HomeMy WebLinkAboutX2020-2731 - Permitscity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
y 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 7 3 1
. M Permit Counter Phone (949)644-3288
� "M Inspection Requests Phone (949)644)644-3255
Combination Type - MFP ELEC MECH PLUM
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJEC UST BE COMPLETf9 B71,I
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Satur from 8:00 a.m. to k*p.m. A
Job Address: 8 CREST CIR NB (�
Description: MFR *STOP WORK* REMODEL KITCHEN, MASTER & GUEST BATHROOMS
Legal Desc.: TR 8406 LOT 1 UNIT 13 OF PROJECT LOCATED ON AP 458-311-04 TOGET \NGa \o
Owner:
Address:
Phone:
Applicant:
Address:
Phone:
FROELICH CARTER & BRONWYN Contractor: O - RIBL% rb0W QUO Archi
4612 N 39TH PL Address: ROELICH B NWYMbo�o ress:
PHOENIX AZ 85018 16
Phone: / O re. Phone:
FROELICH BRONWYN
4612 N 39TH PL
PHOENIX AZ 85018
602-301-9050
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R211)
Added /New sq.ft. Bldg: '0
Added Mew sq. ft. Garage: - -- 0
No of Stories: -2' r1
No of Units : "-. 3
Bldg Height: k
Bldg Sprinklers: ,.
Building Permit Fee: $416.00
Plan Check Fee: $361.92
Overtime Plan Ck:
$0.00
Investigation Fee:
$416.00
Record Management:
$6.00
Energy Compliance:
$0.00
CA Seismic Safety :
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTALFEE:
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
COMB Permit: X2020-2731
Project No : 2169-2020
Issued Date : 1112312020
Inspection Area : 6
3 OR PERMIT WILL BE INV,
on Sundays or Holidays
Pon State Lie : /B \Q` Engineer: LARA TCARLOS E
Lie Expire: Address: 20365 Y STF
Bus Lic% - PERRIS CA 9k70
Lic P Date' ,i A$ BUILT Pfe�NalT 909� i&``
�er's Cornpensation I
C�aater
Pole No:
Expire: =ice
Building Setbacks
Left: 11
Right' I
Zone:
':de'' ise T $0.00 Planning Departm
'tonal -il $0.00 '� Plan check Fee
g Bonds Fee: �0.00 - Fair Share
PC Consultant: $ SJH Tra
ing Permit Fee: $0.DQaI in-li ousing
rading PC F ((``�$��"'.���¢ P c Works p;
WQ Insp. F 1�j r�'d.00 Park D cat'
1 P a eck
El ;a M%: `v�O $16.12 N D D Fee:
%: 437.44
N- 0'�
:�QFse Ham
nr-
$0.00
$0.00
$0.00
$0.00
rL1
/ fire Department
4 Fire Inspection:
0.00 Fire Plan Rev
$0.00 Demolition Fee
$0.00 Building Dept Adm
General Service
Refund Deposit
Grading Bond:
0 10,
y0.d0 , ...•
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
WOO Fee Due at Permit Issuance : $1,330.37
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 ndicate l below by th
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, im e, demolish, or re ;%&n
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' e License Law (9 (C(
Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. An lalion of Section 707( by any
not more than five hundred dollars ($500).
LJ I, as owner of the property, or my employees with wages as their sole compensation, will do
Business and Professions Code: The Contractors' State License Law does not apply to an ow
improve ants are not intended or offered for sale. If, however, the building or improvemen s
rq for the purpose of sale). f`'a, o 0
instruct thY proje¢j,�,clion
projects with S' 154 sed Con
v/ 1. (
111maysm'tructure
s owner of the property, am exclusively contracting with licensed Contractors
oan owner of property who builds or improves thereon, and who contracts t
exempt from licensure under the Contractors' State License Law fo a follo
gnature below I acknowledge that, except for my personal resid in which
that I have built as an owner -builder if it has not been strutted in .
Professions Code, is available upon request his app' a ion ubmitted o
Signature of Property Owner or Authorized A t
LICENSED CONTRACTOR'S DECLARMION ,�I
I hereby affirm under penalty of perjury that I am licens nder ploil'I�ions of Char,
and effect. License Class Lican'Xe'TTVV0
of or
resided
censSeedd
w
inc with
06 structure
personal eff
I have placed next to the applicable 1em(s)
Ir to its issuance, also requires the applicant Tor
r Section 7000) of Division 3 of the Business and
permit subjects the applicant to a civil penalty of
Business and Professions Code: l
pursuant to the Contractors' Slate
one year prior to completion of the
. I understand that a copy of the at
leginfo.ca.gov/calaw.html. , I(
or offered for sale (Section 7044,
)roves the property, provided that the
den of proving that it was not built or
7000) of Division 3 of thq4ksinNs and Professions
)RKERS' C,C,MPENSATION DECLAR N �� ' � ` (ems'
tNING: FAILURE TO SECURE WORKERS' COMPE ION COVERA IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 9EI�CM IN� TO ONE
IT OF COMPENSATION, D WAGES AS PROVID ORINSECTIO 706 OF TAELABOR CODE, INTEREST, AND ATTORNEY'S FEES. • CO
reby'affirm under penalty of perju a of the fo Ing declarations: ` ,,`O��
i have and will' maintain a icate of c sent to self -insure for workers' compensation,. issued by the or d,6t Relations pro
formance of tho wo:l. for this pkeit Is issued. Policy No. \�
nova and will main rkerS�npensation insurance, as required by Section 3700 of the Labor Code, a performance of a wo`I�drev
Trance carrie;� and p bar are:
rier, Policy Number Expir on�e
the workers
of
:reby affirm under penalty of perjury t1fiWhe% a cVW
Ider's Name ' V
my signature below, I certify to each of th"ollo
x
I am the property owner or authorized to act 9n th rop
I have read this application and the information I h
I agree to comply with all applicable city and c y or
I authorize representatives of thfs cft or co y to enter
nature of ProDertv Owner or Authorize nt
ACTION I DATE
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
permit is issued, I shall not
I provisions of Section 370(
;!Sand state laws rela' g to
above -identified orgiiferty for
REGULATION RT 61 OF
1403 11
I SUBMITTEDA 5T01
State License Law does not
this permit, I cannot
of the Business and
is in full force
(f100,000), IN ADDITION TO THE
3700 of the Labor Code, for
this permit is issued. My workers'
arson in any manntwlso as to c subject to the workers' compensation laws of California, and
Code, I shall fo with conpKy 49 those provisions. 1,04
rDE OF FEDERAL
AQMD RULE
TO
15 NOT APPLICABLE
.a z1�- za
work fyr'wUWthis permit is issued (Section 3097, Civil Code).
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