HomeMy WebLinkAboutX2019-2060 - PermitsCity of Newport Beach- Building Division II�IIIIIIIIIIII�IIIIIIIIIIIII�lllll�p
COMB Permit: X2019-2060
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9
2 0 6 0
Project No: 1487-2019
a
Permit Counter Phone (949)6443288
$0.00
Disabled Access:
$0.00
Inspection Requests Phone (949)644-3255Combination
$0.00
Building Green Fee . -
Type - BLDG PLUM
m- -
Issued pate : 06128/2019
Special Conditions:.OWNER/BLDR ATTACHED
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meemo°
Inspection Area : ao
'
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Left:
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:
20462 BIRCH ST NB
Right: / -
Description:
DEMO SFR 3250 SF (6 BEDROOMS) -
..
Legal Desc.:
TR 706 LOT 122 ALLEX NELY 62. FT ANDEX STR
Owner:
MORIARTY RICHARD & MARILYN Contractor: OWNER/BLDR
Architect:
,:..
Address:
20462 BIRCH ST Address: MORIARTY RICHARD
Address:
NEWPORT BEACH, CA 92660
• mT°�+ ,r,, °
Phone
-... Phone:
Phone:
State Lic •°•o•ea. {<^'••°
,`
Applicant:
MORIARTY RICHARD Con State Lie: 018
Engineer.
:
w„
Address:
20462 BIRCH ST Lie Expire: -
Address:
• a •°,
NEWPORT BEACH, CA 92660 Bus Lie:
Phone:
849.400-9463 Lie Exp Date: :
Phone:.
State Lie:
Code Edit: 2016
Type of Construction: V-B
'Occupancy Group:. _R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
,Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee:
$103.00
Plan Check Fee: $208.00
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: $2,341.27
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
- Mechanical %:
Plumbing %:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$9.27
Plan Check Fee
Planning Department -
Fire Department
Plan check Fee
Worker's Compensation Insurance
Designer.
SJH Trans
Carrier.
Address:
e
Park Dedication:
Policy No:
P/W Plan Check:
$0.00
San Dist: -
Expire:
Phone:.
m• e m e•
•
m- -
Building Setbacks Rear: I
Special Conditions:.OWNER/BLDR ATTACHED
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Front: /
CR&R HAULING
....
Left:
Grading Bond:
$0.00
Right: / -
$0.00
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
- Mechanical %:
Plumbing %:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$9.27
Plan Check Fee
Planning Department -
Fire Department
Plan check Fee
Fair Share
Fire Inspection:
SJH Trans
In -lieu Housing Fee
Fire Plan Rev
Public Works Department -
Park Dedication:
$0.00
P/W Plan Check:
$0.00
San Dist: -
$0.00
NMUSD Fee:
$0.00
$0.00 Fee Due at Permit Issuance : $2,341.27
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: i W \
Fire Department
$90.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$26.00
General Service
$210.00
Refund Deposit
$1,692.00
Grading Bond:
$0.00
-
$0.00
..
$0.00
$0.00 Fee Due at Permit Issuance : $2,341.27
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: i W \
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) 1 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
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 per!alty of
Io ore than five hundred dollars ($500). i
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044.,
usi s 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
mprovements 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
mproved 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
Ipply 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:
3y my signature lWcn I acknowledge that, except for y perspqal r silence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall3
;ell a structure thl;,I.hgaOe built as an owner -builder i it h e co s ucted in its entirety by licensed contractors. I understand that a copy of the applicable law,. Section 7A4 o the B iSiness and
Uofessions Code, is available upon request when t Is ap a i n i su t d or at wln te:http://www.leginfo.ca.gov/calaw.html. ,
j;i�ualure of PropeAy owner or Authorized Agent Date LG%
-IlrEN,SED CONTMkCTOR'S DECLARAT NN
:i te�by4affirm under penalty of perjury that I a icensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cr/e, and my license is in full force
Ind effect. License Olass License No Date Contractor Signature
�lO AFRS' COM;ASATION DECLARATION
b@018LAj1ffILJ : FAILURE,Ib sttl RE 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
6 GOMPENS'ATIb_._P MAGEE AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
bgteby affirm and@r penalty of perjury one of the following declarations:
e�....
Fhavm and ydl�l m�tintain acertificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Cade, for thI
erformance of I e worlafor which this permit is issued. Policy No.
.1....
retie and wjjl'ITBin0In 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' compensatior
lsurance carrier AN&Ilolicy number are:
Policy Number Expiratic
of Agent Phone #
Date
certify that, in the perfon ncq of jite work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
if I should become su i��I hejvJorkef(s'�corr(pensejon y=44no'eKection 3700 of the Labor Code, I shall forthwith comply with those provisions. --
signature of Applicant I— V "
IECLARATION REGAR ING CONSTRUCTION LENDING AGENCY
hereby affirm under pe alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section
enders 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 coun dices nd state laws relating to building construction.
I authorize representatives of this city or countyrt el a1IoWe-idem y or inspection purposes.. ,n/
Owner or Authorized
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
BY
PROPOSED
PART 61 OF TITLE 40 AND AQMD RULE
APPLICABLE TO
FOR OFFICE USE ONLY
9mpensation laws of California, and
Code).
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