HomeMy WebLinkAboutX2020-2333 - Permitsr$rwru4r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-2333
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 3 3 3 Project No
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC Issued Date : Area
: 2oz0
4tanA
Inspection Area 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1011412023 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 H idays
Job Address: 2107 VISTA ENTRADA NB
Description: MFR REPLACE WINDOW @ THE MASTER BEDROOM (NO STRUC), 200 AMP SERVICE UPGRADE I�
Legal Desc.: TR5878 (L.L.84-214031) PAR 17 ��\1 i1��a
Owner: LEVY MONIQUE Contractor: J P CONTRACTING Architect: Y v
Address: 2107 VISTA ENTRADA Address: 3419 VIA LIDO #233 Address:
NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92663
Phone: Phone: 714-337-3700 Phone: State Lic:
Applicant: J P CONTRACTING
Address: 3419 VIA LIDO #233
NEWPORT BEACH CA 92663
Phone: 714-337-3700
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R211.1
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 4
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
11 Construction Valuation:
Building Permit Fee: $110.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE : $118.
PROCESSED BY:
ZONING APPROVAL:
Con State Lic:
620654
Engineer:
Lic Expire:
05131/2021
Address:
Bus Lic:
BT30046672
Lic Exp Date:
0713112021
Phone:
Worker's Compensation Insurance
Designer:
Carder:
WC EXEMPT
Address:
Policy No:
(NO EMPLOYEES)
Expire:
Phone:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical W
Mechanical W
Plumbing %:
Rear: I
Front: I
Left: I
Right: I
State Lic:
Special Conditions: SUB -AGREEMENT FOR
200 AMP SERVICE REPLACE
Hazard Zone :
$0.00
Planning Department -
Fire Department
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0:01
$0.00
Fair Sham:
$0.00
Fire Plan Rev
$0.00
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.0u
$0.00
Public Works Department-
General Service
$0.00
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PNV Plan Check:
$0.00
Grading Bond:
,o.or
$7.70
San Dist:
$0.00
$0.00
NMUSD Fee:
$0.00
$3.00
$0.00
$0.00
Plan Check Fee
: $0.00
Fee
Due at Permit Issuance :
$118.70
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: 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
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 L) all of or L) 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 licensors 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 legalh
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.htmi.
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 Se00) off the BUS" s and Profes ions b d my license is in full force
and effect. License Class License No D U Contra Signatur sr 2v*--
WORKERS' 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 H ND D THOUSAND DOLLARS ($I00,000), IN ADDITION TO TOE
:DST 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:
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
Trance 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:
a of Agent
aq%thit, :,T the performance
if I should become subiect to I
Policy Number
Date
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
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. f
hereby affnn urrJPr pe Ity 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).
Ander's Name • Lender's Address
3v Illy signature below, I certify to each of the following:
I am the propefty owner or authorized to act on the property owner's behalf.
I nave read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordi ces state laws relating to building construction.
I authorize representatives of this city r coo y t enter hy/ e-'dentified property for inspection purposes.
3i nature of Property Owner or Authorized / �A" Print Property Owner's or Authorized Age Name
ACTION DATE DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
( REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED OEPA
PERMIT EXTENDED QAQM D
PERMITFINAL SBESTOS OTIFICATION 15 NOT APPLICABLE TO
CERTIFICATEOF '7 PR MOUTION
OCCUPANCY ISSUED L h ur.Ner F•
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