HomeMy WebLinkAboutX2019-1034 - Permitsto City of Newport Beach- Building Division
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llllllllllllllll II COMB Permit: X2019-1034
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4 100 Civic Center Drive, Newport Beach, CA 92660
III X 2 0 1 9
Record Management :.
1 0
3 4
Project No ; 0716-2019
CA Seismic Safety:
Permit Counter Phone (949)644-3288
Disabled Access:
$0.00
r°} . Inspection Requests Phone (949)644-3255
$0.00
Building. Green Fee.:
c Combination Type - 8FP MECH ELEC PLUM
Issued Date : 2019
$0.00
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Inspection Arearea : 2
$0.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR. LAST VALID INSPECTION.
$0.00
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 Sunda. is or;Holidays
San Dist:
' Job Address: 308 HOLMWOOD DR NB
$15.68
NMUSD Fee:
Description: SFR REMODEL (3) BATHROMS, KITCHEN, AS -BUILT &.CHANGE OUT (6) WINDOWS
$0.00.
Legal Desc.: N TR1136.LOT36
Owner: VHRIS/RADIA Contractor: OWNER/BLDR
- Architect:.
Address: 308 HOLMWOOD DR Address: WALKER BARRY FOR O/B
Address:"t`
I'
NEWPORT BEACH, CA 92663
Phone' Phone: -
Phone: State Lie:
Applicant WALKER BARRY bon State Lie: O/B
Engineer
Address: PO BOX 11668 Lie Expire:
.Address:
NEWPORT BEACH CA 92658 Bus Lie:
o°.°°,
ocnno^
Phone: 949-246.4086 Lie Exp Date:
Phone: State Lie: O°`•
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Code Edit: 2016 Worker's Compensation Insurance
Designer: WALKER BARRY
Type of Construction: V13 Carrier:
Address: PO BOX 11658 ®
°
Occupancy Group: R31U Policy No:
NEWPORT BEACH CA 92658
Added /New sq.ft. Bldg: 0 Expire:
Phone: 949-246-4085
Added/New sq. ft. Garage: 0
No of Stories: 1 Building Setbacks Rear: I
Special Conditions:
No of Units : 1 Front: I
Bldg Height: 0 Left: i
Bldg Sprinklers: N Right: I
Flood Zone: X Use Zone:. Parking Spaces: 0
Fire Hazard Zone : N
Valuation:
Building Permit Fee: $392.00
Plan Check Fee: $341.04
Overtime Plan Ck
$0.00
Investigation Fee:
.$0.00
Record Management :.
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building. Green Fee.:
$1.00
TOTAL FEE: $854.44
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Excise Tax
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQJnsp. Fee:.
Electrical %:
Mechanical %:.
Plumbing %:
$0.00
Planning Department-
. $0.00.
Plan check Fee
$0.00
$0.00
Fair Share
$0.00
$0.00
SJH Trans
$0.00
In -lieu Housing Fee
$0.00
$0.00
Public Works Department -
$0.00
Park Dedication :
$0.00
$0.00
PM Plan Check :
$0.00
$27.44
San Dist:
$0.00
$15.68
NMUSD Fee:
$0.00
$35.28
Plan Check Fee
$0.00 Fee Due at Permit Issuance : $854.44
PUBLIC WORKS APPROVAL:..
PLAN CHECK BY:
APPROVAL TO ISSUE:
Fire Department
$40.00
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 : $854.44
PUBLIC WORKS APPROVAL:..
PLAN CHECK BY:
APPROVAL 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 requiresthe applicant for
he 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
lot more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mp vements 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
Vly.tomsiexempt
r 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 not
n owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law).
from licensure under the Contractors' State License Law for the following reason:
3y 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 legalll
;ell a structure that I have built as an owner -builder if it has nq 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' ' n is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent AAAA Date ✓1 14
-ICENSED CQNTWTOR'S DECLARATION`
�lerebypffirm unter"penalty of perjury that I am licensed uli er provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
mtleffeat. License Class License No Date Contractor Signature
NQRKERS' C0MPENSATION DECLARATION
RAI[[!! :"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 OACOMPENSA.T1PW, j1AMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
jlgreby affirm uhdBr npTalty of perjury one of the following declarations:
1 have and 74111 -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
�eiformance of ilre ovock"for which this permit is issued. Policy No.
hgye. and will rhaintain 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' compensatiol
rutance carrier and policy number are:
'wrierPolicy Number Expiration Date
rje,QPAgent . 00 0 Phone #
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
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Date
areby 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).
lder's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county or Inances and state laws relating to building construction.
I authorize representatives of this city or county to epOr ove-identified property for inspection purposes. }
nature of Prooertv Owner or Authorized ADent /�R.ih-� Print Prooertv Owner's or Authorized Aoent's Name /I-✓'il-Rti Vu,
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
OEPA
PERMIT EXTENDED
QMD
PERMITFINAL
OS NOTIFICATION IS NOT APPLICABLE TO
OCCUPANCYISCERTIFIC4TEOF
OCCUPANCY ISSUED
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