HomeMy WebLinkAboutX2019-1894 - Permitstry City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660 mnum 0 HIM nnnm111111111111111 e IIII]
Illll�x2+s 1asa
N ' Permit Counter Phone (949)644-3288
er - Inspection Requests Phone (949)644-3255
�Lrrrr%�`9 Combination Type - SFP ELEC PLUM.
COMB Permit: X2019-1894
Project No:
Issued Date : 06/1412019
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 SfJdeys llida
Job Address: 20121 SPRUCE AVE NB �a:�T;"®"`®
Description: SFR - BATH REMODEL 40 SF
Legal Desc.: N TR 1506 LOT 5
Owner: FRAZIER VIVIAN Contractor: NS UCTION Archtizeo"Po'lCab` E
Address:. 20121 SPRUCE AVE add 1 W. T N E #121 Address: 0 Oi
NEWPORT BEACH CA 92660 .-a tpp0"� d AR p 10
Phone: 714-412-9337 Ph � 7 - OS Phon State Lie:
Applicant:
DISTINCTIVE CONSTRUCTION
Address:
1150 W WINTON AVE #121
HAYWARD CA 94546.
Phone:
714-697-3605
Code Edit:
2016
Type of Construction:
VB
Occupancy Group:
R31U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage: 0
No of Stories:
1
No of Units :
1
Bldg Height
0
Bldg Sprinklers:
Flood Zone:
Construction Valuation: $7,500.00
Building Permit Fee:
$200.00 -
Plan Check Fee: $174.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee : 1.00
11 T(Dt, L FEE:
PROCESSED BY: \\ _
ZONING APPROVAL:
GRADING APPROVAL:
Mate Lic 7281 f ` Enginegr: WoM.
Lic Ex 130 eso
Bus 00
/ Lic p Dat+�e: I 0 Phone:
'W era Crsa n Insurance Chle
Carrier: EXEMPT ' Policy No: 9 t�xpir`��`�:
a
Build Setb ks a . Special Conditions:
ront. / a
Left: I
,; Right: I _
Excise Tax: 9
Additional II
Grading Bonds Fee: \\
Grading PC Consultant
Grading Permit Fee:
Grading PggFee:__
WQ InsiotAd,:
-$0.00
Planning Department -
o%tfii�
Plan check Fee
$0.00
Fair Share :
$0.00
Si
$0.00
In -lieu Housing Fee
.00
Public_Wor epaffrfi``
$0.00
$0.00
--PE=
rP7fk Deelic it
Check:
b00
San Dist:
$0.00
NMUSD Fee:
$18.00
Plan Check Fee
$0.00
PUBLIC WORI
PLAN CHECK
State Lie:
-------$T00
mg Dept Adm
nt-
General Service
.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
APPROVALTO
Fee Due at Permit Issuance :
m
e
m
mi m c
oe o
®AO®C
c
moeeo
mmmamo
m,
0
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$449.00
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 ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
nrim roved for the purpose of sale)."
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Prgjpa a ontractors State cen Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Con .•�,;gypuwea a ontractors' State License Law).
z
❑ I am exempt from licensure under the Contractors' State License Law for the follow'
By my signature below I acknowledge that, except for my personal se•ir+'�U" must have r r east one year prior td o�y4Qr�t1 I provements covered by th peiT)tlit, I cannot Iegall)
sell a structure that I have built as an owner -builder if it h een constructed in its 'r�YAI ad tractors. erstand that a copy of the applica�l�la'b/,Sectirfi 6M of he �Usiness and
Professions Code, is available upon request when this application is submitt We n www.leginfo.ca.gov/c Ayl�ttpyb U ' 1 N "•"
Signature of Property Owner or Authorized Agent a �7V �0 O� Date
LICENSED CONTRACTOR'S DECLARATION 191 S
I hereby affirm under penalty of perjury that I am license under provisions ,�q�pter om �mY#�'I Sec to is n 3 of the Btq@$asnd e n 1r1 . na®1is in full force
and effect. License Class No ed ^. �'� E' h. e" • �atM6t5ign ure
WORKERS' C�MI�9NSATION DECLARATION �',.�' ' y
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION cOVERAG UN r FUL, _ Ewer: MPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,� 1f0) I-. DDITION TO THE
C8tT""MPENSAAOM. DAMAGES AS PROVIDED FOR IN SECTIONS 311 90R C ,INTEREST, AND ATTORNEY'S FEES.
penalty of perjury one of the
I stave and will maintain a certificate of consent tgfsef�LUM
;ormpnce of t4d yvgd(:or which this permit is issued. 11 Policy No.
hake and will maintain workers' compensation insurance, as
ars
Reece carrier ande policy number are:
IR s.ew Policy .tt
011
iS Ofe'p' anc of the ork for which this f
be, jubject to e VOr ers' compensation
Ke of
"6
as provided for by Section 3700 of th Labof Code, for
Code, for the performance of the work for which this
n any manner-
[ shall forthwith
hereby affirm unde( penalty of perjury that there is a construction lending agency for the performance of the work for which t vnil
-ender's Name l 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 brier s b�— _--'—"r—
I have read this application and the information I hav 1 e correct.�,a.��-'°'"`"''v-
I agree to comply with all applicable city and co y ordinanc ala' . r�.huildlR'j`fsliuction.
I authorize representatives of this city or co y to enter the,a . dd I I property for inspection purposes.
Signature of Property Owner or Authorized Ag Print Property Owner's or Authorized A
ACTION e`;.�J' DATE I BY (. DEC RATION OF COMPLIANCE WITH CODE OF FEDERAL i FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED I _ ��1 LIISUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED 'Z.22.2'L EPA
CERTIFICATE OF II CP'1 RE: DI
MO� L' I/NB CIS I NIS NOT TO
OCCUPANCYISSUEO
is issued. My
compensation
19
and