HomeMy WebLinkAboutX2019-3957 - Permits (2)City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X201
o 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 3 9 5 7 Project No : 2732-2019
Permit Counter Phone (949)644-3288
v a Inspection Requests Phone (949)644-3255
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,o= Combination Type - SFP MECH ELEC PLUM Issued Date :
Inspection Arearea :2020
6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 8 SECRET COVE NB
Description: SFR REMODEL 720 SF (GREAT ROOM)
Legal Desc.:
Owner:
SIMON DAVID
Address:
8 SECRET COVE
NEWPORT BEACH CA 92657
Phone:
Applicant:
BALDING JAMES
Address:
18025 SKY PARK CIR #K
IRVINE CA 92614
Phone:
949-354-4434
Code Edit : 2016
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: N
Flood Zone: X
Building Permit Fee: $1,408.00
Plan Check Fee: $1,224.96
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$24.00
Energy Compliance:
$98.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$6.00
TOTAL FEE: $3,123.81
PROCESSED BY:
ZONING APPROVAL:
Contractor:
GREAT EARTH ENVIRONMENTS
Address:
12061 DUNAS RD
SANTA ANA CA 92705
Phone:
714-371-7972
Con State Lic:
353892
Lic Expire:
05131/2021
Bus Lic:
BT30066733
Lic Exp Date:
04130/2020
Workers Compensation Insurance
Carrier: (NO EMPLOYEES)
Policy No: NEIL SPAIN
Expire:
Building Setbacks Rear: I
Front: I
Left: I
Right: I
Architect: BALDING JAMES
Address: 385 S GLASSELL
ORANGE CA 92866
Phone:
949-354-4434 State Lic:CO26436
Engineer:
CHRISTIAN DALE
Address:
1744 W KATELLA AVE #107
ORANGE CA 92667
Phone:
714-997-1145 State Lic:S-002705
Designer:
Address:
Phone:
Special Conditions:
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee
Grading Bonds Fee:
$0.00
Fair Share:
Grading PC Consultant :
$0.00
SJH Trans :
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
P/W Plan Check:
$41.25
Electrical %:
$98.56
San Dist:
$0.00
Mechanical %:
$56.32
NMUSD Fee:
$0.00
Plumbing %:
$126.72
Zone : N
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
Plan Check Fee : $1,306.21 Fee Due at Permit Issuance : $1,817.60
PI IBUC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: A9PR0,VAL,T,O ISSUE:
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(s)
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
ie 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
'rofessions 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
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 built or
nproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 legall,
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 f ivi 'on 3 of the Business and Pr ssio e, and my lice a is in full force
nd effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
'ormance of the work for which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensa
Trance carrier and policy number are:
Policy Number Expiration Date
of Agent Phone #
41 certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
tat, if I should become
a bject o th workers' compensaion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. j 2 �+ '� L
',ignature of Applicant 7C . A � ✓ ��� Daty .3 7 K 7
IECLARATION REG RDING CONS UC ION LENDING AGENCY
hereby affirm unde penalty of perjury that tfte is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ender's Name Lender's Address
Iy my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf. , I
I have read this application and the information I have provided is correct. N
1 agree to comply with all applicable city and county ordinances a d state laws relating to building construction.
I authorize representatives of this city or count' tp'ersf$r the aboo-identified property for inspection purposes.
ACTION DATE BY - DECLARJ.TI0111.6F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
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PERMIT EXTENDED OAQVID
PERMITFINAL -f ( ASBESTOS NOTIFICATION IS NOTtPPLICABLE TO
CERTIFICATE OF �� ` ` PR OSED E OLI
OCCUPANCY 155UED SIGNATURE: