HomeMy WebLinkAboutX2020-0173 - PermitseNro City of Newport Beach - Building Division 'X2020-0173' COMB Permit: X2020-0173
:100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0151-2020
E+' - Permit Counter Phone (949)644-3288
` Inspection Requests Phone (949)644-3255
Combination Type - SFP MECH ELEC PLUM Issued Date : 03/23/2020
Inspection Area : 4
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: 1818 PORT WESTBOURNE PL NB
'
Description: SFR ADD 85 SF, ADD OVERHANG TO THE FRONT FACADE, KITCHEN REMODELING, (3) BATH, RIR WINDOWS & DOORS,
Legal Desc.: N TR 6622 LOT 41
Owner: HANNA SEAN & TRACY
Contractor: OWNER/BLDR
Architect: 401 /,'/�� A T
IL .H
Address: 1818 PORT WESTBOURNE PL
Address: HANNA SEAN
Address: VV I
NEWPORT BEACH, CA 92660
4.
Phone: 310-666-7173
Phone: 310-666-7173
Phone: State Lic::r
Applicant: HANNA TRACY
Con State Lic: Ole
Engineer: CHEN EMILY HSIAO HAN = • ?
Address: 1818 PORT WESTBOURNE PL
Lic Expire:
Address: 22629 LAKESIDE LN
NEWPORT BEACH, CA 92660
Bus Lic:
LAKE FOREST, CA 92630
Phone:
Lic Exp Date:
Phone: 310-617-9098 State Lic:C-073319
Code Edit : 2019
Worker's Compensation Insurance
Designer:
Type of Construction: V-B
Carrier:
Address:
Occupancy Group: R-3/1.1
Policy No:
'
Added /New sq.ft. Bldg: 85
Expire:
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks Rear: 10
Special Conditions:
No of Units : 1
Front: 21
- -
Bldg Height: 0
Left: 5
,.
Bldg Sprinklers: N
Right: 5
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Construction Valuation:
$50,000.00
Building Permit Fee:
$784.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $607.00
Additional Fee :
$0.00
Plan check Fee :
$160.00
Fire Inspection:
$0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share,
$0.00
Fire Plan Rev
$0.00
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management:
$38.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Energy Compliance:
$56.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$0.00
CA Seismic Safety :
$6.50
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access:
$0.00
P/W Plan Check :
$41.25
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$54.88
San Dist:
$0.00
Building Green Fee :
$2.00
Mechanical %:
$31.36
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$70.56
$0.00
TOTAL FEE : $1,851.55
Plan Check Fee
: $1,851.55
Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
ZONING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: 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 iterii(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
le 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 rive hundred dollars ($500).
11, 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,
usiness 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).
11, 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:
y 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, I cannot legally
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 CGNTRACTOR'S DECLARATION
ilerebv dfrirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
ad effect. Lice.isE Clacs License No Date Contractor Signature
VORKIERS' COMPENSATION DECLARATION
I; RNING: 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
'.OFT OR. COMPENSAi ION, nAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
nerehy affirm under penalty of perjury one of the following declarations:
3 1 t.aJe and v.ill mair.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 thi
rr`c7r13nce of the work for which this permit is issued. Policy No.
]i nave 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' compensatioi
Tzurance carrier and pGacy number are:
ra,_
na of Agent __ _ _ -
Policy Number
Date
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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
'signature of Applicant
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there 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
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 provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
sionnture of Pronertv Owner or Authorized Agent. Print Property Owner's or Authorized Agent's Name
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE BY I REGULATIONS PPART061 OF IIT E 40 AND AOMD RULE AL FOR OFFICE USE ONLY
1403
I SUBMITTED
TO
❑ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: