HomeMy WebLinkAboutX2020-0363 - Permitsr wr City of Newport Boach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
- ark,itCounter Phone (949)644-3288
3 4 Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
III IIIIIIIIIIIIIIIIII0 IIIIIIIIIIII01IIIIIIII
COMB Permit: X2020-0363
Project No :
Issued Date : 02107/2020
Inspection Area : 2
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7A0 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: 2612 CRESTVIEW OR NB
Description: SFR - KITCHEN & BATHS (3) REMODEL PER CITY STANDARDS 550 SF
Legal Desc.: N TR 1102 LOT 60
Owner:
OWENS ROBERT
Address:
2612 CRESTVIEW DR
NEWPORT BEACH CA 92663
Phone:
949-542.9600
Applicant:
OWENS ROBERT
Address:
2612 CRESTVIEW DR
NEWPORT BEACH CA 92663
Phone:
949-542-9600
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Building Permit Fee: $636.00
Plan Check Fee: $553.32
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
TOTAL FEE :
PROCESSED BY:
ZONING APPROVAL:
Contractor
Address:
Phone:
Con State Lic:
Lic Expire:
Bus Lic:
Lic Exp Date:
OWNERIBLDR
OIB
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: /
Front: /
Left: I
Right: /
Parkinq Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$44.52
$25.44
$57.24
Plan Check Fee
Architect:
INSPECTOR
Address:
Phone:
State Lic:
Engineer:
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Address:
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Phone:
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State Lic: • °
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Designer:
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Address:
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Phone:
.00 Y
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Special Conditions:
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ON SATURDAN%oa
Fire Hazard Zone:
N ° ""O. 0---- •
Planning Department -
Plan check Fee:
Fair Share :.
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
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
$0.00 Fee Due at
PUBLIC WORKS
PLAN CHECK BY:
GRADING APPROVAL: I/ APPROVAL TO ISSUE:
Issuance: $1,360.52
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to tf2e applipable item(s)
:lion 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
ifessions 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 ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
:iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, througl employees' or personal effort, builds or improves the property, provided that the
1 vements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
ro ed for the purpose of sale).
I, s owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70, Business and Professions Code: The Contractors' State License Law does not
Ay to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra�or pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
I a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Aessions Code, is available upon request whe IN p Iicati n�is submitted or at the following Web site:http://www.le�info.ca.gov/calaw.html.
(nature of Property Owner or Authorized Agent '� (a�� Date"-7 —
2ENSED r`OlgWCTOR'S DECLARATION
ereby affirm ulhelVpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)I of Division 3 of the Business and Professions Code, and my license is in full force
Je$fect. License Oiass License No Date Contractor Signature
3RARS' COMPENSATION DECLARATION
RNINP. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
SYOF COMPENSQjIQI$, DAMAGES AS PROVIDED FOR IN SECTION 0106 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
:reStaffirm 61; penalty of perjury one of the following declarations:
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,
ice oftbe work for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the'i, performance of the work for which this permit is issued. My workers' comps
cardemridpolicy number are:
• • Policv Number Expiration Date
for
e• fy that, iri tyre performance of the work for which 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 ogre
rat, if should become subject to orkers' compens ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
'agnature of Applicant Date
IECLARATION REG DING CONSTR CTION LEN ING AGENCY
hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for wfjich this permit is issued (Section 3097, ivil Code).
ender's Name Lender's Address
ly 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 county or finances and state laws relating to building construction.
I authorize representatives of this city or count a tote above -identified property for inspection purposes. r(S/ Dam to a — 25
3anature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Name rzr
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND ACLMD RULE
1403
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMIT EMENDED
QMD
PERMIT FINAL
0 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCY ISSUED
1
SIGNATURE: