HomeMy WebLinkAboutX2019-3044 - PermitsCity of Newport Beach - Building Division11111111COMB Permit: X2019-3044
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIrIIIII
,,1a11N 100 Civic Center Drive, Newport Beach, CA 92660 X. 2 0 1 9 3 0 4 4 Project No :2118-2019
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP ELEC MECH PLUM Issued Date : 0 9124/2 01 9
Inspection Area : 2
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 8:00 p.m. No work on Sundays or Holidays
Job Address: 320 CATALINA DR NB
Description:. MFR REMODEL BOTH KITCHENS AND BATHROOMS, REPLACE ALL WINDOWS 447 SF "STOP WORK*
Legal Desc • N TR 444 LOT 8
Owner: VIKING INVESTORS -BARENTS SEA
Address: 1104 W BAY AVE
Contractor:
OWNER/BLDR
Architect:
SMITH CRAIG MONROE'NSPL C did
Fire H
Address:
JAN -ERIK PALM
Address:
1041 W 18TH ST #A-208 � 1
- NEWPORT BEACH, CA 92661
General Service
Building Permit Fee:
$903.00
COSTA MESA CA 92627
Phone:
Phone:
: Phone:
949-764-0010 State Lic:CCO2011-64 °•••
Applicant: SMITH CRAIG MONROE
Con State Lia
O/B
Engineer:
AS BUILT PER*IT-*
Address. 1041 W 18TH ST #A-208
Lic Expire:
Fair Share
Address:
O0°•°.�
COSTA MESA CA 92627
Bus Lia
$0.00
SJH Trans
�/ I� p�+° p° �p�° °
EXPOSE ALL
Phone: 949-764-0010
Lic Exp Date:
Grading Permit Fee:
Phone:
STRUCTtJRAI
State Lia • ° o
Code Edit: 2016
Worker's Compensation
Insurance
Designer.
ELECTRICAL > PLU1V1sINQ ,•A°°
Type of Construction: V -B
Carrier.
$0.00
Address:
r
Occupancy Group: R3/U-
Policy No:
Disabled Access:
$0.00
8 �!°t� 9
MECHANICAL CO',/Ih.5KOF9,...mm°°�
Added /New sq.ft. Bldg: 0
Expire:
$0.00
Phone:
• •"m. °
Added /New sq. ft. Garage: 0
$63.21
San Dist:
$0,00
mmmoc
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions:
C2019-0167
No of Units: 1
Front: /
$81.27
OWNER/BLDR ATTACHED
Bldg Height: 0
Left: I
mom • o-
Bldg Sprinklers:
Right: /
Flood Zone:
Fire Department
Use Zone:.
Parkinq Spaces:
0
Fire H
Construction Valuation:
$70.000.00
$0.00
Building Dept Adm
General Service
Building Permit Fee:
$903.00
Excise Tax:
$0.00
Planning Department -
Plan Check Fee: $785.61
Additional Fee :
$0.00
Plan check Fee
Overtime Plan Ck:
$0.00
Grading. Bonds Fee:
$0.00
Fair Share
Investigation Fee:
$903.00
Grading PC Consultant:
$0.00
SJH Trans
Record Management:
$16.00
Grading Permit Fee:
.$0.00
In -lieu Housing Fee
Energy Compliance:
$66.00
Grading PC Fee:
$0.00.
Public Works Department
CA Seismic Safety:
$0.00
WO Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access:
$0.00
PAN Plan Check :
$0.00
Hazardous Mat
$0.00
Electrical %:
$63.21
San Dist:
$0,00
Building Green Fee :
$3.00.
Mechanical %:
$36.12
NMUSD Fee:
$0.00
Plumbing %:
$81.27
IITOTAL FEE: $2,927.21
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL: _
Zone : N
Plan Check Fee: $0.00 Fee Due at Permit Issuance
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$2,927.21
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:C
APPROVAL TO ISSUE: / v _-
Fire Department
$80.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee: $0.00 Fee Due at Permit Issuance
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$2,927.21
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:C
APPROVAL TO ISSUE: / v _-
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 applies ile3teri
ction 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 a�?pIL.
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 siri�r d
fessions 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 peAl
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
�rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
roved for the purpose of sale)_
as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code:. The Contractors' State License Law does not
ily%-an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
-I am exempt from licensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal)
a structure that I have built as an owner -builder if it as not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7 4 of the Business and
fessions Code, is available upon request when thi ap ication is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Dat Q
nature of PrW%"%wner or Authorized Agent
3EN$ED CON'TRACTOR'S DECLARATIq
!felsyatfirm antler penalty of perjury that 1 amyl ce ed 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
1 effect. License.Glass License No Date - Contractor Signature
)TAKERS' COMPENSATION DECLARATION
WING: FAILURE 70 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
V OP gOMPENEFLTVN, I:AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Iretly affirm yVp( penalty of perjury one of the following declarations:
T T12ve and will.6intain 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 IN
PoPfiance of the work for which this permit is issued. Policy No.
•••.
•havi and WHO � M=ain 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' dompensahor
trance carriers policy number are: ^
Policy Number
Jame of Agent ....
:1I certify that, in the perfor ante 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' co pensation laws of California, and agre
hat, if I should become su act to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /� A
3ignature of Applicant
)ECLARATION REGA PI G CONSTRUCTION LENDING AGENCY
hereby affirm under p y of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 ,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 p ovided is correct.
I agree to comply with all applicable city and county o inances and state laws relating to building construction.
I authorize representatives of this city or county to e r the above-ide rfied r rt or inspection purposes. 'lr ate
3i nature of Property Owner or Authorized Agent ` <1 O Print Property Owner's or Authorized Agent's Name JV
ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
I SUBMITTED ASBESTOS NOTIFICATION TO
IS NOTAPPLICABLE TO
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