HomeMy WebLinkAboutX2022-0318 - Permit ApplicationCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
v Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC
`X2022-0318`
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJEC
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday
Job Address: 519 HARBOR ISLAND DR NB
Description: SFR REMOVE & REPLACE (2) EXISTING ENTRY COLUMNS AND (2) LIGHTS
Legal Desc.: N TR 3283 LOT 12 -
Owner: FEIT AARON
Address: 4060 VALLEY MEADOW RD
ENCINO, CA 91436
n i5TiiA
Applicant: MURPHY RICHARD
Address: 6781 DEFIANCE DR
HUNTINGTON BEACH, CA 92647
Phone: 714-596-3500
Code Edit: 2019
Type of Construction: V-B
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: AEB
Building Permit Fee: $110.00
Plan Check Fee: $95.70
1
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: $266.40
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: MURPHY
Address: 6781 Di
Phone:
Con State
Lic Expire
Bus Lic: '
Lic
\�l Bu' ing Setbacks
46
Use Zone
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Gonsultant
Grading Permit Fee:
G rading.PC�i: .
WQ Insp Fee
Electrical %:
UST BE COMPli
8:00 a.m. to W P.M.
oo
O�
16 Archite .
HUNRGTON BEACH" �, 1
719596-3500 0\ Phone:
r
" 781346 � � Engineer:
07/31/ 022 '1) Address:
BT 76770
/31/2022 NO Phone:
in lnsur8nce Designer:
FALLS LAKE , Address:
FLA01677600 s
04/01/2022 � Phone:
Rear I :; wr S
Front
Left I 0
Right. /
klnn .q'... n ire Hazard
$0.0i' Plan Department-
$O00 c ck Fee :
$0.00 \Irhare:
$0.00 H Trans.
$0.00 Irllieu Housing Fe .
$0.00 u� Works De rtmi
$0.01 , 11� Prk Dedica' in�+ta PM/ P I a heck
San Di
Meehan al %: 00 O� NM Fee:
�N Plan Check 0
$0.00
Zone :
COMB Permit: X2022-0318
Project No : 0291-2022
Issued Date : 0210312022
Inspection Area : 2
5 OR PERMIT WILL BE INV,
on Sundays or Holidays
State Lic. ems'
'1®State Lic: ,
DR
Mire Department
Fire Inspection:
Fire Plan Rev
Demolition Fee
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Fee Due at Permit Issuance
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$266.40
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: `I 1
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law fo^ofSection
i ledd-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, h, 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 ContractLaw hapter 9 (commencing with Section 7000) of Division 3 of the Businer,s and
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Ation 7 .5 by any applicant for a permit subjects the applicant to a civ§penalty of
not more than five hundred dollars ($500). _N
[,as owner of the property, or my employees with wages as their sole compensation, will do L)jWtif or L) portions oWivork, a th¢
Business and Professions Code: The Contractors' State License Law does not apply to an owner property who, thro44omployees' o r
improvements are not intended or offered for sale. If, however, the building or improvement is d withimone year Gfi§d npletion, t Own
improved for the purpose of sale). \Pl Q
I, as owner of the property, am exclusively contracting with licensed Contractors to st tp�1Ao jeeccJ.(SNt,tion 7044, iness and P
apply to an owner of property who builds or improves thereon, and who contracts to e proje �V h a li ` d Contract pursuant to the
I am exempt from licensure under the Contractors' State License Law for th Ilowin��qq,. on:
By my signature below I acknowledge that, except for my personal residenc which I rfl�et hav ed for at le t one year prior to com
sell a structure that I have built as an owner -builder if it has not been con `died in its entirety p� ensed c ' r ctors. I understand that a
Professions Code, is available upon request when this application is s fitted or at the follow Web 1 p://www.leginfo.ca.gov/calaw.
Signature of Proo=.rt, Owner or Authorized Agent
structure is not intended or offered for sale (Section 7044,
"sonal effort, builds or improves the property, provided that the
Builder will have the burden of proving that it was not built or
Code: The Contractors' State License Law does not
s' State License Law).
of the aN icable law, Section 7044 of the Business and
LICENSED CONTRACTOR'S DECLARATION ,`p
I hereby affirm under penalty of perjury that I am licensed u r provision f Chapter 9-(commepcing with Section ) of Division 3 of tlge IS
and
and eff:ct. Licenso Class License IN,,.' Date g ZZ G'®.n or Signa
VlORKERS' COMPENSATION DECLARATIO / "m
NAMAJG: FAILURE TO SECURE WORKERS' COMPENSATI OVERAGE IS NLAW FUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AN L FIJSS UP TO ONE HUP
COST OF COMPENSA I ION,. DAMAGES AS PROVIDED EO SECTION370 F THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. n `
i hereby affirm under penalty of perjury on the f I declarations. ,� lftah
\1
I:ave and wia maintain a certifi of cof�E to self -insure for workers' compensation, issued by the Director 'piltl strtionsX
D=,fnrnance of the work for which per ' I Led Policy No.___ttt
/�(/ lace and will maintain w ers' cGfnfi ation insurance,. as. required by Section 3700 of the Labor Code, for the piggm�ance or$r�gilwhig
"U_ml rr:e carrier and polic tuber ar``e''�bbn''SS�'_ '.�� .a•'
r,a of Agent 'v
I certify that, in th e»
it, if I should tiecam bject to
mature ofApi l ant
areby affirm under pell'alty oIV,ur
ider's Name
my signature below, I ceKif)+to c
I am the property owner or .,t o
his I have read tapplication aftKilbt
I agree to comply with all applic6
I authorize representatives of this
nature of Property Owner or Authc
TION I DATE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
Policy Number
Ogrk for which this permit is issued,.I shall not employ any person in any manner
rer's cempe sabon provisions of Section 3700 oo>t he Labor Code, I shall forth
ON OINGAGEY
it the ..construction lending agency. for the pe ormance of the rk for w c
Len er's Addrgss
eul
to `property ownOC
''1f. �brma have provi¢�t �IIc,and county ordjnan at6baws relating uilding he ction.
OF CC
PART
Owner's or
Date
and myjicense is in full force
($100,000), IN ADDITION TO THE
3700 of the Labor Code, for
permit is issued. My workers'
to be:6m2seprovistons.
ject to he workers' compensation laws of California, and agreipl it
permit is issued (Section 3097, Civil Code)
FEDERAL I FOR OFFICE USE ONLY
RULE
IS NOTAPPLICABLE TO
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