HomeMy WebLinkAboutX2016-3069 - PermitsCity of Newport Beach - Building Division
o� 100 Civic Center Drive, Newport Beach, CA 92660
H Permit Counter Phone (949)644-3288
u.- Inspection Requests Phone (949)644-3255
�V* Combination Type - MFP
COMB Permit: X2016-3069
Project No : •,„
Issued Date : 09/2012016e e • ®.. e m
Inspection Area : 8 eee e
m
e • e c
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED
Job Address: 66 BAYCREST CT NB
Description: MFR- CHANGE OUT 2 SLIDERS "LIKE FOR LIKE" AS -BUILT
Legal Desc.: TR 12362 LOT 2 UNIT 55 OF PROJECT LOCATED ON AP 442-283-06 TOGETHER
Owner: SEBASTIAN SUSAN 2009 TRUST Contractor: OWNER/BLDR
Address: 66 BAYCREST CT Address: SEBASTIAN SUSAN
NEWPORT BEACH CA 92660 O/B ATTACHED
Phone:
Applicant: SEBASTIAN SUSAN 2009 TRUST
Address: 66 BAYCREST CT
NEWPORT BEACH CA 92660
Phone
Code Edit : 2013
Type of Construction: VB
Occupancy Group: R2/U
Added /New sq.ft. Bldg: 0
Added/New sq. ft. Garage: 0
No of Stories: 2
No of Units : 8
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Phone:
Con State Lic:
O/B
Lic Expire:
Bus Lic:
Lic Exp Date:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Rear: /
Front: /
Left: /
Right: /
Use Zone: Parkina SDaces: 0
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions: R2016-0937
Fire Hazard Zone : N
Building Permit Fee:
$95.00
Excise Tax:
$0.00
Planning Department -
Plan Check Fee:
$0.00
Additional Fee :
$0.00
Plan check Fee
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share
Investigation Fee:
$95.00
Grading PC Consultant :
$0.00
SJH Trans
Record Management:
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
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 %:
$0.00
San Dist :
$0.00
Building Green Fee :
$1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
ee e
e • s • a
e e• a INSPECMA'
• 'm
• • o o
moem¢o m e
0
•m•mao
eee• e
e o e e•mo
State Lic: e m e
State Lic:
Fire Department
$0.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
TOTAL FEE: $191.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $191.00
PROCESSED BY:/ PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER-BUJ4PgR DECLARATION -
I hereby affir%tArAp? 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)
(ft"017 031.5, l usin ass 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 bf Mat he or she is exempt from Iicensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to acivil penalty of
rat IVZLtthan five hundred dollars ($500).
1, as owner 9fth6 Mperty, 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,
jusT Ipi? 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
loovttoln
ee ants are IroMntended or offeredfor 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
as foyer oft epro of sale).
s owner of tke property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ownesof 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 irorMitensure under the Contractors' State License Law for the following reason:
4�&A %bnature belpvy 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
sel12•structure l�aCl.flave built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Codde, is available upon request wh@n thys,application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent33Dated
LICENSED CONTRACTOR'S DECLARATIO/
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
IARNING: 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 (E100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
3 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
erformance of the work 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'
'ance carrier and policy number are:
ler Policy Number Expiration Date
g of Agent -none rF
zrtify 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 agree
if I should become��subject
ttto the yorkers' compensation prop ions
sooff Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
stureofApplicant��7L . Date ZC3
I ADATInM ocniimnIMn rnMCTOI ICTInM I FNnildr. Ar:FMCV'
Ireby 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).
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 provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or cour)ty to, enter Oe above -identified JAPPty for Aspection purposes. cz�
of ProDertv Owner or Authorized
ACTION
PERMIT EXPIRED
CERTIFICATE OF
OCCUPANCY ISSUED
I DATE I
i1
Owner's or
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
ASBESTOS NOTIFICATION TO
EllAll required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval to fill pool/spa & shall remain in place & be maintained forthe
To life of the pool.
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