HomeMy WebLinkAboutX2019-3138 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIII�IIIIIIIIIIIIIIIII� II COMB Permit: X2019-3138
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 1 3 8 Project No : 0873-2015
Fr t n Permit Counter Phone (949)644-3288
v m lespection Requests Phone (949)644-3255 Issued Date : 1010312019
Combination Type - SFP PLUM
Inspection Area : 6
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 PEX REPIE "INCLDS DRYWALL REPAIR" ADD'L SCOPE TO X2015-1127 *RENEW EXPIRED PERMIT"
Legal Desc.: N TR 12530 LOT 24
Owner:
LEVY HEATHER
Address:
571 SOMERBY PARKWAY
BRYON MN 55920
Phone:
Applicant:
TALLEUR WALTER
Address:
3311 FINLEY AVE
NEWPORT BEACH CA 92663
Phone:
949-338-5599
Code Edit : 2013
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
11 Construction Valuation: $
Building Permit Fee: $120.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $131.80
PROCESSED BY:
ZONING APPROVAL:
Contractor
Address:
Phone
Con State Lic:
Lic Expire:
Bus Lic:
Lic Exp Date:
OWNER/BLDR
TALLEUR WALTER
O/B
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: /
Front: /
Left: /
Right: /
Architect
Address:
Phone:
State Lic:
Engineer:
Address:
Phone:
State Lic:
Designer:
Address:
Phone:
INSPECTOR,
Special Conditions:
Zone: N
$0.00
Planning Department -
Fire Department
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
$0.00
Public Works Department -
General Service
$0.00
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PNV Plan Check:
$0.00
Grading Bond:
$0.00
$0.00
San Dist:
$0.00
$0.00
NMUSD Fee:
$0.00
$0.00
$10.80
$0.00
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$131.80
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 item,',
(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 fdr .
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 31of 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 ore than five hundred dollars ($500).
ruI, m owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
si s 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
roved for the purpose of sale).
LJ 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).
LJ I am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for mly personal residence in which I must have resided for at least one year prior to completion of the improvements
sell a structure that I have built as an owner -builder if as not been constr ted in its entirety by licensed contractors. I understand that a copy of the applicable law, S
Professions Code, is available upon request when th' ap lica ion,is-su d or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent
LICENSED r ,?I10-fJ.ACTOR'S DECLARATI
I hereby affirm under penalty of perjury that I am Icensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions
rrd cfect. Lica,isa Class License No Date Contractor Signature
NORKERS' CLIMPENSATION DECLARATION
of the Business and
and my license is in full force
V.RNIN3: FAILURE 0 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I6100,000I, IN ADDITION TO THE
OSr OF COMPENb PT'CN, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
nereov affirm under penalty of perjury one of the following declarations:
I 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 IN
erformance of the pork for which this permit is issued. Policy No.
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'
trance carrier and policy number are:
Policy Number
cl Agent,
Date
certify that, in the pert ance 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' co pensation laws of California, and agre
I, if I should become s ,jeect/to the workers' ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant !� Date
CLARATION REG DING CONSTRUCTION LENDING AGENCY
:reby affirm under enalty 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).
Ider's Name 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 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/rdinances and state laws relating to building construction.
I authorize representatives of this city or county to nter th a�b -ide d property for inspection purposes. �� /,
nature of Property Owner or Authorized Agent � /l_� �`— Print Prooertv Owner's or Authorized Aoent's Name 11"6 %ri��c.� n�fa %r /'y/ i
ACTION DATE BY /I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RWU LATIONS PART 61 OF TITLE 40 AND AQMD RULE
4403
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO —I
PERMITFINAL I OZ/03/ZZJ i ESTO NOTIFICATION IS NOT APPLICABLE TO
OSE
CERTOCCUIPANCYISSUED riNC"ewk 51 NATUD,EMMQLJTJO