HomeMy WebLinkAboutX2019-2101 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP PLUM
III IIIIII Ilul IIIII IIIII II IIIIII IIIII IIIII IIIII Ill II.
COMB Permit: X2019-2101
Project No :
Issued Date : 07105/2019
Inspection Area : 8
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: 9 OAK TREE DR NB
Description: SFR PEX RE -PIPE (E) DWELLING (19) FIXTURES
Legal Desc.:
N TR 16389 LOT 14
r p t ^ ^ E ^T®
11 t{\Y! \\•! `V Iv= ,mom,
Owner:
CARPENTER EDWARD J
Contractor:
HARRISON SCOTT PLUMBING
Architect:
Address:
9OAK TREE DR
Address:
10644 ROSE STREET
Address:
-
NEWPORT BEACH, CA 92660
STANTON CA 90680
Phone:
Phone:
714-821-8277
Phone:
State Lie
Applicant:
KATHYIHARRISON SCOTT PLUMBING
Con State Lie:
481190
Engineer:
Address:
10644 ROSE STREET
Lie Expire:
06/3012020
Address:
STANTON CA 90680
Bus Lie:
BT30068000
Phone:
714-821.8277
Lie Exp Dater
0713012020.
Phone:
State Lie
Code Edit: 2016
Worker's Compensation Insurance
Type of Construction:. VB
Carrier: BERKSHIRE INS
Occupancy Group: R31U
Policy No: SCWC928544
Added /New sq.ft. Bldg: 0
Expire: 10/0112019
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $376.00
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: $410.84
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
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: /
Front: /
Left: I
Right: /
Lie.. Cranes
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$33.84
Plan Check Fee :
Designer:
Address:
Phone:
Special Conditions:
Planning Department -
Plan check Fee:
Fair Share:
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication:
$0.00
PM 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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$0.40
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`$P00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $410.84
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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
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 penally 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 C-) all of or (_) 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
n roved 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
only 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 legalh
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.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect io 00 of D'VISI n 3 of the Business and Pro o Code, nd my license is in full force
nd effect. License Class License No Date Contractor Signature .IJ414 �f � �y�%�,,�
IIORKERS' COMPENSATION DECLARATION —� /
DARNING: FAILURE TO SECURE WORRERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI NAL PENALTIES ANO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1E700,00a1, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
ave and will "Ilintain 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 th
erform nce of *e wor6for which this permit is issued. Policy No.
e and wjl myiptain 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
rsuran carrief-jrrd policy number are:
Policy Number
Date
famedf Agent Phone#
s1r1 eertify that, in4heperformance of the work for which 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 agre
;at, it rshould beceme subject o the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ii9rMotlug of ApfhicaAN
AQ41,A�R,ATION RL' RDING CO STR TION LENDING AGENCY
-hereby,affirm uncle penalty of per ury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -
ender'sName'" ': Lender's Address
Vr" tonature Wow, J certify to each of the following:
' 1 tM the prdbpgg p4tner 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or coun�ty to ens�g/r �the a)ove-identified property for inspection purposes.
Sienature of Property Owner or Authorized Agentl� oGAiZIw J� be& Print Property Owner's or Authorized Agent's Nan��A-rNil
ACTION DATE BY/ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY /
ll REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
rPERMIT EXPIRED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED LIAQMD
PERMITFINAL 7Tt7A I U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF CA
(' PROPOSED DEMOLITION
OCCUPANCYISSUED CA J SIGNATURE: