HomeMy WebLinkAboutX2019-2830 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllllllllll COMB Permit: X2019-2830
100 Civic Center Drive, Newport Beach, CA 92660 III X 2 0 1 9 2 8 3 0 II Project No: 2015-2019
L, Permit Counter Phone (949)644-3288
iy. Inspection Requests Phone (949)644-3255
arr, .� Combination Type - SFF ELEC Issued Date : 0912512019
0
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 an Sundays or Holidays
Job Address: 1788 PORT STANHOPE CIR NB
Description: SFR- BATTERY BACKUP
Legal Desc.: NTR 14533 LOT '������®�
Owner LEW SUSAN Contractor: BRIGHT LIFE REMODELING Architect:
Address: 1788 PORT STANHOPE CIR Address: 933 NEWHALL ST Address:
NEWPORT BEACH, CA 92660 COSTA MESA CA 92627
Phone:
Applicant: MEYERS SEAN
Address: 933 NEWHALL ST
COSTA MESA CA 92627
Phone
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units: 1
Bldg Height: 32
Bldg Sprinklers:
Flood Zone: X
Building Permit Fee:
$232.00
Plan Check Fee: $201.84
Overtime Plan Ck
$0.00
Investigation Feer
$0.00
Record Management:
$6.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
Phone:
908-489-3911
Con State Lie:
1029267
Lie Expire:
07/3112021
Bus Lie:
BT30060562
Lie Exp Date:
09/30/2019
Worker's Compensation Insurance
Carrier:
STATE FUND
Policy No
9053332
Expire:
04/19/2020
Building Setbacks
Rear: 10'
Grading Bonds Fee:
Front: 10'
Fair Share
Left: 5'
Grading PC Consultant:
Right: 5'
Use Zone: PC -3
Parkino Snaces 0
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lie:
State Lic:
BARBA VIN
933 NEWHALL ST
COSTA MESA CA 92627
Special Conditions:.
Excise Tax:
$0.00
Planning Department -
Fire Inspection:
Additional Fee:
$0.00
Plan check Fee
Demolition Fee
Grading Bonds Fee:
$0.00
Fair Share
General Service
Grading PC Consultant:
$0.00
SJH Trans:
Grading Bond:
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check :
$0.00
Electrical %:
$30.37
San Dist :
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
oomocc
e r c c
.ceoco e
$0,119. ooeomo.
�1�c9sQ0° o 0 o c �
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
IITOTAL FEE: $640.21 Plan Check Fee: $384.97 Fee Due at Permit Issuance : $255.24
PROCESSED BY:. aA�_ PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
GRADING APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
Fire Department
$40.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
oomocc
e r c c
.ceoco e
$0,119. ooeomo.
�1�c9sQ0° o 0 o c �
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
IITOTAL FEE: $640.21 Plan Check Fee: $384.97 Fee Due at Permit Issuance : $255.24
PROCESSED BY:. aA�_ PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
GRADING APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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
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 `) 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).
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
pply to anownerof property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I 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 legally
ell 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
rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent i� Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ,70Q0) Bion 3 of the Busines Profession Code, and myligenSe is in full force
nd effect. License Class License No D Ce `11 , Contractor Si ature ou //l��„Q,�y/A
IIORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE.TP.5;CURE 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 COMPE41SATION,IJAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm LiMer penalty of perjury one of the following declarations:
.... .
I have and•y. iflppfntain 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 thI
rror ce of the work for which this permit is issued. Policy No.
R2ve and wig m3iGtain 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' compensatior
1 rance carrier" pplicy number are:
arrie►•�Policy Number Expiration Date
......I A.....H • • Phnno 8
SPcertify 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 wor ers' compensation laws of California, and
h9e Tf1 Should bac subject t he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
�i89�tyr� of p licant AA te_
iECLARATIOP�RC�ADDING CONSTRUCTION LENDN
hereby affirm untlerpenalty 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).
.ender's Name Lender's Address
3y 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 th' 'tf or county to e r the above -i entified property for inspection purposes.
Signature of PropertyOwner AUKOzed Agent Print Property Owner's or Authorized 4eqvs Name Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
OEPA
PERMIT EXTENDED
EIAQMD
CERTIFICATEOFITFINi
OCCUPANCY ISSUED
'/
/
L-� ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: