HomeMy WebLinkAboutX2018-2581 - Permit ApplicationCity of Newport Beach - Building Division *X2018 581 COMB Permit: X2018-2581
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100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1153-2018
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 �J�� `).< Issued Date : 08129/2018
Combination Type - MFP C� ':•. Inspection Area : 4
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PERMITS EXPIRE 160 DAY AFTE UAN R LAST LID INSPECTIO . .;
Construction Hours: Monday -Friday 7-(I a.m. to 6:3 .�m,Adr� atru�r�a r from 8:0 a.m. to 6:00 p.m. No ork On Sundays or Holidays
Description: MFRJob Address: 32 I REDUCE SCOPE- OMIT ADD OF ENTRY FOYER WIGARA ACCEa,�^o�\RO�Q�RTENSIO DELTA 1) A Fy
Legal Desc.: TR 9859 LOT 1 UNIT 10 OF PROJECT LOCATED ON AP 461- -07 TOkEj'HERR
Owner: CLEAR VIEW PROPERTIES Contra r: DIAMONNSTON 8. WATERPROOFING Arch/ite
`LCTOR
Address: 32 VIENNA A Tess: // 11100-8 SEPU69EDA BLVD #561 Address:
NEWPORT BEACH, CA 92660 MISSION HILLS, CA 91345 V
Phone: Phone. 818-832-9407' Phone: Aa� to Li
Applicant: MORENO MARTIN Co tate Lie: 988451 Engin ST�RLIN JOHN
Address: 12751 SUNNY MEADOWS DR L Expire."� ` 11I30/2019 Addr ••®® },[}7. JUDITH P
MORENO VALLEY, CA 52553 us Lie BT30063962 j'� �4CONDID A 920
Phone: 951-484-5179 Lie Ukp Date 07/3112019 Phone: +`� 619-840-7 0 S e Lic:S-002475
t7 cb a�5'
Code Edit: 2016 /v/Worker's Compensation Insurance-_:Des9h�': \
Type of Construction: Via /7 Carrier BENCHMARK INSURANCE AOkss:
occupancy Group: R21U � Policy No: CST5012604 (�
Added /New sq.ft. Bldg: 0 ` Expire: 04/16/2019 '(\Phone: \Q�6j�
Added New sq. ft. Garage:
NO Of S)Or125: 2 Building Setbacks Rear, I Spec' Condi' ns' 2018-1482
Y!� N Front /
No of Units : 2 0 . f.. '
Bldg Height: �e�r 1�0 Right, I
Bldg Sprinklers: N �, Fir rd Zone : N
Flood Zone: Us o Parkin S aces:^..0
Construction Valuation 00 V.
C3E ax: $0.0 � Planning apart t Fire Department I .,
Building Permit Fee $0.0 �p'�rr0 a1 plan eck F $0.00 Fire Inspection: $0.u0 y
Plan Check Fee: $0.00 - dd' a sFee: 00 �",� $0.00 Fire Plan Rev y0.n0
Overtime Plan Ck: $0.0,0.. F ' Share'
JH Tra $0.00 Demolition Fee
Investigation Fee: $0.010 ra Consultants+ _ 0.0 Building De tAdm
Record Management : $0.00 Permit Fe9!"'._�! t' In -lie o ng Fee : $0.00 9 r n.qn
i,��✓! 00 Publ' s Department - General Service 5
Energy Compliance: $0.00 .`.;i_ Gra mg PC Fee: Refund Deposit $0.o0
0.00 ar Plan
Check:
: $0.00
CA Seismic Safety : $0.00„ WO Insp. F p plan Check : $0.00 Grading Bond: , $OAO j
Disabled Access : $0.0U? -- ° $0.0 Dist: $0.00
Hazardous Mat $0.00,r;YEle cal o. , $0.00
Building Green Fee : $0.00
ch cal °°. $0 0 MUSD Fee: $0.00 $Ojoe
t0Coin 0.00
TOTAL FEE : $3 . 0`'
Plan In Fee : $0.00 Fee Due at Permit Issuance : $33.00
F•
PUBLIC WORKS APPROVAL:
PROCESSED BY:
PLAN CHECK BY:
ZONING APPROVAL:
APPROVAL TO ISSUE: i
GRADING APPROVAL:
OW NER-BUILDER DECLARATION 6
1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State LiGen5e L2, or the reasons) it iRd bolo bj
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to cc Burt, alter, improved olish, or re
the permit to file a signed statement that he or she is licensed pursuant to the provisions of th ontractors' State�(�f150 Law (C pter
Professions Code) or that he ll she is exempt from IiCensure and the basis for the alleged emptiOot �&y viol bf Section 31.5 by
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole coml
Business and Professions Code: The Contractors' State License Law does not
improvements are not intended or offered for sale. If, however, the building or
m roved for the purpose of sale).
applyto an owner of property who builds or improves thereon, and I, as owner of the property, am exClusively Contracting with license ontra
w contra,
❑ 1 am exempt from licensure under the Contractors' State Lc
a Law for
By my signature below I acknowledge that, except for my per al r:,Iden in
sell a structure that I have built as an owner -builder if it ha of been co trUrtE
Professions Code, is available upon request when this lication is bmitted'
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARAT
the checkmark(s) I have placed next to the applica ;t.,
any structure, prior to its issuance, also requires the 2pphcank for
Commencing with Section 7000) of Division 3 of the Business and
I applicant for a permit subjects the applicant to a ,lull penalty of
ens n, will qy,0 all of r�) portions the work, and the! ru re
y to an of pity who, th gh employees' or personal
provegTefi�i solOdhln one yea f completion, the Owner -Builder
:tors to con ru I the proj�Section 7044, Business and Professions
s for the pros with a`` lbensed Contractor pursuant to the Contractor
a following reasoN�V
which must haveIfeslded for at least one year
iin its entirety{by licensed contractors. I under:
IF at the following Web site:htto:// .leoinfn n:
I hereby affirm under penalty of perjury that I licensed u er provi
and effect. License Class sions of Chapters (commencing wits
L
COMPENSATION
IARNING: FAILURE TO SECURE WOR
DST OF COMPENSATION, DAMAGES
hereby affirm under penalty
I have and will main a
;Hf_ormance of thew nr wh1
'have and will r
ne of Agent _
certify that in
, if I should be
can No \Date 1�'a�L�9mi
RAT ''.. ,`
O MPEN COVEVR�GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO C •L LTIEO9\ O C INES
OVIDED SECTIOF!`3j116 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEEsa
ry the following declarations: \�/��� (��O �{�yy.
is a of consent to self -insure for workers' compensation, issu by t DireD& of Indust' R`lafldhs
s permit is issued. Policy No. \��_
compensation insurance, as required by Section 3700 of the Labor Code, for the pe rmanc f wC Ire:
Policy Number. - O
hereby affirm under penalty of p
enders Name `
y my signature be:a v, I certify to ea
I am the grope Dy owner or authod,
I have read E?iia application and the
I agree to comply with aJLappllCaMe
I au,horize reoresei mea.nuttlY�
ACTION I '
EXPIRED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCY ISSUED
the
is not intended or Offered for sale (Section 7044,
)rt, builds or improves the property, provided that the
uI'
have the burden of proving that it was not built or
The Contractors' State License Law does not
kiicense Law).
or me improverrv4nts covered by this permit, I cannot
the applicable la^pection 7044 of the Business and
is in full force
THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
for by Section 3700 of the Labor Code, for
t for which this permit is issued. My workers'
Date
this `PW'it is issued, I s I o an erson an ma er as to become subject to the
Ion provisions of S Ion y p y
P n �e�th Labor Co , I shall h comply with those provisions.
for which this permit is issued
IS carreCt.
and state s ref 6 to ilding construction. t
w/p�de 'led pro y inspection purposes. /
BY �tA Tfi�OF COMP AN WITH CODE OF FEDERAL FOR OFFICE USE
7R % LA NS PARTAl O TLE 40 AND AQMD RULE
TO
U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
compensation laws of California, and
Civil Code).
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