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HomeMy WebLinkAboutX2020-0184 - Permits„tMn.,4j City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 ,.. Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM COMB Permit: X2020-01 Project No: 1492-2018 Issued Date : 0112212020 Inspection Area : 4 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: 1816 E NEWPORT HILLS DR NB Description: SFR ADDITION TO EXPAND KITCHEN, ADD CLOSET @ 2ND FL 452 SF TOTAL "CHANGE OF CONTRACTOR" 1 �� Legal DeSG.: N TR 7031 LOT 71 flit Owner: CHU CLEMENT Y Address: 1816 NEWPORT HILLS DR E NEWPORT BEACH, CA 92660 Phone: 949.720-0918 Applicant: CONTRERAS MARTHA Address: 1880 LONG BEACH BLVD #1 LONG BEACH, CA Phone: 310-805-7209 Code Edit: 2016 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 452 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Contractor: DAUGHERTY CONSTRUCTION Address: 15593 GRAHAM ST HUNTINGTON BEACH CA 92649 Phone: 714.329.6354 Con State Lic: 566003 Lic Expire: 11/3012021 Bus Lic: BT30070753 Lic Exp Date: 01/3112021 Worker's Compensation Insurance Carrier: EXEMPT Policy No: Expire: Building Setbacks Rear: 20' Front: 20' Left: 5' Right: 5' Architect: Address: Phone:- State Lic: Engineer: PEREZ FELIPE J Address: 3801 WEST TEMPLE AVE POMONA, CA 91768 Phone: 562-805-7209 State Lic:C-071106 Designer: CONTRERAS MARTHA Address: 1880 LONG BEACH BLVD 41 LONG BEACH, CA Phone: 310-B05-7209 Special Conditions: Fire Hazard Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee : $35.00 Plan check Fee: $0.00 Fire Inspection: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.0 Mechanical $0 NMUSD Fee: $0.00 \\a1 Plumbing %: $0.0.0 0 TOT/yL FEE : $35.0 Plan Check Fee : $0.00 Feq�ermit Issuance PROCESSED BY: ZONING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: Ii APPROVAL TO $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 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 :he 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 f7usiness 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 iot 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 'mprovements 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 Improved 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. 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 legally sell a structure that I have 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 Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. Signature of Prooerty Owner or Authorized Agent Date LICENSED C0147RACTOR'S DECLARATION {iole's; affirm under pe,ialty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00 of ivision 3 of the Business and Co -e e1'ftFense is in full force and effect. License Cless License No Date Contractor Signature ?,'O,RKERV COMPENSATION DECLARATION NARNING: FAILURE TO SECLRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA LARS ($ 0,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ',lereuy affirm under penalty of perjury one of the following declarations: I havo and wiz 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, )erformance of the work for which this permit is issued. Policy No. and will mah.tain 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' carrier crd pc'.icy number are: Agent Policy Number Expiration Date 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 tecome o e masers' co ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Dated CLARATION REGAR ING CONSTRUC L N ING AGENCY 3reby affirm under pe alty of perjure is onstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ry t t ider's Name Lender's Address my signature below, I certify to ea 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 county he a Brie -identified property for inspection purposes. mature of Prooertv Owner or Authorized Aoent Print Property Owner's or Authorized Agent's Name iC;rC.J F_[e1lu PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE I SY PART 61 OF TITLE 40 AND AQMD RULE ASBESTOS NOTIFICATION TO NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION FOR OFFICE USE ONLY