The URL can be used to link to this page

Home My WebLink Aboutx2022-1180 - PermitsCity 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 - SFP IIIIIII� I IIu� IIIII�II IIIII I�II�I 0 II COMB Permit: X2022-1180 Project No: ® CONSTRUCTION NOISE IssuedtionDateAr a:12022 Inspection Area: 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0412212025 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: 1344 W BAY AVE NB V O i THE � WEEKEND . . Description: SFR CHANGE OUT (5) (E) WINDOWS ! [-'j Legal Desc.: TR 626 LOT 2 BLK 2 ELY 30 FT Owner: HACK BRADFORD H Contractor: ROBERT OWEN CORPORATION Architect: Address: 1344 W BAY AVE Address: 2218 LAUREL PL Address: NEWPORT BEACH CA 92661 NEWPORT BEACH CA 92663 Phone: Phone: 949-633-3248 Phone: State Lie: Applicant: ROBERT OWEN CORPORATION Con State Lie: 471754 Engineer: Address: 2218 LAUREL PL Lie Expire: 08/31/2023 /Address: NEWPORT BEACH CA 92663 Bus Lie: BT30037884 Phone: 949-633-3248 Lie Exp Date: 01/31/2023 Phone: State Lie: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: NO EMPLOYEES Address: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: LIQUEFACTION 8: HIGH No of Units : 1 Front: / DENSITY AREA Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: AE Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $20,000.00 Building Permit Fee: $416.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee: $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Inap. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PIW Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $417.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $417.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: G o ° a�° ° PUBLIC°WORK§°APtsfJOVAL: v° 9C4 PLAN CHECK BY: APPROVALaTQISS11E: - a 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 appli,able 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 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). ❑ 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, 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 legalIN 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://www.leginfo.ca.gov/calaw.htm]. Signature of Property Owner or Authorized Agent Dated LICENSED CONTRACTOR'S DECLARATION I ' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000 pivisiop 3 of the Business and ProfessjBti 'e, n y lice a is in full force and effect. License Class License No Date 2 ?^ Contractor Signature WORKERS' 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 performance of the work for which this permit is issued. Policy No. ❑l have and w I 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' compensatiol Tier kPolic N NA e r, Expiration Date ne of Age 1 Phone # certify that, in a pertorman of t ork 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 I, if I should become suu t he r rS m ensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. nature of Applicant '+,/ Dare �/i' --- CLARATION REGA DING CONST CTIO ENDING AGENCY :reby affirm under penalty of perjury that there is a construction lending agency forthe performance of the work for which this permit is issued (Section 3097, Civil Code). Ider'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 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 to jenter the above -identified property for inspection purposes. ./ �] _ _ _ 1/& / e DATE BY R5IJ IONS PART RATION OF 40 AND AQMD RULE MPLIANCE WITH CODE OF AL FOR OFFICE USE ONLY PERMIT EXPIRED I LJiSUBMkTEDASBKTO f4OTlF[(�4nON;*6 .•• PERMIT CANCELLED EPA • PERMIT EMENDED UQMDJ PERMITFINAL -L O NOTI ICAT 1 T PP C LE 0 CERTIFICATE OF PROPOSED I L IQ e • • ••' OCCUPANCYISSUED SIGNATURE: ° .. I ,� e •s e•• « e es• a• ee•