HomeMy WebLinkAboutX2019-2086 - Permitswh City of Newport Beach - Building Division
cs4 A 100 Civic centerJJ�''e, Newport Beach, CA 92660
Permit Counter. ,(949)644-3288
to Inspection R9quests'Phone (949)644-3255
wcb Combination Type - SFP
COMB Permit: X2019-2086
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIu II
Project No: 1520-2019
Issued Date : 0811412019
Inspection Area : 8
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: 61 BELCOURT DR NB
Description: SFR REPLACE WINDOW (1) WI STRUCTURAL CHANGES
Legal Desc.: N TR 11450 LOT 9 rr
Owner:
COTTRELL JAMES EDWIN
Address:
61 BELCOURT DR
Record Management:
NEWPORT BEACH, CA 92660
Phone:
949-554-4930
Applicant:
COTTRELL JAMES EDWIN
Address:
61 BELCOURT DR
Hazardous Mat
NEWPORT BEACH, CA 92660
Phone:
949-554-4930
Code Edit: 2016
Type of Construction: V -B
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Building Permit Fee: \ $152.00
Plan Check Fee: $132.24
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$10.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
1 Building Green Fee :
$1.00
TOTAL FEE: $335.24
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
OWN ERIE LDR
Address:
COTTRELL JAMES EDWIN
Phone:
949-554-4930
Con State Lie: DIE -
Lie Expire:
Bus Lie:
Lie Exp Date:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: I
Left: I
Right: I
king Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0
Architect:
Fire Department
Plan check Fee
Address:
Fair Share:
0
Phone:
State Lia:
In -lieu Housing Fee:
Engineer:
YAGHISHUCRIIUJ
Park Dedication :
Address:
112 E. CHAPMAN #D
ORANGE CA 92666
7J
Phone:
714-997.9120 State Lic:C-043205
W
V�9�
Designer:
Refund Deposit
$0.00
Address:
Grading Bond:
Phone:
-.
$0.00
Special Conditions:
$0.00
Fire Hazard Zone : N
Planning Department -
Fire Department
Plan check Fee
$40.00
Fair Share:
$0.00
SJH Trans :
Fire Plan Rev
In -lieu Housing Fee:
$0.00
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $172.24 Fee Due at Permit Issuance : $163.00
m •.: m- o -cm mm
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Fire Department
$40.00
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
Plan Check Fee : $172.24 Fee Due at Permit Issuance : $163.00
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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 pr 4�:iext to the.gpplicable 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 is; Ice* also requires the applicAnt for
is 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
'rofessions 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
BpcQXements 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
nl)fiov(kfor the purpose of sale).
21r I, as ner 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
ppl n 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:
ly 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 legall)
ell a structure that I have built as an owner -builder if it has not been constructed i 'ts entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Irofessions Code, is available upon request wh is applicati as Ub d or wing Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARAT N
hereby affirm under penalty of perjury that I a licensed under prIsions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
1ARNING: 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 5706 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 th
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'
rance carrier and policy number are:
Policy Number Expiration Date
ne of Agent -none s
certify 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 agre
I, if I should becomes bject to thew ers' comp atio ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^� �!'
nature of Applicant G D
CLARATION REGC) NG CON ION LENDING Y
weby 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 cout enter V1e-id rty for inspection purposes. _
nature of Prooertv Owner or Authorized ADent Print Property Owner's or Authorized Agent's Name
ACTION DATE
BY r
DEZIrOON OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 •• ••• • •••
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PERMITFINAL
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(n S O. Ul `W< o (p w 01 7 C -W. o .O -r 7. 3
m C O 0- CD W m .O-. N dN O O W
1 -O ti. (D O O 0 (D m O 3 O
� .. - N= N 0 o �, o in �" vK � m
CD M SD
w O =r m O W ,..
CD p
_ m = 7 OW 0 7OO.m 7 6'. O N
Nm