HomeMy WebLinkAboutX2019-0558 - PermitsCity of Newport Beach - Building Division
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COMB Permit: X2019-0558
4' 100 Civic Center Drive, Newport Beach, CA 92660
X 2 0 1 9 0 5. 5
6
Project No : 0400-2019
E - Permit Counter Phone(949)644-3288
cs Inspection Requests Phone (949)644-3255
Combination Type -MFP
Issued Date: 02128/2019
Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 6 ODYSSEY CT NB
Description:MFR -DECK REPAIR FOR NEWPORT CREST HOA
Legal Desc.: TR 7817 LOT 1 UNIT 127 OF PROJECT LOCATED ON AP 424-041.01 TOGETHER
-
Owner .NEWPORT CREST HOA
Contractor:'
SMITH ANGUS
CONSTRUCTION Architect:
Address: 201 INTREPID ST
Address:
12342 CANYON TERRACE Address:
NEWPORT BEACH, CA 92663
- .SANTA ANA CA 92705
_
` Phone.
Phone:
714-538-1191
Phone:
State Lie:
Applicant: SMITH ANGUS -
Con State Lie: 637440
Engineer:
XIAO QIANG
Address. -:12342 CANYON TERRACE
Lie Expire:
02129/2020
Address:
1520 BROOKHOLLOW DR #45
SANTA ANA CA 92705
: Bus Lie:
BT01101101
SANTA ANA CA 92705
Phone: 714-538-1191
Lie Exp Date:
.0913012019
Phone:.
714-662-0510 State Lic:S-005289
Code Edit: 2016
- Worker's Compensation Insurance
Designer.
Type of Construction:. V -B
- Carrier:
EMPLOYEE SERVICE Address:
'Occupancy Group: R2 -
.Policy No:
AMX080003000
Added /New sq.ft. Bldg: 0
Expire
10/0112019
Phone:
Added /New sq. ft. Garage: 0
-
tv
No of Stories: 2
Building Setbacks
Rear I
Special Conditions
No of Units : 8 -
-
Front: /
a .; e, A
- Bldg Height: 0
Left: l:
�
Bldg Sprinklers:
:
Right:.1
Flood Zone:
Use Zone:
Parking Spaces:
0 Fire Hazard Zone ': N
Construction Valuation:. $9.200.00
-
BOi)ding Permit Fees o $232.00
Excise Tax:
.$0.00
Planning Department -
Fire Department
P1jlp qh ck Fe&0 ¢0x00
Additional Fee :
$50.46
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 -
�Imrosti_ation Fee, ° ° $0.00 -
Grading PC Consultant:
$0.00
SJH Trans : -
$0.00 Demolition Fee
%'e°old'Management c $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00 Building Dept Adm $0.00
°ttlergy Complianee: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service $0.00
EflF!�eismic afaty=� $0.00
WQ Insp. Feer
$0.00
Park Dedication: $0.00
Refund Deposit $0.00
Disabled Ac ess°x $0.00
P/W Plan Check : $0.00
Grading Bond: $0.00
oHazar'dous: NLat,- $0.00
Electrical %:
$0.00
San Dist: $0.00
Bujlding Green, Fee,,t $1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
°• ° ° °
Plumbing %:
$0.00.
$0.00
()TAL FEE: $283.46
Plan Check Fee:
$50.46 Fee
Due at Permit Issuance : $233.00
PROCESSED �' `
CG
PUBLIC WORKS APPROVAL:
p�
��
c4s
.ZONING 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
ie 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
Irofessions 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
iusiness 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
nprovements 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
n roved for the purpose of sale).
1, 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
pply 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:
ly 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 legalll
ell 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
'rofessions 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 Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)y Divisn 3 91 the Business and Profession Co le,a my 1* icensgi, is4n full force
nd effect. License Class License No Date "/Contractor Signature
YORKERS' COMPENSATION DECLARATION
DARNING: 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
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 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
Iifyrmance 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' compensatio
Vave
nce carrier and policy number are:
r Policy Number. Expiration Date
flame of Agent Phone #
31 certify that, in the perfo ce of t e 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 agre
hat, if I should become subj o th w rkers' cPP ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
11ct
!!11
Signature of Applicant I A Date
7ECLARATION REG DINOC N�CTON LENDING AGENCY
••• �o•o°°
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, Civil Code).
o
-ender's Name Lender's Address
=••••• o°
u
3y my signature below, I certify to each of the following:
. • , e o a
I am the property owner or authorized to act on the property owner's behalf.
p
I have read this application and the information I have rovided is correct.
• �b ° °
.'
I agree to comply with all applicable city and county rd anqeMand state laws relating to building construction.
I authorize representatives of this city or county toter he ove,-,Lde'n`9R'ed property for inspection purposes. \
. • • •• ° ° o
.• °•
J
,'
�.
•Date
3i nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na,7`
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
•• °
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
a o°°° °
1403
•• • • <
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
_
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••�•
PERMIT CANCELLED
UEPA
PERMIT EXTENDED
QMD
PERMITFINAL
-30-19
DN tll
ASBESTOS NOTIFICAA0N OT APPLICABLE TOCERTIFICATE
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PROPOSED DEMOLITI
OCCUPANCYISF
OCCUPANCY ISSUED
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