HomeMy WebLinkAboutX2019-3137 - Permitsrvoo�
City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-3137
100 Civic Center Drive, Newport Beach, CA 92660 x 2 9 1 9 3 1 3 7 Project No : 0873-2015
+ Permit Center Phone (949)644-3288
u @ Inspection Requests Phone (949)644-3255 Issued Date: 1010312019
Combination Type - SFP ELEC MECH PLUM Inspection Area : 8
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 49 SHEARWATER PL NB
Description: SFR -ADD INTERIOR BATHROOM, REMOVE WALL BETWEEN KITCHEN & DINING *RENEW EXPIRED PERMIT' p �111��
Legal Desc.: N TR 12530 LOT 24 0 �' \ [ ! 9..+ -
Owner: LEVY HEATHER
Contractor:
OWNER/BLDR
Architect:
Address: 571 SOMERBY PARKWAY
Address:
TALLEUR WALTER
Address:
BRYON MN 55920
Phone:
949-338-5599
Phone:
State Lic:
Phone:
'
Applicant: TALLERU WALTER
Con State Lic:
O/B
Engineer:
Address:
CHU TIEN MANH
9542 PACIFIC AVE
-
Address: 3311 FINLEY AVE
Lic Expire:
ANAHEIM CA 92804
NEWPORT BEACH CA 92663
Bus Lic:
Phone:
714-829-5053 State Lic:C-072324
,
Phone: 949-338-5599
Lic Exp Date:
Code Edit : 2013
Worker's Compensation Insurance
Designer:
Address:
GRAFF BRAD
12231 BLUEBELL AVE
Type of Construction: VB
Carrier:
GARDEN GROVE CA 92840
J
occupancy Group: R3/U
Policy No:
Phone:
714-323-7830
'
Added Mew sq.ft. Bldg: 0
Expire:
Added /New sq. ft. Garage: 0
Building Setbacks
Rear: I
Special Conditions: O/B AUTH ATTACHED
,
No of Stories: 2
Front: /
No of Units : 1
Left: I
Bldg Height: 0
Right: I
Bldg Sprinklers:
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Flood Zone:
Construction Valuation: $8 000.00
Building Permit Fee: $200.00
Excise Tax:
$0.00
Planning Department
-
Fire Department
$0.00 Fire Inspection:
$0.00
Plan Check Fee: $0.00
Additional Fee:
$0.00
$0.00
Plan check Fee :
Fair Share :
$0.00 Fire Plan Rev
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
Grading PC Consultant :
$0.00
SJH Trans :
$0.00 Demolition Fee
Investigation Fee: $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
:
$0.00 Building Dept Adm
$0.00
Record Management: $0.00
$0.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$0.00
$0.00
Energy Compliance:
CA Seismic Safety : $0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
Grading Bond:
$0.00
PAN Plan Check:
$0.00
Disabled Access $0.00
:
Hazardous Mat $0.00
Electrical %:
$14.00
San Dist:
$0.00
$0.00
Building Green Fee : $1.00
Mechanical %:
$8.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$18.00
TOTAL FEE: $241.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $241.00
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 iten',� ,
(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
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
no ore 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
BuS<ess 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
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or
im roved 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 personal residence in which I must have resided for at least one year prior to completion of the improvements covered b this permit, I cannot legall,
sell a structure that I have built as an owner -builder if i as not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Sectien 7 4 of the Business and
Professions Code, is available upon request when th' application is s b t at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of PrcFs,t/ Cwner or Authorized Agent Date
'_ICENSED CONTRACTOR'S DECLARATIQN
hereby, affirm vrider pnnalty of perjury that I am kensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C e, and my license is in full force
and effect. Liceiise Llass License No Date Contractor Signature
'VOP.KERS' COMPENSATION DECLARATION
NRRNIN+: FAILURF TO SEC'IRE 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
'OST OF90MPENSI.T:CN, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm finder penalty of perjury one of the following declarations:
1 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 the
rerformance of the work for which this permit is issued. Policy No.
7f havr and 011 rn3'-lBin 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
nsurnrce carrier and pulicy number are:
Policy Number
of Agent
Date
certify that, in the perform ce 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' comp sation la Ns of California, and agre
t, if I should becom/afty
t to the workers' gpmpe ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date
CLARATION REGA CONSTRUCTION LENDING AGENCY
Ireby affirm under pf perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3091 ,Civil Code).
Ider's Name ell
Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on 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 dinances and state laws relating to building construction.
I authorize representatives of this city or county to tet the_ab�®d property for inspection purposes.�1--
nature of Property Owner or Authorized Agent :2 !i �ir-r-�L� Print Propertv Owner's or Authorized Aaent's Name
DATE BY DECLARATION OF I/ REGULATIONS PPARTO 1 OF TILT E 40CE TH CODE OF AND AQMD RUDLERAL FOR OFFICE USE ONLY
PERMIT EXPIRED
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
DEPA
PERMIT EMENDED
AIWACiM D
PERMIT FINAL
0Z/03/ZZ
cZ:*
5BESTOS TIFICATION IS N07APPLICABLE TO
OCCUPANCYISF
OCCUPANCYISSUED
wy, p�'
_....
pR0 SEDD OLY NY