HomeMy WebLinkAboutX2020-1454 - Permits130 City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
�.. Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP
COMB Permit: X2020-1454
IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII II
Project No: 1709-2019
Issued Date : 06/2412020
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 0612512023 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: 1630 BEDFORD LN NB
Description: MFR WINDOW (12) CHANGE OUT "LIKE FOR LIKE"
Legal Desc.: N TR 1893 LOT 25
Owner:
BCH FRONT WATERFORD DOVER NEW
Address:
130 NEWPORT CENTER DR #230
1045 W KATELLA AVE
NEWPORT BEACH CA 92660
Phone:
ORANGE CA 92667
Applicant:
EMERICON BUILDERS INC
Address:
1045 W KATELLA AVE
Con State Lie:
ORANGE CA 92867
Phone:
949-466-2011
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R21U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 6
Bldg Height: 0
Bldg Sprinklers:
Contractor:
EMERICON BUILDERS INC
Architect:
Address:
1045 W KATELLA AVE
Address:
Construction Valuation:
ORANGE CA 92667
$0.00
Phone:
949.466.2011
Phone: State Lie:
Con State Lie:
931272
Engineer:
Lie Expire:
04130/2021
Address:
Bus Lic:
BT30062512
Additional Fee:
Lie Exp Date:
03/31/2021
Phone: State Lie:
Worker's Compensation Insurance
Carrier: NOVA CASUALTY
Policy No: SISWK1000066300
Expire: 01131/2021
Building Setbacks Rear: /
Front: I
Left: /
Right: /
Designer:
Address:
Phone:
Special Conditions: UNITS E - F
ood Zone:
X
Use Zone:
Parking Spaces:
0
Fire R
Construction Valuation:
$0.00
$0.00
$0.00
Demolition Fee
Building Permit Fee:
$0.00
Excise Tax:
$0.00
Planning Department -
$0.00
Plan Check Fee: $0.00
Refund Deposit
Additional Fee:
$35.00
Plan check Fee:
$0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share
$0.00
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans
Record Management:
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
CA Seismic Safety :
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access:
$0.00
PAN Plan Check:
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee :
$0.00
Mechanical W
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $35.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $35.00
PUBL(,C WRNS b1PPROVAL:
D o c m o m
PLAN CHECK BY:
PtIPPROVA6 ?O ISSUE:
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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
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $35.00
PUBL(,C WRNS b1PPROVAL:
D o c m o m
PLAN CHECK BY:
PtIPPROVA6 ?O ISSUE:
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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 items)
(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).
❑ 1, 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
improved 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).
❑ 1 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 legally
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://w .leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of Div'- ion 3 of the Business and Professio s Co an I Ii is in full farce
and effect. License Class License No Da Contractor Signature
INORKERS' 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 3700 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 IN
)�dormance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
Date
lame of Agent —vnone s
]I 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 agree
iat, if I should become esuu jec to(�th w ers' cc m n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant LJl n I \� Dat uLho
)ECLARATION REG NGC N RU TION 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, Dart
ender's Name Lender's Address
ly 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.
I authorize representatives of this city or county o l r('�h� 1a1b teff' o�fi(ie�pr perty for inspection purposes. ,, / -�,r1m1
-;.....,1, w o—nard„ n—nor .,r A,ahnri7arl A„ontN "�1 1FFkf' U ,W/ YI l 1111' Print Pronedv Owner's or Authorized ADent's Name/ 1/ 1 VI Daley/ LID
ACTION DATE BY ✓ DEtLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I SUBMITTED ASBES_0S5qo1rrFiCATIOt7D
PERMITCANCELLED
PERMIT EMENDED QMD
PERMIT FINAL q A ^ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED
CERTIFICATEOFOCCUPANCY ISSUED 1''�s �'1 SIGNATURE:EMOLITION •.• ••• •�• • ••• ••