HomeMy WebLinkAboutX2019-2514 - Permitsw rc City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
h Permit Counter Phone (949)644-3288
'"v } inspection Requests Phone (949)644-3255
Combination Type - MFP PLUM ELEC
IIIII IIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII �� COMB roject No:o eit: X2019-2514
Issued Date
Inspection Area : 3
PERMITS EXPIRE 180 DA YS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 12 LAND FALL CT NB
Description: MFR -REMODEL (2) BTHS, REMODEL LVNG RM, RIR FIREPLACE, ADD WINDOW, REPL RAILING & ADD SHOWER TO GAR 316 SF *CHANGE OF CONTRACTOR"
Legal Desc.: TR 7817 LOT 3 UNIT 179 OF PROJECT LOCATED ON AP 424-041-01 TOGETHER
Owner: LESSEL MIKE
Address: 12 LAND FALL CT
NEWPORT BEACH CA 92660
Phone: 949-887-8975
Applicant: HARVEY MARTIN
Address: 15651 MONROE ST -
MIDWAY CITY CA 92656.
Phone 714-292-0987 ..s•
Code Edit: 201
Type of Construction; VIB
Occupancy Group:. R2/U V
Added /New sq.ft. Bldg
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units 8
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Construction Valuation: .00
Building Permit Fee: $0.00
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 : $0.00
TOTAL FEE: $35.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: RJ TANNER CONSTRUCTION Architect NIO DANIEL
Address: 893 OAK STREET s: 160 S LAUREL AVE
COSTA MESA CA 92627 BREA CA 92821 ....
Phone: 949-235.4856 Pta8bb\e'.714-990-6006 State Lic:CO23769 ......
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us Lic: 679804,1220 .Q $ 0 SANTA ANA CA 92701 • • °
is te: /020 Phone: 714-835-22'x: State Lic:C-030407 •.m. ®°O
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Carrie' I NS CO t0. ddress: ` �, V . /°�° •mom
PO 401 , V �5't" .To° m�„
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backs Rear. I Special Conditions: LETTERS ATTACHED 0 0 o m o m o o
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U one: P no SD RED Fire Hazard Zone: N eo%Lo2 ' moon
E Tax. $0.00
onal Fee: $35.00
Grading Bonds Fee: $0
Grading PC Consultagkytin
Gad in IC
y 0
CGr in9 p
W Ins . as: e
Electrical (work spa
Mechanical %: 0�
tPl nnoing °/m: $0.00
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PlanniDe rt nt 1E
Plan SO
e :
Fair S l:'10 �j
SJH Trans :
In -lieu Housing Fee:
Public Works Department -
Park Dedication
$0.00
Fire
$0.00 __--t'rMIdi/g-9e0Adm
111s1P
Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$35.00
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)
fiction 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 requireWhe applicant for
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 of the Business and
ifessions 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`aca a. mit subjects the applicant to a civil penalty of
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 (_) port' or ,and the structure is n t ided or offered for sale (Section 7044,
3iness and Professions Code: The Contractors' State License Law does not apply to an owner of , rough employees' or personal effort, ilcj, r improves the property, provided that the
movements are not intended or offered for sale. If, however, the building or improve within one year of comple , the Owner -Builder will h e burden of proving that it was not built or
moved for the purpose of sale). , �n��Ca*��' i ,,, r� 1
I, as owner of the property, am exclusively contra end sed Contractors to construct the project IjSeclion 7044, Bu ' e,%5� gqttgq11(p*aiMNdode Th' . ontractors' State License Law does not
)ly to an owner of property who build s the eon, and who contracts for the jeetTWith a licensed Qgq�aCtQ pI [ arit'trS'the Contractors' Sta Li as Law).
I am exempt from,)AGe n er the Co tra t S a i se a following reason: 7931 / . -
my signature belo' I acknowledge that, t f rl a residence in which IRe, ided for at least one year prior to com I e Imp ver -, nts covered by this permit, I cannot legall;a structure that I h ve byy171�agQw it s not been cons cte i nsed contract�oj¢}y{gq@r a copy of the applice Section 7044 of the Business and
,fessions GoQE,1S ilab(�U}fbn request whe this a pli 'on is m d at thesi httke WW196i'nfo.ca.gov/calaw.htnatureofffropertydyvnerorAuthorizedAgen"'`' Data
hereby affirm urdec penalty
per t t I mens p 'ins chapter 9 (command �I)% Section 7 00) of Divi ' n 3 f thaslice ATI RATION
YARPIINe•FAILUR9 JQ sWtR WORKERS' COMPENSATION C L, CT' EMP 0 RIMINAL PENAL IES AND CIVIL FINJr HUND ED OU9 J DOLLARS ( 100,000), IN ADDITION TO T
SOSTbF COMPENSATION, DAMAGES AS PROVIOJOR IN l0 E 0 N E N FEES. ,,.j• S•hEreby affirm-Imder penal of p onhe f de ioaihdye and will, maintaf a c ificate I sure for workers' compensation, issued by the Qirector�f u i�rl�tel ed for b Sey don 3700 of the Labor Code, for
= tlTl'jnce of tl�e wor�C for hich is, _ issue . Policy No. (i.�® 9.x..11!!.L
• •••
have and will malre�ain rkers compensation insurance, as required by Section 3700 of t e La r Ie perforrpate)ep.�C(}�whi this p mif�� Issued. My workers' compensat
o •more carriernpd pplicy n mber are: �fx�, p� WQr`( SIIGG�r �"`'';;ar�ie� �• • "RQh d +bels .p� '� 1 �n� ExpJame of Agent e 9 Ph,%R
:1I certify that, in the perfo a e of". k for which t�' pasi}3i Y.Y'sBd d, I shall not employ any person in an as to becorp fker5' c pen. ration laws of California, and ag
hat, if I should become s bjectfNSTRLJQtIGN
0rker ' om�lalis�fi Prov ns of Section 3700 of the Labor all forthwith pryppLKwijlpttfi�0 s. �/ uC
3ignature of Applicant 11t'P Date iS k '�/%
)ECLARATION REG DING G Ahereby affirm under enalty of ¢bier s ruction lending agency fo ormance or which this permit is issued (Section 3097, Civil Code).
-ender's Name t Le ' M as
3y my signature below, I certify to lach of the followin
I am the property owner or autivriW on the gpe - ner's behalf.
I have read this application and he iofQamdlffl ave provided is correct.
I agree to comply with all applic a city and cou y ordin s and state laws relating to building construction.
I authorize representatives of this city or county ent a v fide 'led y for inspection purposes. 3ignature of PropertOwner or Authorized Agent not Property Owner's or Authorized Agent's NameZle Date
ACTION DATE BY DECLARATI N OMP IANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RfzC'ULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
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EPA
PERMIT EXTENDED
QMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
ASBESTOS OTIFI TION IS NOT APPLIC0
PROPOSEDD /
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