HomeMy WebLinkAboutX2020-2224 - Permitsrs, City of Newport Beach - Building Division *X2020-2224* COMB Permit: X2020-2224
' " 100 Civic Center Drive, Newport Beach, CA 92660 Project NO
E• Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
P.,t,�yux�* Combination Type -BLDG
Issued Date : 1010512020
0
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1010612023 OR PERMIT WILL BE INVALID
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: 18 ROCKSHORE BLUFF NB
Description: SFR INSTALL DROWNING PROTECTION DEVICES
-- Legal Desc.:
Owner: GEUN JANG
Address: 3 MONARCH BAY PLZ #100
DANA POINT CA 92629
Phone:
$0.00
Applicant:
WARNER COMPANY THE
Address:
25588 PASEO LA VISTA
Energy Compliance:
LAGUNA NIGUEL CA 92677
Phone:
949.689-1042
Code Edit: 2019
Type of Construction:
.Occupancy Group: U
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 Valuation:
Building Permit Fee: $110.00
Plan Check Fee: $95.70
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 : $208.70
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: WARNER COMPANY THE
Address: 25588 PASEO LA VISTA
LAGUNA NIGUEL CA 92677
Phone: 949.689-1042
Con State Lie:
307675
Lie Expire:
07131/2021
Bus Lie:
BT30073117
Lie Exp Date:
10131/2021
Worker's Compensation Insurance
Carrier: WIC EXEMPT
Policy No:
Expire:
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: I
Front: I
Lek: /
Right: I
Parkin Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
0
Architect:
Address:
' NS ECIF® ll'1
Phone:
State Lie: �9-dt
Engineer:
$0.00
Address:
Fire Plan Rev
Phone:
State Lie:
Designer:
Park Dedication :
Address:
PM Plan Check:
Phone:
San Dist:
Special Conditions: PMOIL.0 #Orj%`
Fire Hazard Zone : N
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
$0.00 Fee Due at Permit Issuance : $208.70
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL 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 : $208.70
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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)
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
ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do-(_) all of or U 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).
1, 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
pply 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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,
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the fallowing Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with SectLgtS 700 ) of (vi ion .3 of the Busine and ofe s Code, and my license is in full force
nd effect. License Class License No a (i `d Contractor nat
VORKERS' COMPENSATION DECLARATION
IARNING: 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 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 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:
of Agent
if I
of
Policy Number Expiration Date
I 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 wor ers' compensation laws of California, and agre
the work compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
ILI
DECLARATIOKRE14ARBIING CONSTRUCTION LENDING AGENCY
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 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. 1 I
I authorize representatives of this city r count to a he above -identified property for inspection purposes. Ir O
Signature of PropertyOwner or Authorized a Print Property Owner's or Authorized Agent's i y1-e1i �/ l% J k_�)
ACTION DATE Y'DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I Ll I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
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I I UAQMD
PERMITFINAL
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
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