HomeMy WebLinkAboutX2020-1588 - PermitsCity of Newport Beach - Building Division *X2020-1588* COMB Permit: X2020-1588
o't - 100 Civic Center Drive, Newport Beach, CA 92660
F, ', R, Permit Counter Phone (949)644-3288 Project No
z"`t. Inspection Requests Phone (949)644-3255
e'rtxvuic'"+s: Combination Type - SFP ELEC Issued Date: 07/1512020
Inspection Area: 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0711612023 OR PERMIT WILL BE INVALID
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: 7 DOLOMITI NB
Description: SFR INSTALL DOOR ALARMS 8: CLOSING GATE MECHANISM "CTY STD"
Legal Desc.: N TR 15467 LOT 45 INSPECTOR
Owner: GROUX ROBERT& RISA Contractor: OWNER/BLDR Architect:
Address: 7 DOLOMITI Address: SMITH CARI Address:
NEWPORT BEACH, CA
Phone: Phone: 949-683-2349 Phone: State Lic:
Applicant:
SAFFELL REED
Address:
7 DOLOMITI
NEWPORT BEACH, CA 92667
Phone:
949-280-1237
Code Edit: 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units: 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Building Permit Fee: $107.00
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: $1
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic: GIB
Engineer:
Lic Expire:
Address:
Bus Lic:
Lic Exp Date:
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
Address:
Policy No:
Expire:
Phone:
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: /
Right: I
3arklnu Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.49
$0.00
$0.00
Plan Check Fee
State Lic:
Special Conditions: GIB AUTH ATTACHED
Hazard Zone :
Planning Department -
Plan check Fee
Fair Sham,
SJH Trans:
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
P/W 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:
acme
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•
• •
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Doom
a•a••a
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Pennit Issuance : $115.49
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
0
�..oa
0
„o
DocuSign Envelope 10: 9AODDA50-B4A4-4DC2-9D6F-35CC678B53FO
I hereby milmh 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, after, 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 (Chapter9 (commencing with Section 7000) of Division 3 ofthe Business and
rrofessions Code) or that he orshe is exempt from licensure and the basis forthe alleged exemption. Any vitiation of Section 7031.5 by any appltbard far a pannil aubjects the applicant to a civil penalty Of
of re than five hundred dollars ($500).
i, as owner of the property, or my employees with wages as their sole compensation, will structure (j all of or U portions or the work, and the is not Intended or offered for sale (Section 7044,
lusiness and Professions Code: The ContrectoW 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 bulk or
nj+roved for the purpose of sate).
J I, as mner of the property, am Exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Pmtessions Code: The Contractors' State License law does not
ipply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contactor pursuant to the Contractors' State License Law).
3 1 am exempt tram licensureunderthe Conhadom' State License L.awforthe following reason
ly my signature below I acknowledge that, except for y personal residence In which I must have resided for at least one year priorto completion of the improvements covered by this permit l cannot legal)
yell a structure that I have built as an owner -builder lilts not een constructed in its entirety by licensed contractors. I understand that a copy at the applicable law, Section 7044 at the Business and
'rofesslons Code, is available upon requestwhen (.. s I u6rrdlted or at the following Web site:htpJ/www.legbdo.ce.govkalaw.htmi. ^7
lignature o1 Property Owner or Authorized Agent pnte _ L.a�[_.{
.ICENSED CONTRACTOR'S DECLARATID
hereb%albmr under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pro si a license is in full force
End e#U* License Clue License No Date. Contractor Signature
VORKWd' COMPENSATION DECLARATION
MRMBGFALbAe TO SECURE WORKERS' COMPENSATION COVERAGE rs UHLaNFUL, AND SHAH WUWN AN BypLOTER To CarzN PHiA Na AND CML PINES UP TO ONE HUNDRED THOUSAND DDLLARS (51e0,000), [N ADDITION TO TNI
AST RACONPENSFTION, DAMACEB AS PR)WDED FORK SECTION =6 OF THE LABOR Coop, NTERE5r, AND ATTORNEYS FEEL.
hereby 0fftrm under penalty of pejury one of the following declarations:
will maintain a certificate of consent to selfinsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Cade, for
the work for which this permit is Issued. Policy No.
end will maintain vmrkars' 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'
carder and policy number are:
In the
affirm under
Nacre
Number
work forwhich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agre
1Ker rsatlon provisions of Section 370D of the Labor Code, I shall forthwith comply with those provisions. —]
Date
of pejurythat there Ise construction handing agency forthe performance of the work for which this permit is issued (Serbon 3097, Civil Cade).
Lender's Address
By my signature below, I cedby, to each ofthe following:
1 am the property owner at authorized to ad an the property owner's behalf.
1 have read this application and the Inla sit 1 ve provided is correct
1 agree to comply with all applicable Katy and n, in ces and state laws relafrng to building construction.
I authorize representatives of this city orcounty o n r i b n8flsd props lo jmpec ion purposes. r
IgnatureofPro a . OwmararAufferimd uent Print Pmpeny Owner's. orAbthonzed Agent'a Name Date
ACTION PATE BY DECIARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
CERTIFICATE OF Z(YZO
OCCUPANCYISSUED
SUBMITTED
NOTIFICATION IS NOTAPPUCABLE TO