HomeMy WebLinkAboutX2019-2690 - Permitswn City of Newport Beach - Building Division
>x 100 Civic Center Drive, NewportBeach, CA 92660
H r} Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
..Combination Type - SFP MECH ELEC
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COMB Permit: X2019-2690
Project No: 1152-2019
Issued Date : 0 812 912 01 9
Inspection Area : 1
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. NAY, ork on Sundays or Holidays
Job Address: 112 VIA KORON NB YY
Description: SFR RE -WIRE (E) DWELLING, UP -GRADE (E) SERVICE PANEL TO 200AMP, NEW 100AMP SUB -PANEL & CHANGE OUT (E) F.AoU1i
Legalpesc.i TR 907 LOT 647(AND NELY112 LOT 646 OA,
Owner:
KING MICHAEL & MARY
Address:
112 VIA KORON
Record Management:
NEWPORT BEACH, CA 92663
Phone.
949-887-4155
Applicant:
VILLA LOUIS
Address:
10447 EL BRARO DR.
Hazardous Mat
WHITTIER CA 90603
Phone:
714401-6079
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: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $392.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE : $436.12
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
Address:
Phone:
Con State Lie:
Lie Expire:
Bus Lie:
Lie Exp Date:
ATI
3360 E LA PALMA AVE
ANAHEIM CA 92806
714-283-9990
571784
06/3012021
BT30003010
03/3112020
Worker's Compensation Insurance
Carrier: ZURICH AMERICAN INS
Policy No: WC444664100
Expire: 08/0112020
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: /
Right: I
°arkina Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.44
$15.68
$0.00
Plan Check Fee
Architect:
Address: �>
Phone: ®+' > State Licv: /®/�'�
Engineer: " Y/��
Address: 'y®
Phone: St
Designer:
Address: V
Phone:
Special Conditions: LIQUEFACTION AREA
Planning Department -
Fire Department
Plan check Fee:
$0.00
Fair Share
$0.00
SJH Trans
Fire Plan Rev
In -lieu Housing Fee:
$0.00
Public Works Department -
Park Dedication :
$0.00
PM Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
NO PLAN
$0.00 Fee Due at Permit Issuance : $436.12
PUBLIC WORKS APPROVAL:
flt O4'
PLAN CHECK BY:
APIPROGIt TO ISSUE:
Fire Department
$0.00
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
$0.00 Fee Due at Permit Issuance : $436.12
PUBLIC WORKS APPROVAL:
flt O4'
PLAN CHECK BY:
APIPROGIt TO ISSUE:
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
the 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
Professions 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
not 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
improvements 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
Im 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
apply to 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). --
IJ I am exempt from licensure under the Contractors' State License Law for the following reason:
By 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,
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of p ury that I am licensed under provisions of Chapter 9 gmencing with Section 7 0 )sof D'visio 3 of the Business and Professio�rs Codg, and m4dicense is in full force
and effect. License Class i License No i-1 1 i 4� u Date `2`l 1 Contractor Signatures L,/�
WORKERS' COMPENSATION DECLARATION
NARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 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
jDrmance of the work for which this permit is issued. Policy No.
have and willryfiaFRtSin 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'
'ante carrier a d p licy numbe[,'r M _
Date
of Agent
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
if I should become gupject to the workers' ompensaf provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lature of Applicant
IECLARATION REGA DING CONSTRUCTION LENDING AGENCY
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,
ender's Name Lender's Address
y 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 count ordinances and state laws relating to building construction.
I authorize representatives of this city or count o me he above-iden It property for inspection purposes. ` ' /
innature of Prnnarty Ownar nr Aufhnrized ADent `� Print Prooertv Owner's or Authorized ADent's Name/
ACTION DATE BY 7 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY r
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA • • °
PERMIT EXTENDED OIVIp + • ' '+' • • ° s
PERMITFINAL ASBESTOS NOTIFICATION IS2n APRLICA•BU! Tt) . • V ••• •••
CERTIFICATE OF '�' PR POSED DE LITTON r• :'
OCCUPANCY ISSUED SIGNATU .
Civil Code).
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