HomeMy WebLinkAboutX2019-3401 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIilllllllllllllllllllllllllllll IICOMB
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Permit: X2019-3401
*� 100 Civic Center Drive, Newport Beach CA 92660
:
X 2 0 1 9 3 4 0 1
Project NO
Permit Counter Phone (949)644-3288
c�$ _ Inspection Requests Phone (949)644-3255
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#rriFy Combination Type - SFP ELEC PLUM
2 t 6 I S� s�
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Issued Date 10/2412 01 9
Inspection Area 3
:
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: 231, 61ST ST NB
Description. SFR KITCHENIBATHROOM REMODEL 70 SF `CITY STANDARD"
Legal. Desc : TR 772 LOT 6 BLK 1 ALL (EX SWLY 10 FT) THEREOF ANDSWLY 14 FT LOT 7 BLK
Owner: SAVIAN SCOTT Contractor
AWNERIBLDR Architect
A1� ®�e��r'76diCll®r�t•IV®IO
Address: 23161 ST ST Address:
-`SCOTT SAVIAN Address:
99 tltl •.e• ° °
° • • e o °
NEWPORT BEACH, CA 92663
e • °
Phone: 714-814-0874 Phone
Phone:
State Lie: • °
Con State Lie: OIB Engineer:.
Applicant SAVIAN231615
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� •
ST
Address: 231.61 ST ST Lie Expire
Address:
9y @�I Y�NN e ,• •°.
ON THE WEE
:. NEWPORT BEACH, CA 92663 Bus Lw'
-
....
Phone: 714.814.0874 Lie Exp Date.
- Phone:
State Lie: ....Code • • • • o o
2016 Worker's Compensation Insurance Designer..
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Typo ofd
Type of Construction V -B Carrier.
Address
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Occupancy Group: R31U Policy No
IN -T
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Added /New sq.ft. Bldg: 0 .Expire:
Phone:
a
la • ° o
Added/New sq. ft Garage: - 0
® • •
No of Stories: 1 Building Setbacks
Rear: I Special Conditions:
NOISE FORM RECIEVED
No of Units : 1
Front: I
OIB FORM ATTACHED
Bldg Height: 0
.. Left.
Bldg Sprinklers:
Right: I
Flood Zone: Use Zone:.
Parking Spaces: 0 Fire Hazard Zone :N
Construction Valuation: $10.000.00
-
Building Permit Fee `- $232.00 Excise Tax:
$0.00 Planning Department -
Fire Department
-Plan Check Fee: $201.84. ` Additional Fee :
$0.00 Plan check Fee [. $40.00
`. 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: '$2.00 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
IIS
CA Seismic Safety: $0.00 WOlnsp.Fee: -
$0.00 Park Dedication; $0.00
': Refund Deposit - ` $0.00
sabled Access: $0.00 - -
PAN Plan Check.:: .$0.00
'. Grading Bond: - .$0.00:..
Hazardous Mat '$0.00 .Electrical%°:
$16.24 San Dist: $0.00
Building Green Fee : $1.00 Mechanical %:.
$0.00 - NMUSD Fee: $0.00
,, $0.00
Plumbing %: -..
$20.88
': $0.00
TOTAL FEE : $513.96
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $513.96'
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
I
GRADING APPROVAL:
APPROVALJOISSUE;`
i
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)
action 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
I 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
3fessions 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 penally of
t more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
siness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
provements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builder will have the burden of proving that it was not built or
proved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
p an owner of Rroperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exeMptIM:licensure under the Contractors' State License Law for the following reason:
my.signature below I acknowledge that, except for mypersonal residence in which I must have resided for at least one year prior to completion of the improvements covered this permit, I cannot Iegall)
IP�yhructura ilial shave built as an owner-builder if it as en constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7 44 of the Business and
ife�ssions CoA�,lS available upon request when this ppl' is submitted or at the fallowing Web site:http://www.leginfo.ca.gov/calaw.html. Da �%
gnafure of Property Owner or Authorized Agent
L$'NSED CONTi;ACTOR'S DECLARATIO
pre%V affirm order penalty of perjury that I am li nsed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions ode, and my license is in full force
dMfect. LigWo Class License No Date Contractor Signature
WKERS' COIOPENSATION DECLARATION
AAIAG: 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
6111OPCOMPENSA TION,SAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
=reby affirm aederpgnally of perjury one of the following declarations:
•1'IT*e and wig 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,
,fovmance of%P. T/q k for which 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' compensation
urance carrier and policy number are:
is of Agent
certify that, in the pf
. if I should become
of
Policy Number Expiration Date
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,
kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
/gL
Dale
:LARATION REGAING CLSNSTRUCTION LENDING AGENCY
eby affirm under p pally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 ,Civil Code).
fer's Name Lender's Address
Ty 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 coutty ord)pwo and state laws relating to building construction.
I authorize representatives of this city or county o an bove-identified property for inspection purposes. L5'aw—R�ature of Prooertv Owner or Authorized Aaent Print Property Owner's or Authorized Agent's Name �/ Dat
ACTION
DATE
BY /
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DECMRATION OF COMPLIANCE WITH CODE OF FEDERAL
REGUVWIONS PART GI OFTITLE 40AND AQMD RULE
1 g�
FOR OFFICE USE ONLY /
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PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
-
PERMITCANCELLED
EPA
PERMIT EXTENDED
QMD
PERMITFINAL
CERTIFICATEOF
OCCUPANCY ISSUED
Pal bI
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i ASBESTOS NOTIFICATIO TAPPLICABLE TO
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