HomeMy WebLinkAboutX2019-0556 - Permits;�.:, City of Newport Beach - Building Division
IIIIIIIIIIIIIIIII�IIIIIII�IIIIIIIIIIIIIIII� COMB Permit: x2019-0556
,�,W1r
100 Civic Center Drive, Newport Beach, CA 92660
X 2
0 1 9 0 5. 5 6
Project NO : 0400-2019
- F; * Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
-
`�., , Combination Type - MFP :
Issued Date : 02/21/2019
rgltyx'�'
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: 11 KIALOA CT NB
-
Description:. MFR - DECK REPAIR FOR NEWPORT CREST HOA
Legal Desc.: TR 7852 LOT 1 UNIT 105 OF PROJECT LOCATED ON AP 424-031-01 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:
714-638-1191
. 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:
ST01101101
SANTA ANA CA 92705
Phone:.. 714-538-1191 Lie Exp Date:
09130/2019
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: R21U - Policy No:
AMX080003000
Added /New sq.ft:. Bldg: 0 Expire:
10/0112019
Phone
Added /New sq. ft. Garage: 0
1.e �' '
No.&&ories:: a ° ° ° 2 Building Setbacks::
Rear 7
;., 4 Speoial Onoitions ,
°
t�oogf�ts : ° 7 .
Front: /
I�dg Height:. ° 0
Left: I
'a -, sl d
Bldg Sknklers:°o°OOo N
Toner
Right: /
-
FlUse Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $9.200.00
B°ullding PermdFee° $232.00 Excise Tax:
$0.00
Planning Department- Fire Department
-Plam6heck FPe9 ° $;0:00 - Additional Fee :
$50.46
Plan check Fee : $0.00: Fire Inspection: $0.00
Ov45time
Plan Ek: ° ° $0.00 Grading Bonds Fee:
$0.00
Fair Share :- .$0.00 Fire Plan Rev. $0.00
.liiveisfigation
Fee: $0.00 Grading PC Consultant:
$0.00
SJH Trans : - $0.00 Demolition Fee
Recotd Management: $0.00 Grading Permit Fee:.
$0.00
In -lieu Housing Fee: $0.00 Building Dept Adm ,$0.00
•&A, ,%y Comp°llance.: $0.00 Grading PC Fee:
$0.00
Public Works Department - General Service $0.00
CA. Seismic S6fg(y.: $0.00 WQ Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit $0.00
Disabled Acdaps° ° $0.00
- PAN 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 Feer $0.00 $0.00
Plumbing %:
$0.00.
$0.00.
TOTAL IEE : $283.46
Plan Check Fee:
$50.46 Fee Due at Permit Issuance : $233.00
PROCESSED BY: M. 51
PUBLIC WORKS APPROVAL:
ZONING APPROVAL: 14
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
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
'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 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nproved 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 Coder 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 legally
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://v w .leginfo.ca.gov/calaw.htm].
',ignature 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 0) of D' ision 3 f the Business and Professiorr�6ode, a my tic a is in full force
nd effect. License Class License No Date L 0 Contractor Signatur (, `i--
I/ORKERS' COMPENSATION DECLARATION
'ARNING: 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 ($100,00D), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST; AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 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,
a!formance 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 workel
carrier and policy number are: •
Policy Number
of Agent
Date
.eo
I certify that, in the performance of the 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, an6agre�
t, if I should become subjec the w rs' comp//�'9sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. • • • •' , . ° °
natureofApplicant A�% Date-��rl'/ •• ',__°n_
CLARATION REGA50ING CONSTRUMfON ENDING AGENCY
�reby 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). " • • °
lder's Name Lender's Address
my signature below, I certify to each of the following:
• • • .°°o,
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. • • •
na ce
I agree to comply with all applicable city and coun rdiand state laws relating to building construction. • ....
I authorize representatives of this city or county t en r theove-ide ti d property for inspection purposes.
nature of Prnnerty Owner nr Authnrized ADent ������ W1/i Print Prooertv Owner's or Authorized ADent's Name J&" � WLL /�'f Date, `�''f�Y•
ACTION DATE BY,/ VESLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
EGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
TO
PERMITEXTENDED
PERMIT FINAL ASBESTOS NOTIFICATIA�'f'L��IS APPLICA LE TO
CERTIFICATE OF �3U�9 ���' ROPOSED DEMf.1LITIONjj
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