HomeMy WebLinkAboutX2020-2272 - Permitsxwro4 City of Newport Beach - Building Division
a{ 100 Civic Center Drive, Newport Beach, CA 92660
ti f Per 1t Counter Phone (949)644-3288
U p Inspection Requests Phone (949)644-3255
Combination Type- MFP ELEC MECH PLUM
COMB Permit: X2020-2272
IIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII
Project No : 1829-2020
Issued Date : 1011412/020
Inspection Area :6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/15/2023 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: 19 CANYON CREST DR NB
Description: MFR - MASTER BATH REMODEL 63 SF
Legal Desc.: TR 8406 LOT 1 UNIT 25 OF PROJECT LOCATED ON AP 458-311-04 TOGETHER
Owner:
HALLAM STEVE
Contractor:
J B K BUILDER
Architect:
BILLING MARK
Address:
19 CANYON CREST DR
Address:
402.5 DAHLIA AVE
Address:
288 BAYWOOD DR
CORONA DEL MAR CA 92625
CORONA DEL MAR, CA 92625
NEWPORT BEACH CA 92660
Phone:
949-554-5746
Phone:
619-481-2111
Phone:
9491675-1326 State Lic:C006806
Applicant:
BILLING MARK
Con State Lic:
731752
Engineer:
Address:
288 BAYWOOD DR
Lic Expire:
0613012021
Address:
- -
NEWPORT BEACH CA 92660
Bus Lic:
BT30071501
Phone:
949/675-1326
Lic Exp Date:
0413012021
Phone:
State Lic:
Code Edit :
2019
Worker's Compensation Insurance
Designer:
Type of Construction:
VB
Carrier:
STATE COMP
Address:
Occupancy Group:
R2IU
Policy No:
92698452020
Added /New sq.ft. Bldg:
0
Expire:
0210512021
Phone:
Added /New sq. ft. Garage:
0
No of Stories:
2
Building Setbacks
Rear: I
Special Conditions:
I N
No of Units:
3
Front: I
V
Bldg Height:
0
Left: I
Bldg Sprinklers:
Right: /
Flood Zone:
X
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $6,000.00
Building Permit Fee:
$178.00
Excise Tax:
$0.00
Planning Department
-
Fire Department
Plan Check Fee: $154.86
Additional Fee :
$0.00
Plan check Fee :
$46.25
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:
$14.00
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
P/W Plan Check :
$0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$12.46
San Dist:
$0.00
Building Green Fee :
$1.00
Mechanical %:
$7.12
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$16.02
$0.00
TOTAL FEE: $429.71
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$201.11 Fee Due at Permit Issuance : $228.60
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 item(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
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 of the work, and the structure is not intended 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 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 -Builder will have the burden of proving that it was not built or
i13m roved for the purpose of sale).
1, 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. 1 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:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
I ICENc�ED CONTRACTOR'S DECLARATION
I nereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0) of i ' ion 3 of the Business and Profes Code, hand my licen a is in full force
anJ effact. License Class License No Date L ( B 2� Contractor Signature
II✓ORKERS' COMPENSATION DECLARATION
NARNINt :.FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND D LLARS IS100,0001, IN ADDITION TO THE
C')ST nF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hAr=h;' affirm under penalty of perjury one of the following declarations:
❑ 1 Dave 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 th
ccT.a.ice of the work for which this permit is issued. Policy No.
ve and wiil,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
nsuiai'r: carrier end policy number are:
Policy Number Expiration Date
lame of Agent Phone #
11 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 agre
tat, if I should become b' c e worker ' tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant Date 2 (]
IECLARATION REGAR ING ECINStRUENDING AGENCY
hereby affirm under penalty of perju at 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
y 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. c--
I agree to comply with all applicable city and cD my ordinanc s a WE relating to building construction. f
-vet
I authorize representatives of this city or cou ter ad bove= roperty for inspection purposes.
ionature of Prooertv Owner or Authorized Agent Print Prooertv Owner's or Authorized Aoent's Naml\ D
ACTION I DATE BY REGULATIONS PART RATION OF 0MPLIANCE WITH CODE OF 61 OF IITLE 40 AND ACIMD RULE AL I FOR OFFICE USE ONLY
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