HomeMy WebLinkAboutX2019-4072 - Permits,�,gw1•o�, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIII
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 4
Permit Counter Phone (949)644-3288 t
/ tq Inspection Requests Phone (949)644-3255-
r;� Combination Type - SFP ELEC PLUM ,;
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II COMB Permit: X2019-407
0 7 2 Project No
Issued Date : 12I16I2019
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PERMIT EXPIYS AFT UA AL�
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- Construction Hours:
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Monday- Friday 7:a0aAl+.to
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Job Address: 8 WHARFSIDE DR NB
Description: SFR KITCHEN REMODEL 360 SF
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`CITY STANDARD*
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Legal Desc.:
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Owner: STANBACK CLARENCE
Cont`p dons IV �A
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Address: 8 WHARFSIDE
Addrgss:7
Phone: 949 9110 294pNEWPORT EACH, CA 92657
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State Lic:
Applicant: WELCH ROBERT
Con Mate Lic: O/B
Engineer:
„
Address: 8 WHARFSIDE DR
Lic 5kpir`e: /
Address:
NEWPORT BEACH, CA 92657
Bus tic: �,�/ -
_• - -
Phone: 248-660.0770
Lic Ekp DDatd,1
2016
Worker's *Wens 'Inslft$'n&-"-4 I i 1 C2 1 1Designer:
(
LJ t Z3 lk. eOs 1 U
Code Edit:
Type of Construction: V-B
Carrk
(work Started)
Address:
1
(no work Stal-ted)
Occupancy Group: R3IU
Poli No:
Added /New sq.ft. Bldg: 0
Expie:
Phone:
- • • ..,
Added /New sq. ft. Garage: 0
' `I"ie- Reer i
�necial Conditions
OWNERIBLDR ATTACHED
No of Stories: 2
Building Sitb�a�itst
No of Units : 1
Front: I
Bldg Height: 0
Left: I
Insp. initials:
Bldg Sprinklers:
, Ri ht: I
Flood Zone:
Use Zane: ar In_��°•-
Construction Valuation: $92,000.00
Building Permit Fee: $1,057.00
Excise Tax: $0.00 Planning Department
-
Fire Department
$0.00
Plan Check Fee: $919.59
Additional Fee : $0.00 Plan check Fee :
$40.00
Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee: $0.00 Fair Share :
$0.00
Fire Plan Rev
Investigation Fee: $0.00
Grading PC Consultant : $0.00 SJH Trans :
$0.00
Demolition Fee
$0.00
Record Management: $2.00
Grading Permit Fee: $0.00 In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee: $0.00 Public Works Department
-
General Service
$0.00
CA Seismic Safety: $0.00
WO Insp. Fee: $0.00 Park Dedication :
PNV Plan Check :
$0.00
$0.00
Refund Deposit
Grading Bond: $0.00
Disabled Access : $0.00
Hazardous Mat $0.00
Electrical %: $73.99 San Dist:
$0.00
$0.00
Building Green Fee : $4.00
Mechanical %: $0.00 NMUSD Fee:
$0.00
$0.00
Plumbing %: $95A3
TOTAL FEE : $2,191.71
Plan Check Fee : $2,191.71
Fee Due at Permit Issuance: $0.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
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(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
he 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
Irofessions 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
lot 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,
3usiness 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
mprovements 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
proved 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
ppto 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).
7 1 am exempt from [!censure under the Contractors' State License Law for the following reason:
3y my signature below I acknowledge that, except for my rsonal residence in which ave resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall,
;ell a structure Eiat I hale built as an owner -builder if it h not onstructQdaf 1rss entirety by licensed contractors. I understand that a copy of the applicable law, Section 704 of the usin as and
rrofessinns Code, is available upon request when this ppl' s s i ed or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. 9
jiybaruro. of Prcoerty Owner or Authorized Agent Date
-ICENSED CONTRACTOR'S DECLARATIO
her eby,affirm und. r penalty of perjury that I am I! ensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions de, and my license is in full force
Ind effect. Licec3e CILss License No Date Contractor Signature
70RKERS' COMPEJSATION DECLARATION
1ARNING: FAILURE 13 S -'URE 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
,0S i UP COMPENSATIUN„DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES.
,ICl auy affirm under penalty of perjury one of the following declarations:
711 hav3 and w a mah,tain 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
performance of fie work for which this permit is issued. Policy No.
JI 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' compensatiol
isurance carrier and policy number are:
:arrier Policy Number Expiration Date
Jame of Agent Phone #
�I certify that, in the perform ce of the work for whi this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' ompensation laws of California, and ogre
iat, if I should become subi t t orkers' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. q
lignature of Applicant te_�2 I% / /
IECLARATION REGAR N6 NSTRUCTION LENDING AGENCY
hereby affirm under pe Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 097, Civil 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 rovided is correct.
I agree to comply with all applicable city and county rdinan sand at 5
I authorize representatives of this city or county to n a dentifie(
lignature of Proeertv Owner or Authorized ADent
is relating to building construction.
property for inspection purposes.
ACTION DATE BY / FEDERALDECLARATION OF COMPLIANCE WITH CODE OF
RXULATONSP RT 610 TIITLE 40 ANDAOMD RULE
PERMITEXPIRED
L_I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMIT EXTENDED
DMD
PERMIT FINAL
CERTIFICATE OF
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ASBESTO NOTIFICATIO SNOTAP ABLE TO
OSED EMO N
OCCUPANCY ISSUED
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