HomeMy WebLinkAboutX2019-3561 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3561
4. a 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 3 5 6 1
h Project NO :2118-2019
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type- MFP Issued Date: 11/14/2019
crs.iu
Inspection Area : 2
PERMITS EXPIRE 190 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: 320 CATALINA DR NB
Description: MFR DELTA 1 -'ADDITIONAL SCOPE' REPLACE STAIRS AND GUARDRAIL (REV19-1858)
Legal Desc.: N TR 444 LOT 8
Owner:
VIKING INVESTORS -BARENTS SEA
Contractor:
OWNER/BLDR
Architect:
SMITH CRAIG MONROE
Address:
1104 W BAY AVE
Address:
SCOTT BURDICK
Address:
1041 W 18TH ST #A-208
Fire Department
NEWPORT BEACH, CA 92661
No of Stories: 2
Building Setbacks
Rear: I
COSTA MESA CA 92627
Phone:
-
Phone:
949-923-1033
Phone:
949.764-0010 State Lic:CO20154
Applicant:
SMITH CRAIG MONROE
Con State Lic:
O/B
Engineer:
Grading PC Consultant :
Address:
1041 W 18TH ST #A-208
Lic Expire:
Demolition Fee
Address:
Record Management: $0.00
Grading Permit Fee:
COSTA MESA CA 92627
Bus Lic:
$0.00
Building Dept Adm
$0.00
Phone:
949-764-0010
Lic Exp Date:
Public Works Department-
Phone:
State Lic:
Code Edit : 2016
Worker's Compensation Insurance
Type of Construction: V -B
Carrier:
Occupancy Group: R3/U
Policy No:
Building Permit Fee: $120.00
Added /New sq.ft. Bldg: 0
Expire:
Planning Department -
Added /New sq. ft. Garage: 0
Fire Department
No of Stories: 2
Building Setbacks
Rear: I
No of Units : 1
$40.00
Front: /
Bldg Height: 0
Overtime Plan Ck: $0.00
Left: I
Bldg Sprinklers:
Fair Share :
Right: I
Designer:
Address:
Phone:
Special Conditions: REV19-1858
N'GTOR
l i "I
Construction Valuation: $2.500.00
Building Permit Fee: $120.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $104.40 -
Additional Fee :
$0.00
Plan check Fee:
$40.00
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
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access: $0.00
P/W 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: $265.40
Plan Check Fee
: $144.40 Fee Due at Permit Issuance :
$121.00
PROCESSED BY:
° c ° ` °
° �. ° °
PUBLIC WORKS APPROVAL:
°
ZONING APPROVAL:
�° ° o
°°
PLAN CHECK BY:
°
GRADING APPROVAL:
0
o00 0
o c
°p ooc
APPROVAL TO ISSUE:
OWNER -BUILDER
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).
1, 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
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
nproved !Pr the purpose of sale).
rner 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
bwner of property who buildsor improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
empt from licensure under the Contractors' State nse Law for the following reason:
ture belowI acknowledge tha,exceptfor at least one year priorto completion of the improvements covered by this permit, I cannot egalure thatIhavebuiltas an ownerbuilder if it has ben cos a its entirety by lice d contractors. I understand that a copy of the applicable law, Section 7044 o Che u�irs an
Code, is available upon request when th'�,epplicati i ted II s :h /www. Ieginfo.ca.gov/calaw.htmi. I l /�[ r
Ig
of Property Owner or Authorized Agent ll Date
ICENSED CONTRACTOR'S DECLARATIO
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
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 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'
rance carrier and policy number
ier
I f Agent
ce 'fy that, in the performance c
if I hould becom s lect to +1
a e of Applicant
insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Policy Number
Date
person in any manner so as to become subject to the workers' compensation laws of Ca lornia, and agre
r Code, I shall forthwith comply with those provisions.
at
I hereby 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).
Lender's Name Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorizedto act on the prop wner's behalf.
I have read this application and the information I have rovid d is corre
I agree to comply with all applicable city and county oAth
d s aws lating to building construction. `C /
I authorize representatives of this city or county enter 'nspechooyu n ourposes.
Signature of PropertyOwner or Authorized Agent Print Pro—pertOwneerrs or Authorized Agent's Name ate
ACTION DATE BY J D CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO • ••• ••
PERMITC4NCELLED UEPA ••• •.• ��� ••• ••:
PERMIT EXTEND 13AQMD •
PERMITFINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO •� •: •'
CERTIFICATE OF PROPOSED DEMOLITION
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