HomeMy WebLinkAboutX2019-3042 - Permits��wu City of Newport Beach -Building Division
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$232.00
COMB Permit
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Planning Department -
Fire Department
Plan Check Fee: $0.00
Additional Fee:
$0.00
Plan check Fee:
II
:X2019-3042
4 ! 100 Civic Center Drive,. Newport Beach, CA 02660
x 2 0 1 9
3 0 4 2
$0.00
Project No
3 Permit Counter Phone(949)644-3288
Fair Share :.
_ e3. r Inspection Requests Phone (949)644-3255 -
Fire Plan Rev
$0.00
;tz�yy,*> Combination Type - MFP
$0.00
Issued Date: 0 912 312 01 9.
$0.00
SJH Trans:
Inspection Area : 5
PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Demolition Fee
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: 405 POPPY AVE NB
$0.00
Grading Permit Fee:
Description: MFR - RIR 9 WINDOWS, 5 DOORS.. SAME SIZE OPENING
In -lieu Housing Fee :
Legal Desc.: P M 172-14 PAR 1 UNIT 2 OF PROJECT LOCATED ON AP 459.221-20. TOGETHER
Building Dept Adm
$0.00
Owner: HOFACRE MARINDA. Contractor: OWNER/BLDR
Architect: N®'
.
f y ce
C®STRUCTION NOISE
`
Address: 405 POPPY AVE Address:
Address:
CDM CA 92625
$0.00
CA Seismic Safety:
Phone: 714.803-1883 Phone:
Phone:
State Lic -
Applicant: HOFACRE MARINDA Con State Lie: OIB
Engineer:
ON THE WEEKEND
Address: 405 POPPY AVE Lie Expire:
Address:
Disabled Access :
CDM CA 92625 - Bus Lia
Phone: 714-803-1863 Lie Exp Date:
Phone:
State Lie:
Code Edit : 2016 Worker's Compensation Insurance
Designer;
Hazardous Mat
Type of Construction V -B Carrier:
Address:.
$0.00
Occupancy Group: R3/U Policy No:
$0.00
Added/New sq.ft. Bldg: 0 Expire:
Phone:
Building Green Fee:
Added /New sq. ft. Garage: 0
Mechanical %:
>w�
No of Stories: 2 Building Setbacks Rear. I
Special Conditions: Sat
noise agreemen c U_
No of Units : 2 Front: I
Bldg Height: 0 Left: I
received
Q�,
Bldg Sprinklers: Right: I
Plumbing %:
$0.00
Flood Zone: Use Zone: Parkina Soares: 0
Fire Hazard lone N
Building Permit Fee:
$232.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $0.00
Additional Fee:
$0.00
Plan check Fee:
$0.00
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:
$0.00
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
CA Seismic Safety:
$0.00
WO Insp. Fee:
$0.00
Park Dedication :
$0.00
- --
Refund Deposit
$0.00 _
Disabled Access :
$0.00
PAN Plan Check :
$0.00
Grading Bond:.
$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
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $233.00
Plan Check Fee
; $0.00
Fee Due at Permit
Dm iat
Issuance :
• 0a9 m0 B
$233.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
PUBLIC WORKS APPROVAL: o, ° ° .°
PLAN CHECK BY:
mD •am o con
APPROVAL TO ISSUE: ^.m m m°m o c va
m
Of •S f` 9 O 4.
0G 0U0 Y Q m4 E6 ifG
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
ie 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 oft
of more than five hundred dollars ($500).
I, as owner of the property, 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,
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
nprovements 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
n(�roved for the purpose of sale). -
•J 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
I
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).
I exempt from licensure under the Contractors' State. License Law for the following reason:
ly m 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
to
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
rofessions Code, is available upon request when this applications ub=Rt t the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Date/2-3signature of Property Owner or Authorized Agent I I jl NT 1 la n
.ICENSED CONTRACTOR'S DECLARATII 1 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
nd effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: 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 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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 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
Date
e of Agent Phone 9
ertify that, in the perrorman ofAhe wo r 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
t if I should become subject t6 th41NOI;�CJ or ;!=action provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. O
nature of Applicant / I\ /I 11C/ /N1 Date
CLARATION REGARDING ST UCTION L NDING AGENCY
areby 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. 1, ^
I have read this application and the information I have provided is correct. w
I agree to comply with all applicable city and coun c di a nd st to laws relating to building construction.
I authorize representatives of this city or county to�nf r bpi a tified prop y for inspection purposes.
nature of ProDertv Owner or Authorized Aa�k/ 1 / I Print Property Owners or Authorized Agent's Nam L. 6 Date
ACTION
DATE
PERMIT EXPIRED
+ �
PERMIT CANCELLED
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• • +
PERMIT EMENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY155UED
••• 014U3••. ••
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ASBESTOS
OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
ASBESTOS NOTIFICATION TO
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