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