HomeMy WebLinkAboutX2019-0421 - PermitsCity of Newport Bea,-h - BuNdirlg Qlvis on II IIIIII IIII II II IIIIII IIII II I II COMB Permit: X2019-0421
t 100 Civic Center Drive, Newpon Beach CA 9260 x 2 0 1 s 0 a 2 1 Project No : 0304-2019
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- -r Permit Counter Phone (949)644-32>f8, `
Inspection Requests Phone (949)644-3255� c - - ` ` `
Issued Date : 02I0712019
Combination Type - SFP
Inspection Area : B
L `PERAfITS EXPeRE 1 V DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Flriday 7:00 ar. n, te,5i30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 8 COLONIAL DR NB
Description: SFR - R/R FRENCH DOOR WI SLIDER
Legal Desc.: N TR 15389 LOT 42
Owner: SMITH CHRIS Contractor. KING MASONRY Architect:
Address: 8 COLONIAL DR Address: 1137 OAK DRIVE Address:
NEWPORT BEACH, CA 92660 VISTA CA
Phone: Phone: Phone: State Lie:
Applicant: LE RICHE ALEX Con State Lic: 899335 Engineer: SILVA CHRISTINA
Address: 1137 OAK DR Lie Expire: 06/30/2019 Address: 7652 ONTARIO DR -' A
VISTA CA 92084 Bus Lie: BT30065997 HUNTINGTON BEAM C922
Phone: ALERICH30@GMAIL.COM Lie Exp Date: 02/2912020 Phone: 714-307-7101 �SPafe rgC t
Code Edit: 2016 Worker's Compensation Insurance Designer: NN �� ,'
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Type of Construction: V-B Carrier', EXEMPT Address:
Occupancy Group: R31U Policy No: NO EMPLOYEES9
Added /New sq.ft. Bldg: 0 Expire: Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2 Building Setbacks Rear: / Special Conditions:
No of Units: 1 Front: /
Bldg Height: 0 Left: I
Bldg Sprinklers: Right: /
Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N
Construction Valuation: $2 500.00
Building Permit Fee: $120.00 Excise Tax: $0.00 Planning Department- Fire Department
Plan Check Fee: $104.40 Additional Fee : $0.00 Plan check Fee : $40.00 Fire Inspection: $0.00
Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Sham: $0.00 Fire Plan Rev $0.00
Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee
Record Management: $0.00 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 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00
Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00
Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00
Plumbing %: $0.00 $0.00
TOTAL FEE : $265.40 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $265.40
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 checKm9rk(r) 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, del.lol.sh nr reprir any structure, pddr 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 Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions 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
not 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 oI the wo-k, and tha all dcture is not in;anJed or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through umplo�ees' or pe-sc.ial effort hvilds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp'Etio;„ t:is Owner -Builder will have the burden of proving that it was not built or
improved 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
apply 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).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By 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 legall;
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of DivigIqn 3 of the Business and Profes `,Co license is in full force
and effect. License Class License No D I Contractor Signature
111IORKERS' COMPENSATION DECLARATION
NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE LTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST 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:
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
Tnance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
of Agent
Date
ce ify that, in the perfortna a 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 ogre
that, if should become s j o the k rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ign re of Applicant
DECLARATION REG ING CONSTRUCTION LENDING AGENCY
I hereby affirm under Is ty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Ivil Code).
Lender's Name Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act an the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county or, once and state laws relating to building construction. J
I authorize representatives of this city or county to the aentified property for inspection purposes. P Signature of Property Owner or Authorized Agent �d�....n��d�..••n��JJJJJJ`VVVV1t Print Property Owner's or Authorized Agent's a V{��{{///�/'^ Date 2'
ACTION DATE B DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED L1 I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED OEPA
PERMIT EXTENDED QMD
PERMITFINAL y �(' ASBESTOS 0 1 ATION 0 AP ICABLE TO
CERTIFICATE OF
OCCUPANCY ISSUED J SIGNAT�y