HomeMy WebLinkAboutX2018-2614 - Permits�7t1+o City of Newport Beach - Building Division IIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-2614
'. 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 2 6 1 4 Project NO
= Permit Counter Phone (949)644-3288
I: E' Inspection Requests Phone (949)644-3255
e� p Combination Type - SFP ELEC MECH PLUM Issued Date: 0813112018
04e1a
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 Sunda s o o/id
Job Address: 20401 CYPRESS ST NB
Description: SFR REPAIR LEAKS AROUND SKYLIGHT (NO STRUC CHNGS) KITCHEN & BATHROOM UPGRADE,(.jgkkln66Gj�@rY'`S`V`l'�
Legal Desc.: TR 706 LOT 160 NELY1/2 �iCablw
e• � �..
Owner: SWARTZBAUGH JIM ontractor. S NIELL AME t:
Address: NEWPORT BEACH, CA 92660 Address: 34 9 BEACH CA 9 663 DO Address: ❑ 80% Or ❑ 76
®fie;
Phone: 582-755-3690 hone: 714-815-5097 r; -ne: - State Lic:
Applicant: SANTANIELLO JAMES Lic:COS
2 �* Q nginee to whom: -----
Address: 3419 VIA LIDO #115 Lic Ex 24'ids. "N 19 VIA L BEACH CA 92663 Bus Lic Phone: 714-815-5097 Lic te: 9 Phone: State Lic:
Code Edit: 2016 Worker's Compensation Insura , Type of Construction: VB O-ZED
Occupancy Group: R3/U cy 320(P
Added /New sq.ft. Bldg: 0 xpl /01/20 Phone:
oeoo
Added /New sq. ft. Garage: 0 �if . .
No of Stories: 1 uildi - Rear: I Special Conditions: eeefffl^^ o 0 0
of Units: 1 Front: I Bldg
_ isca .e.
Bldg Height: 0 Left: I 'w u
Bldg Sprinklers: Rg,� a,(y g . i k yt�a, rted) ®.
Flood Zone: U e Zo e: dc' e a 3 Fire Hazard ZoAeYrN \AOOrr> / ° c
Construction Valuation:
$20,000.00
;,
o 0 o m
Building Permit Fee:
$367.00
Excise Ta
{{ ve Ii`�
F 0•�
Stcrted�
Planning Department -
_----.....0
Fir partner'
° ° ®° ® e
Plan Check Fee: $319.29
Additional ee :
$0.00
Plan check Fee : ____._..----S�F
50- ---- Fire Inspection:
ttial
Overtime Plan Ck:
$0.00
Grading B ds Fee:
$0.00
__ LSlaan;r-�-"
$0.00 Fire��)�p�Eted
0.00
Investigation Fee:
$0.00
Grading P Cggtu0
SJH Trans :
��D------'D�molition Fee
Record Management:
$2.00
Grading Pe it flee:
$0.00
In -lieu HoouuaiagXeeti
"�
$o.q;0�1 ..-43TAI apt Adm
° $0.00
Energy Compliance:
$0.00
Grading PC as:
$0.00
_---PuWic Works D T,SmsnW """`" General Service
4$0.00.
CA Seismic Safety:
$0.00
WQ Insp. F
.00
ica ion :
$0.00
Refund Deposit
�
40.00
Disabled Access:
$0.00
.g,�;,.,:=��
PNV Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$25.69
San Dist:
$0.00
Building Green Fee :
$1.00
Mechanical W
$14.68
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$33.03
$0.00
TOTAL FEE: $800.19
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee:
$0.00 Fee Due at Permit Issuance : $800.19
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
I;l
000
0
0
0 00
000c
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 to a civil penalty of
not more than five hundred dollars ($500).
❑ 1, 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,
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
improvements 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 burd viti'^q`j(that it was not built or
im roved for the purpose of sale). 6'
u Pas owner -of the property, am exclusively contracting with licensed Contractors to construe jecat BeEHt➢tl u3 B siness and Professions Code: The Contractors tale .icense Law does not
app) to an owner of properly who builds or improves thereon, and w ta�etsier jet s with a licensed Contractor pu I fa`n�t to lry ico�ibmtors' State License Law).
❑ I to exempt tfrom licensure under th ate License for Ilowi ason: 1 {� G
By iffy signature below I acknowledge th ,except for my personal re ' �hlls\�a r dfier-at-lea'ST'one year prior to complet'Ion�f,th jtrtq(gpryipRig y� re by t}�is permit, I cannot legal)
sell a structure that I have built as an ow r-bui(sgr.�llas not been c n n Ret b licensed contractors. I unders r� o [jb� dplijdab Fa�tS'ecilon 44.fiR the Business and
Professions Code, is available upon requ t wh�orrllffffff1S§y pb ca Ion Is submitted or at the following W 'le: ginfo.ca. v a aw. tml. -�',
Signature of Property Owner or Authorize Agent ate ?i
LICENSED CONTRACTOR'S DECL RAT }} \t'{� au
1 hereby affirm under penalty of perjury th I am 'tensed er p isions of 9 o n S iviAQ 3 bl R Business sions ode a r e e is in full force
and effect. License Class icen o a e - Contract Si ature
VORKERS' COMPENSATION DECO
IARNING: FAILURE TO SECURE WORKERS' COMPE
;DST OF COMPENSATION, DAMAGES AS PROVIDED
hereby affirm under penalty of perjury one
I have and will maintain a certificate c
e 49 -ante of ths-v o lk for which this pern
rva and wilimalntain workers' comp)
f* carriet %10(yicy number are:
I of the
the wo
of perury that
'ION-L'6VERAGE IS UNLAWFUL, AND SHALL
IN SECTION 3706 OF THE.LAISO&COW, IUD
I,mW signature below,i certify to each of the fo owinl
. J a the prgpedy owner or authorized to act nth(
I have read dis % placation and the informatt I h
I agree to comply with all applicable city and V in
I authorize representatives of this city or county to
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
Policy
UP TO ONE HUNDRED
Relations as provided for by Section
as required by Section 3700 of the Labor Code, for the performance of the
any person in any manner soVd1d bWG6
Labor Code, I shall forthwith comply with
Address
work for which this permit is
for inances and state laws relating to building construction.
m r abov entified property for inspection purposes.
Print Property Owners or Authorized Ag
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
SUBMITTED ASBESTOS
CERMFICATAL 1 OSS ' ENO ITCATION IS NOT PLICABLE TO
OCCUPANCYISSUED
Dr cyhic I 1 issued
10
tee)
to the workers' compensation
I�
IN ADDITION TO THE
Labor Code, for
and