HomeMy WebLinkAboutx2019-0826 - Permitst1 City of Newport Beach - Building Division
tad 100 Civic Center Drive, Newport Beach, CA 92660
E l Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC
'X2019-0826' COMB Permit: X2019-0826
Project No : 0610-2019
Issued Date: 0312612019
Inspection Area : 2
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: 439 EL MODENA AVE NB
Description: SFR PARTIAL DEMO AND REBUILD EXISTING DETACHED GARAGE 549 SIF
Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BILK 26 LOT 15 r ! FW_% •1P% , .A
Owner:
COX BRYAN
Contractor:
Address:
439 EL MODENA AV
Address:
NEWPORT BEACH CA 92663
Phone:
Phone:
Applicant:
SANCHEZ LEO
Con State Lie:
Address:
2452 PACIFIC DR
Lie Expire:
LONG BEACH CA 90806
Bus Lie:
Phone:
562-481-6269
Lie Exp Date:
Code Edit: 2016
Type of Construction: V-B
Occupancy Group: U
Added /New sq.ft. Bldg: I
Added /New sq. ft. Garage: 1
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
$44,000.00
Building Permit Fee: $680.00
Plan Check Fee: $591.60
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$24.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
II TOTAL
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
OWNER/BLDR
RUIZ JAMES
O/B
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
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: 5'
Front: 20'
Left: 4'
Right: 4'
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$47.60
$0.00
$0.00
Plan Check Fee
U�g
10
Address:
Phone:
State Lic:
° °, ° •
° °
• •
Engineer:
CASTILLO MARGARITO
° ° ° a ° °
°
° • °
Address:
1205 PINE AVE
°• •
......
LONG LONG BEACH CA 90813
a
°•°a°
Phone:
562.961-5600 State LIC:$-004808
° •
v ••o •v
Designer:
°
Address:
°°°°
Phone:
Special Conditions: O/B AUTH ATTACHED
Planning Department -
Plan check Fee:
Fair Share:
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PNV Plan Check:
$41.25
San Dist:
$0.00
NMUSD Fee:
$0.00
$697.25
Zone: N
Fire Department
$40.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Due at Pbkmit Issuance :
$729.20
PUBLIC WO KS APPROVAL:
PLAN CHE K BY:
APPROVAL T SUE:
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) 1 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 penalty of
ore than five hundred dollars ($500).
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 t0 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 Ugrpose of sale).
1 I, as owrRg*9Lty2 property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ipplyjo 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).
am ex4yrf;q licensure under the Contractors' State License Law for the following reason:
iy rpy 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 Stmcture t'at I have built as on owner-builder'rf d has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and
rolessions CQtla iS available upon request whe this application is submitted or at the following Web site:http:/lwww.leginfo.ca.gov/calaw.h[ml. �G - q
Sjgnatyre of PreM yOwner or Authorized Agent Daj
-IC2NSED COAI�TF�ACTOR'S DECLARAT
rttBSEby-affim{uriderpanalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
,W ect. LiceV Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
c.
JARNINQ: FAILUR� TO.SEO..URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINER UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000I, IN ADDITION TOTHE
:QraT.QFFOMPENSA SON, QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
4ejq;Vaffirm ender eenalty 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.
:3I have and will maintain 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
nsurance carrier and policy number are:
vier Policy Number Expiration Date
J f Agent Phone #
ce Ify that, income performs ich 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 agree
a , I should become lect to the workers' com s "on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Appli n -- Date�c Y O�
)ECLARATION RE G AGENCY
hereby affirm under penalty of perjury that there' construction 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 cou relating to building construction.
1 authorize representatives of this city or to enter th property for inspection purposes. r�
signature of Property Owner or Aut a en Print Property Owner's or Authorized Agent's Name u/2 e
ACTION DATE DECLARATION 006MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITC4NCELLED OEPA
PERMIT EXTENDED QMD
PERMIT FINAL 1 B IFICATION IS PP LE 0
CERTIFICATE OF 1 �J SED DEMOLIT
OCCUPANCy1SSUED 11