HomeMy WebLinkAboutX2019-3903 - Permits`�ror City of Newport Beach - Building Division
4 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP
IIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2019-3903
X 2 0 1 9 3 9 0 3 Project No :
Issued Date : 12109/2019
Inspection Area : 3
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: 6900 W OCEAN FRONT NB
Description: MFR SIDING REPLACEMENT @ FIRST FLOOR APPROX 1200 SF. REMAND REP 3/8 PLY BACKING ON SOUTH AND NORTH ELEV WHERE REQ. NEW R13 INSUL WHERE
POSSIBLE
Legal Desc.: SEASHORE COLONY TR LOT 1 ELK I SWLY 60 FT -INC POROF ST ADJ-
Owner:
VALERIE MARC[ & JODY
Contractor:
RJ COVINGTON GEN
Address:
6900 W OCEAN FRONT
Address:
16581 PRODUCT LANE C2
NEWPORT BEACH, CA 92663
HUNTINGTON BEACH, CA 92649
Phone:
661-964-9669
Phone:
714-306-9214
Applicant:
COVINGTON RANDY
Con State Lie:
1039285
Address:
15581 PRODUCT LN C-2
Lie Expire:
06131/2020
HUNTINGTON BEACH, CA 92649
Bus Lic:
BT30060378
Phone:
714-306-9214
Lie Exp Date:
08/31/2020
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
11 Construction Valuation:
Architect: s ^IE�
Address: 111 �'-.! T®n
Phone: State Lie:
Engineer:
Address:
Phone: State Lie:
2016 Worker's Compensation Insurance
Designer:
V-B Carrier: STATE COMP
Address:
m
R31U Policy No: 1886888
0 Expire: 03/0112020
Phone:
0
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m
Building Setbacks Rear: I
Special Conditions:
LIQUEFACTION
Front: /
PERMIT REVISED 12-19-19.
Left: /
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Right: I
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Use Zone: Parking Spaces: 0
Fire Hazard Zone :
N
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Building Permit Fee: $392.00
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: $393.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant:
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
P/W Plan Check:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
000coc
c m c
Fire Department
m
$0.00
Fire Inspection:
° $0.00
$0.00.
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $393.00 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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)
iection 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
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
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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness 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
nprovements 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
nproved for the purpose of sale).
1, 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:
ly my signature below I acknowledge'that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Dale
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se n 7.00�) of Division 3 of the Busin as and Profes o , and lice is in full force
nd effect. License Class License No D d --1 Contra c Signature
VORKERS' COMPENSATION DECLARATION 11
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS (6700,000), IN ADDITION TO THI
OUT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm undarpepialty of perjury one of the following declarations:
ll.laavg and wig 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 tl
rmaTce of Mg y,'Drllfor which this permit is issued. Policy No.
e•and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensatir
uraP a carrier and pogcy number are:
'-9i— ""'= Poll
Number Exoiration Date
e of Agent
-
Y
in iM:P'b. orman / thewfork f p' s 'Permit issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
became sub e t ,a or k c m ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
MARATION REGAIY AG/CON$ L1CTIgh;.P ING AGENCY
gtillYrgffirm uqM penalty bf perury that there is a construction lending agency for the performance of the work for which this permit is issued (Section
Ider's Name .... Lender's Address
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. T
1 have read this application and the information I have provided is correct. �/-
I agree to comply with all applicable city and county nancpegd stateAs relating to building construction.
I authorize representatives of this city or county t a ve-Ide ad roperty for inspection purposes.
.,�fi—o f or,...err„ ne,nerr�A7hnri7saH-Anent — Print Prooertv Owner's or Authorized Ageatst me
EXPIRED
DATE BY "&CLAROIDN O'FCOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION TO
PERMITEXTENDED I I I L lAQMD
PERMIT FINAL 11,137^ 1Q ASBESTOS NOTI ATION IS OT APPLICABLE TO
CERTIFICATE OF J OP DDE - IV
OCCUPANCYISSUED A RE: _�
Civil Code).