HomeMy WebLinkAboutx2020-1631 - Permitswt City of Newport Beach - Building Division Illlll�lll�lll�llllllll�llllllll�lll�llllllllq II COMB Permit: X2020-1631
4 A 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 1 6 3 1 CprOJ2Ct No:
Permit Counter gistsPhone
Phone(949)644-3288
)644 NO CONSTRUCTION NOISL
Inspection Requests Phone (949)644-3255
9V V 6V�7tf1tJ 60
o- x sau' Combination Type - SFP Issued Date: 07/1612020
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJEC�FQ(l�pl.� o/ work OR PERMIT
Sundays M Holidays LID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday 8. E� g
Job Address: 406 38TH ST NB
Description: SFR INSTALL DECK COATING @ ROOFTOP DECK 480 SF & MST. BEDROOM DECK 100 SF, ESR#1661
Legal Desc.: CANAL SECTION BILK 437 LOT 4 cc
Owner: SWANER
Contractor.
CRANK WATERPROOFING
Architect:
0
Address: 1946 TONDOLEA
Address:
134 COMMERCIAL WY
Address:
LA CANADA CA 91011
COSTA MESA
CA 92627
! ,
Phone:
Phone:
949-646-9356
Phone:
State Lic:
LU
Applicant: RAY SAVANNA
Con State Lic:
1038420
Engineer:
Address: 134 COMMERCIAL WY
Lic Expire:
0413012022
Address:
COSTA MESA CA 92627
Bus Lic:
BT30063958
' A
Phone: 949-646-9356
Lic Exp Date:
0613012021
Phone:
State Lic:
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction: VB
Carrier:
FALLS LAKE
Address:
Occupancy Group: R31U
Policy No:
FLA01345000
Added /New sq.ft. Bldg: 0
Expire:
0112612021
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: I
Special Conditions:
HIGH DENSITY &
No of Units: 1
Front: /
LIQUEFACTION AREA
Bldg Height: 0
Left: /
Bldg Sprinklers: N
Right: /
Flood Zone: X,AE
Use Zone:
Parking Spaces:
0
Fire Hazard Zone :
N
Construction Valuation: $8.500.00
Building Permit Fee: $219.00
Excise Tax:
$0.00
Planning Department
-
Fire Department
Plan Check Fee: $0.00
Additional Fee:
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management: $0.00
Grading Permit Fee:
$0.00
in -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee: $1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $220.00
Plan Check Fee:
$0.00
Fee Due at
Permit Issuance :
$220.00
PROCESSED BY:
ZONING APPROVAL:
0
GRADING APPROVAL:
o�d bd °oo 0 0
o .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)�
ction 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
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
fessions 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
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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
,iness 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
rovements 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
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 Professions Code: The Contractors' State License Law does not
Iy 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).
V I am exempt from licensure under the Contractors' State License Law for the following reason:
By 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 coven
sell 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
Professions 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.
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section of Divisi n 3 of the Business and Pr fe ' ns Code,
and effect. License Class License No Dat __ 2b�, Contractor Signet -
of the Business and
WORKERS'COMPENSATION DECLARATION >VV
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH ND DOLLARS I$100,000t, IN AV2MN TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
I have and will 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 th
performance of the work for which this permit is issued. Policy No.
have and will ��11S,ir tain 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'
rance carrier a11d?lolicv number are: A
ne of Agent
certify that, in the performance of th work for
, if I should become syb' ct-Kthe workers' co
iature of Applicant
Date
is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nata l'1f:1 10 l 1ti1 f�
Ireby affirm under penalty oPperjety that there is a cdQJtmction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name Lender's Address
By my signature below, 1 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 ordinances and state la Mla
I authorize representatives of this city or count the above-identifie prope
Signature of Property Owner or Authorized Agent -.
ACTION DATE BY El DEC RATI OFCOMPLIA C WITH
REGU NSPART61OFT E40AI
g to building construction.
for inspection purposes.
FEDERAL I FOR OFFICE USE ONLY
RULE
1403
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
: • ••
•• • •••
PERMITCANCELLED
UEPA • ••:
PERMITEXTENDED
13AQMD • • •• • •
PERMIT FINAL
9 (J,� yD
ASBESTOS NOTIFI ON IS NOT FPj If TO
CERTIFICATE OF
P POSED EM ION
OCCUPANCY ISSUED
SIGNATURE:
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0 00 ° ° o00 00 000
0
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