HomeMy WebLinkAboutX2019-3903 - Permits (2)1anc City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
v. .$ Inspection Requests Phone(949)644-3255
Combination Type - MFP
IIII�IIIIIIIII�IIIIIII�I�IIIIIIIIII�III II COMB Permit: X2019-3903
Project No :
Issued Date: 12/09/2019
Inspection Area: 3
PERMITS EXPIRE 100 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
Legal Desc.: SEASHORE COLONY TR LOT 1 BILK I SWLY 60 FT -INC POROF ST ADJ- ��
Owner: VALERIE MARC[ & JODY Contractor: RJ COVINGTON GEN Architect:
Address: 6900 W OCEAN FRONT Address: 15581 PRODUCT LANE C2 Address:
NEWPORT BEACH, CA 92663 HUNTINGTON BEACH, CA 92649
Phone: 661-964-9669 Phone: 714-306-9214 Phone: State Lic:.,
Applicant: COVINGTON RANDY Con State Lie: 1039285 Engineer:
Address: 15581 PRODUCT LN C-2
Lie Expire:
05/31/2020 Address:
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HUNTINGTON BEACH, CA 92649
Bus Lie:
ST30060378
Phone: 714-306-9214
Lie Exp Date:
08/31/2020 Phone:
State Lie: m
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Code Edit: 2016
Type of Construction: V-S
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added/New sq. ft. Garage: 0
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Construction
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:
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 1886888
Expire: 03/01/2020
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical W
Mechanical %:
Plumbing %:
Rear: /
Front: I
Left: I
Right: I
'arkina 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: LIQUEFACTION
Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share:
SJH Trans :
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
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:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $393.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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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)
3ection 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
ie 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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).
I, 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).
1 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 legally
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:hftp://w .leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Dat
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm up0PPr.q*alty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7005of ivI on 3 of the Business and Professio a nd Inr i e is in full force
od effect. License Class License No Date / !�• -f Contractor Signature
%W9RS' C0MVENSATION DECLARATION
'ARNIN6: FAILURE fOSECORE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH9 SAN OLLARS ($ 00,0001, IN ADDITION TO THE
OST OF 60MPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm undeGpenalty of perjury one of the following declarations:
idhase and WII: RYaintain 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 thi
qr�qrpance oft Ma,work for which this permit is issued. Policy No.
-t• ave and will 4rTalntain 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' compensatior
uwge carrier aid policy number are:
:airier: Policy Number Expiration Date
YY
Wne.of Agent • Phone #
• ••
.'�T Cesrtify that, -in tIqepertormanc the work for whit this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre'
Jat, if I should became subje q j B ork _ comp en n Drovisions o>_Saction 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant /!� / / n
hereby affirm under penalty of pafjuryha here i�onstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
-ender's Name // Lender's Address
3y 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 county oir 'na ands to laws Sting to building construction.
I authorize representatives of this city or county to ter t b v 'd ntified 'nspection purposes.
3ignature of Property Owner or Authorized Agent.. Print Property Owner's or Authorized Agent's Name I`? "I • J ✓1 k U Date
ACTION DATE BY DECLA COMP H CODE OF FEDERAL FOR OFFICE USE ONLY
REG TIO PART 61 OFTITLE 40ANDAQMD RULE
1403
PERMIT EXPIRED L1 I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED DEPA
PERMIT EXTENDED 13AQMD
PERMITFINAL 1��3 t J SBESTOS NOTIFI[ON IS ryQT APP ABLE TO
CERTIFICATE OF POSEDD MOLIT
OCCUPANCYISSUED SIGNATURE: Jl
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