HomeMy WebLinkAboutX2021-0357 - Permits.,,
City of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
Combination Type -MFP
I�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0357
x 2 9 2 1 0 3 5 7 Project No :
Issued Date :0211712021
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/18/2024 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: 126 40TH ST NB
Description: MFR REPLACE EXTERIORSTUCCO ON FRONT ELEVATION W/HARDIE SIDING & PLYWOODSHEAR WALL ON INTERIOR
Legal Desc.: RIVER SECTION BILK 39 LOT 14
Owner:
MIN BRICEIANNE
Address:
20104 CHIANTI CT
YORBA LINDA CA 92886
Phone:
Applicant:
P B CONTRACTING
Address:
1996 FULLERTON AVE
COSTA MESA CA 92627
Phone:
949-650-1408
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R311.1
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Building Permit Fee: $127.00
Plan Check Fee: $110.49
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: $238.49
PROCESSED BY:
ZONING APPROVAL:
Contractor:
P B CONTRACTING
Address:
1996 FULLERTON AVE
COSTA MESA CA 92627
Phone:
949-660-1408
_. Con State Lic:
831793
Lic Expire:
02/28/2022
Bus Lic:
BT30031698
Lic Exp Date:
04/30/2021
Worker's Compensation Insurance
Carrier. WC EXEMPT
Policy No: (NO EMPLOYEES)
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: I
Front: I
Left: I
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lic:
State Lic:
Special Conditions: LIQUEFACTION & HIGH
DENSITY AREA
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
$0.00
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
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $238.49
PUB'__IC 4VORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL90 ra5„UE:
.
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0
0
DO
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(G)
(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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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
improved for the purpose of sale).
❑ 1, as owner of the property, am exclusively contracting with licensed Contractors t0 construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply 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).
❑ 1 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 covered by this permit, 1 cannot legalll
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 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
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 0 ) of ivi ion 3 o the Business and Prof d and my license is in full force
and effect. License Class License No Date Contractor Signature
INORKERS' COMPENSATION DECLARATION
NARNING: 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
COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
'. e by affirm under penalty of perjury one of the following declarations:
I hav 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
3erfor nce of the work for which this permit is issued. Policy No.
have and will maintain workers' compens insu nce, 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 ber are:
3arrier olicy Number Expiration Date
Na of Agent Phone #
certify that, i*Ierfify
f the 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
.hat, if I should b a rkers' compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions.
Signature of ADpB5te � �' "
DECLARATIONNSTRUCTION LENDING AGENCY
hereby affirm urjury that there is a construction lending ag r the performance of the work for which this permit is issued (Section 3097, Civil Cod ).
-ender's Name /Lender's Address
3y my signature each of the following:
I am the property owner or authorized to act on the pert /-iproperty
I have read this application and the informatio ave id
I agree to comply with all applicable city and county in ces relating to building construction.
I authorize representatives of this city or count nt r e abfor inspection purposes.
Signature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Agent's Nam at
ACTION DATE BY FGNATURtV
OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED ED ASBESTOS NOTIFICATION TO
PERM/TCANCELLED e2
PERMIT EXTENDED
PERMITFINAL -��-�� NOTIFI �IIS1NOTAPPLICA13LF.�TO
CERTIFICATE OF ITI r
OCCUPANCYISSUED
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