HomeMy WebLinkAboutX2019-2845 - Permits1r{3 City of Newport Beach - Building Division
n . 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
y. Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
IIIIXIIIIIII0IIIIVIIjIIIIIII2IIII8IIII4IIII5IIII
COMB Permit: X2019-2845
Project No : 2033-2019
Issued Date: 09113/2019
Inspection Area : 1
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: 405 40TH ST NB
Description:. SFR INTERIOR REMODEL (KITCHEN, POWDER RM, LIVING RM) AND RELOCATE FIREPLACE 400 SF
Legal Desc.: CANAL SECTION BLK 440 LOT 2
Owner:.
ROBINSON LAWRENCE
Contractor:
OWNER/BLDR
Architect:
Address:
40540TH ST
Address:
ROBINSON LAWRENCE
Address:
Front: I
NEWPORT BEACH, CA 92663
Left: I
Overtime Plan Ck:
Right: I
Phone:
951-288-1778
Phone
951-288-1778
Phone:
.Applicant:
WALKER BARRY
Con State Lie:
O/B
Engineer:
Address:
P.O. BOX 11658 -
Lie Expire:
-
Address:
NEWPORT BEACH CA 92658 Bus Lie, -
Phone 949-246-4085 Lie Exp Date:
Code Edit: 2016
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: N
Worker's Compensation Insurance
Carrier.
Excise Tax:
Policy No:
Planning Department -
Expire:
Demolition Fee
Building Setbacks
Rear: /
$0.00
Front: I
$0.00
Left: I
Overtime Plan Ck:
Right: I
Use Zone:
Parkine Spaces:
Phone:
Designer:
Address:
Phone:
WALKER BARRY
P.O. BOX 11658 t L1
NEWPORT BEACH CA 92658 V J
94444446-0065.. QVitate L�19637 M
State Lic:
Special Conditions: LIQUEFACTION 'VOO
NOISE FORM RECEIVED 0+
Building Permit Fee:
$548.00
Excise Tax:
$0.00
Planning Department -
$0.00
Demolition Fee
Plan Check Fee: $476.76
Additional Fee :
$0.00
Plan check Fee:
$0.00
$40.00
Overtime Plan Ck:
.$0.00
Grading Bonds Fee:
$0,00
Fair Share :
$0.00
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Record Management `.
$6.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access : -
$0.00
PAN Plan Check :
$0.00
Hazardous Mat
$0.00
Electrical %:
$38.36
San Dist:
$0.00
Building Green Fee :
$2.00
Mechanical %:
$21.92
NMUSD Fee:
$0.00
Plumbing %:
$49.32
IITOTAL FEE: $1,182.36
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Fire Department
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Feb.: $51 &3a .`C a. FAP Due at Permit Issuance: $665.60
® ° RllBIaICC-WORlkb APPROVAL:
PLAN CHECK BY:
ce.e ° e e eee eo
gym° APPROVA aTO ISRUiW:
a
ace °moo deo a a °oo �aV
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)
lection 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
le 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 they Business and
Tofessions 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 Ganalty of
of 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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
ovements 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
nved for the purpose of sale).
yas 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
o 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
y 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 legally
ell a structure that I have built as an owner-buildpr if it as not been constr in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and
Tofessions Code, is available upon request whe applicaf s sub or at the following Web site:http://www.leginfo.ca.gov/calaw.html. `
ignature of Property Owner or Authorized Agent p�y�
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7^^ of Division 3 of the Business and r- ons Code, and my license is in full force
nd effect. License Class License No Dal Contractor Signe
YORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE 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 OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37D6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby 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 thf
erformance of the work forwhich this permit is issued. Policy No.
]I 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' compensatior
Isurance carrier and policy number are:
arrier Policy Number Expiration Date
am f Agent Phone #
certify that, in the performance t ork 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 agref
is , If I should becoa ssje to rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. `
ignature of ApplicantA to
iECLARATION RE GA ING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty 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).
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.
I agree to comply with all applicable city and county ordinances a state laws relating to building construction.
I authorize representatives of this city or co�my/r,.-rite a Identified property for inspection purposes. / Ice
ionature of Propertv Owner or Authorized Age%n A �� Print Property Owner's or Authorized Agent's NaAe:-ls/e/i il�C�L /re4..�D�/\ L`
ACTION DATEI BY' REGULATIONS PARTDECLARATION OF O61 OF TITLE 40 AND AQMD RULE MPLIANCE WITH CODE OF AL FOR OFFICE USE ONLY
PERMIT CANCELLED LJEC • • • • • • i i
PERMIT EXTENDED �/QMD
• • •••
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