HomeMy WebLinkAboutX2019-2164 - Permitsa
City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-2164
00 Civic C9mer Drive, Newport Beach, CA 92660 x 2 0 1 9 2 1 6 4 Project No : 1569-2019
Permit Counter Phone(949)644-3288
Inspection Requests Phone (949)644-3255
Issued Date: 0810712019
Combination Type - SFP ELEC MECH PLUM
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 6:00 p.m. No work on Sundays or Holidays
Job Address: 900 CLIFF DR NB -
Description: SFR - REMODEL MBATH, ADD NEW BATH. 693 SF,CONV GARAGE TO LIVABLE 179 SF
Legal Desc.: N TR 1218 LOT 128 -
Owner: TIERNEY JONATHAN
Address: 900 CLIFFL DR
NEWPORT BEACH, CA 92663
Phone:
Applicant: TIERNEY JONATHAN
Address: 900 CLIFFIL DR
NEWPORT BEACH, CA 92663
Phone: 310-367-3576
Code Edit: 2016
Type of Construction: V -B
Occupancy Group: R3/U
Added /Newsq.ft. Bldg: 179
Added/New sq. ft. Garage: -179
No of Stories: 1
No of Units: 1
Bldg Height: 0
Bldg Sprinklers: IN
Flood Zone: X
Building Permit Fee: $1,113.00
Plan Check Fee: $968.31
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$44.00
Energy Compliance:
$70.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$4.00
Contractor: OWNER/BLDR
Address: TIERNEY JONATHAN
Phone:
$0.00
Planning Department -
Con State Lic:
Ole
Fire Department
Lie Expire:
-
Plan check Fee :
Bus Lie:
$40.00
Fire Inspection:
Lie Exp Date:
$0.00
Fair Share :
Worker's Compensation Insurance
$0.00
Carrier:
Grading PC Consultant:
$0.00
Policy No:
$0.00
Expire:
Grading Permit Fee:
$0.00
Building Setbacks
Rear:
10'
Building Dept Adm
Front:
20'
Public Works Department-.
Left:
4'
WQ Insp. Fee :
Right:
4'
Architect: CROOK KEVIN LEE
Address: 3035 GREENBRIAR RD.
LONG BEACH CA 90808.
Phone: State Lic:C015561
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
..Special Conditions:
N
State Lie,
INSPECTOR
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$40.00
Fire Inspection:
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
Grading PC Consultant:
$0.00
SJH.Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
Grading PC Fee`.
$0.00
Public Works Department-.
General Service
WQ Insp. Fee :
$0.00
Park Dedication :
$0.00
Refund Deposit
PM Plan Check:
$41.25
.Grading Bond:
Electrical %:
$77.91
San Dist:
$0.00
Mechanical %:
$44.52
NMUSD Fee:
$0.00
Plumbing %:
$100.17
TOTAL FEE : $2,503.16 Plan Check Fee : $1,119.56
o
o a a
PROCESSED BY:
ZONING APPROVAL:.
GRADING APPROVAL:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $1,383.60
pQ16a.IC WORKS APPROVAL:
e
PLAN CHECK BY:
oc coo c o o eo
�E.APPROVAL TO ISSUE:
c o oc o b co
cc ccc c c oo co ccc
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)'
lection 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).
3 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,
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).
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
I, 5 p 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).ly 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 Iegallt
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 app icatio 'a submittecLor at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed and provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, nd my license is in full force
nd effect. License Class License No Date Contractor Signature
YORKERS' 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
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 8700 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' 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
Agent rnone s
y 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
hould become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
.. �r 6 .
of Applicant
Dat I
Ireby affirm under penalty V perjury that there is a7construction 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, 1 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 this city or count�e�the above -identified property for inspection property for inspection purposes.
nature of ProOertv Owner or Authorized Agent � Print Property Owner's or Authorized Agent's Name
ACTION
DATE BY ✓'
VCLARATION OF COOPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
ULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION•TO• • .
. . •:
PERMIT CANCELLED
EPA • • • • •
• ••
•••
PERMIT EXTENDED
QMD
PERMITFINAL
CFASBE5TOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OFPROPOSED
DE O ION ••• •
YSIGNATURV
• ••• ••
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