HomeMy WebLinkAboutX2020-1937 - PermitsCity of N�wport Beach - Building Division
100 Civic Cehjer Drive, Newport Beach, CA 92660
Permit Count r Phone (949)644-3288
Inspection Re uests Phone (949)644-3255
Combinatio Type - SFP ELEC MECH PLUM
Job Address:
2000 PORT CARD[
Description:
SFR - REPLACE E
Legal Desc.:
N TR 6623 LOT 13
Owner:
CHANG DERRICK I
Address:
2000 PORT CARDII
NEWPORT BEACH
Phone:
310.806-5898
Applicant:
HAMPTON CRAIG
Address:
46 MALLARD CT
MAGALIA CA 9595
Phone:
949-209-8883
Code Edit : 2010
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Building Permit Fee:
$0,
Plan Check Fee: $0.00
Overtime Plan Ck:
$0,
Investigation Fee:
$0.
Record Management:
$27
Energy Compliance:
$0
CA Seismic Safety:
$0
Disabled Access :
$0
Hazardous Mat
$0
Building Green Fee :
$0
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COMB Permit: X2020-1937
Project No : 2670-2013
Issued Date: 0813112020
Inspection Area : 4
S 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0910112023 OR PERMIT WILL BE INVALID
:on 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 HolWays
F PL NB
PIRED PERMITS X2016-03161X2014-04361X2013-3154 (REMODELIGAR CONVIHANDRAILSIBATHROOMS) 10��
o
ANNE Contractor: OWNERIBLDR Architect: 7_0i `
PL Address: CHANG DERRICK Address:
_..II�p99
CA 92660
TOTAL FEE : $1,897.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Phone: 310-806-5898 Phone
Con State Lic: OIB Engineer:
Lic Expire: Address:
Bus Lic:
Lic Exp Date: Phone:
Worker's Compensation Insurance
Carrier.
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %,�
Rear: I
Front: I
Left: I
Right: I
Parking Spa
$0.00
$1,870.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
State Lic:
FORBES DALE L
1800 E 16TH ST
SANTA ANA CA 92701
714-B35-2800 State Li¢C-0304[7
Designer: HAMPTON CRAIG
Address: 46 MALLARD CT
MAGALIA CA 95954
Phone: 949-209-8883
Special Conditions
Planning Department -
Plan check Fee:
Fair Share
SJH Trans
In -lieu Housing Fee :
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $0.00
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
e e °
93']
° c$4h19°
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $1.897.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDS DECLARATION
I hereby affirm undr penalty of perjury that[ am exempt from the Contractors' State License Law forthe reasons) indicated belowby the:checkmark(s) I have placed next to the.. applicable items) (Section 7031.5, Busin..s and Professions Code:. Any city or county that requires a.pennit to construct, alter, improve,,demolish, orrepair any structure,: prior toits issuance. also requires the .appiicant for
the permit to file a sign. . statement that he or sheis licensedpursuant to the provisions. of the Contractom' State License _Law .(chapter '9:(commencing ; with Section 7000) of Division 3:of the. Business and
Professions Code) or it, r he or she is exempt .from .11censure andthe basisfor the alleged exemption. Anyviolation of Section 7031.5:by any applicant for a permit subjects the applicant to a civil penalty of
not more. man five hunt ed dollars.($500)..
J 1, as: owner of the p party, or my employees with wages as their sole compensation, will do () all of or (, portions of the work, and the stmeture.Is.not intended Or offered for sale (Section 7044,
3usiness and Professi< s code: Tile 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_, ,ended or offered for sale. If, however, the building Or Improvement is sold within oneyear of completion, the Owner -Builder will have the burden:of proving that it was not builtor
ved for the purppr : of sale).
as owner of the p ;party, am exclusively contracting with licensed. Contractors to. construct the project (Section 7044,_ Business and Professions Code:. The Contractors' State License Law does not
ly to an Owner Of pn.:erty whobuilds or. improves thereon, and who contracts. forthe: projects with a licensed Contractor pursuant to the Contractors' State License. Law)'.
1 am exempt from li ansure under the. Contractors' State License Law for the following reason:
ly my signature below acknowledge that,.. except for my personal residence in which l must. have residedfor at leastone year poor to completion of the improvements covered by this permit, I cannot legall
;ell a. struct re that I h s built as an owner -builder if it has San p structed in Its entirety by licensed contractors. b understand that copy of the applicable law, Section 7044 of the Business and
'mfessions Go.l s a, ;tableupon request when this appli In S ittedor at the following !Web 'site;http:/I w .leginfo.ca.gov/calaw.html.
i�g'lature of Pmperb' C net or Authorized Agent-4 Y` 1X Date
.i(.ENSEL, CCNT.Z7 :TOR'S DECLARATION Cr
-ereby affirm under p:ally of perjury that I,am licensed under provisions of ,hapter 9.(commencing with.Section 7000);ofDivision 3 of the Business and Professions Code, and my license is in fullforce
no effect. License CI. s License No .Date. ContractorSignature
VORKERS' GUMPE-SATION.DECLARATION
IAr.NING:FAILra CSEc .EWORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES. AND CML FINES, UP TO ONE HUNDRED THOUSAND DOLLARS($100,000), IN ADDITION TO THE
sT OF COMPENSATION,1. :RAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
`ereby affi-r- Irde-pc -ally of perjury one of the following declarations:
I have and will mai rain a certificate Ofconsentto self -insure for workers' compensation, issued by the .Director of Industrial Relations as ;provided'. for by Section 3700 :of the Labor Code, for the
^rormance of the wore rorwhich this permit is issued, Policy No.
I have.ard wi" m3in in 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' compensatior
surance Gal I ,r an.. pr.cy number are:
,Policy Number Expiration Date
of Agent _ ..
certify that In: the p,: formance of the work'. for which this permit is issued, I shall notemploy any person in any manner so as to: become: subject to the workera'
t, if[ should become- ubjeatto the workers' compensation provisions of Section 3700 of the Labor Code, 1,-shall fodhwith comply withthose, provisions. Compensation laws of California, and
nature of Applicant _
CLARATION REGA:.7ING CONSTRUCTION. LENDING:AGENCY Date_
ineby affirm under pe ally of perjury that there is arconstruction lending agency for the performance of the for which this permit Is Issued (Section 3097„ Civil Code)..
Ider's Name Lender's. Address
my signature'ce below, rtlfy4o each. of the following:
I am the property , ,er or authorized to act on the. property owner's: behalf.
I. have read this apt, nation and the information I have provided is correct.
I agree to comply v i all applicablecity and county ordinancesand state laws relating to building construction.
I authorize repmSer Alvesof this city or county to e t -�,ry�a v - nhfled'.propertyfor inspection purposes. /
nature OfProperty C. nor crAuthorized Agent 'nt Property Owner's or Authorized Agent's Name r Yt-r Gwr
REGULATIONS -PART
SUBMITTEO ASBESTOS NOTIFICATION TO
Y A BESTOS, NOTIFIC�.pITIO,N IS/NOTAPPLICABLE TO
C10OCCUIPANCYISSUEO �'�PRO .!— rMOLITI UrVI'A �( ^