is available upon request w en t ' a li 'o b ollowing Web site:http://www.leginfo.ca.gov/calaw.html. l LI Zr
Signature of ProppeeFFtty Ow ner or Authorized Age /
LICENSED C1 1mi444CTOR'S DECLARA ON
I�V4W y',affirm urder pe}nalty of perjury that I am licens er provisio s of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
2nd effect Licd&%*Cldss - License No Date Contractor Signature
&CJRKERS' COMPENSATION DECLARATION 1
iPFARN[hd: FAILURE Tp 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
r. MT ne COMPENSBPIBII.9KMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
by affirm underpenalty of perjury one of the following declarations:
R2vE and will AWatain a certificate of consent to self -insure for workers'
mance of the work for which this permit is issued. Policy No.
6av`e:.and will.mailntoin 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? carriei`WW*potcy number are:
compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
J—
i Agent
Policy Number
Date
ertify that, in the perforan e =the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the
if I should becoryr€ subjA! t rkers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of AppfUd t Pa
DECLARATION REGAR RUCTION LENDING AGENCY
hereby affirm under penW of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
ender's Name Lender's Address
y 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 coup or Inances and state laws relating to building construction.
I authorize representatives of this city or coin t nt r 'd for inspection purposes. _ /
ionature of Propertv Owner or Authorized A t 1 Print Property Owner's or Authorized Agent's Ina { L<
ACTION I DATE
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL �/ 11 (7/" \Ak
CERTIFICATE OF 't JY
OCCUPANCY ISSUED
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
El I SUBMITTED ASBESTOS NOTIFICATION TO
IS NOT APPLICABLE
rs' compensation laws of California, and agree
Vo /-Z07-0
Civil Code).
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