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HomeMy WebLinkAboutX2019-1401 - PermitsCity-pf NeWport Beach - Building Division *X2019-1401* COMB Permit: X2019-1401 Grading Permit Fee: $0.00 100 Civic Center Drive, NewportBeach, CA 92660 Project No w Permit Counter Phone (949)644-3288 Excise Tax:. „. Inspection Requests Phone (949)644-3255 Planning Department. - Combination Type - MFP - Issued Date : /2019 Plan Check Fee: $132.24 Inspection Arearea : 8 $0.00 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: 132 WESTPORT NB Grading Bonds Fee: Description: MFR *WORK IN PROGRS" REMOVE & REPLACE GARAGE CONCRETE FLOOR Legal. Desc : TR 11604 LOT 2 UNIT 78 OF PROJECT LOCATED ON AP 442-291.40 TOGETHER F f' F w $0.00 Fire Plan Rev $0.00 Ir ., n 0 n r" Investigation Fee: $152.00 . $0.00 Owner: GORKEY VEMULAPALLI Contractor: PATSCHECK CONSTRUCTION LLC Architect: Grading Bond:. Address: 132.WESTPORT#7B .Address: 656 OTERO COURT Address: f , NEWPORT BEACH, CA 92660 :CAMARILLO, CA 93010 $0.00 Phone: Phone: 805-402.9130 Phone: , .State Lie: Applicant: PATSCHECK CONSTRUCTION LLC Con State Lie: 1011514- Engineer. Address: 556 OTERO COURT Lie Expire: 02/29/2020 Address: CAMARILLO, CA 83010 - Bus Lie: BT30061601 $0.00 Phone: 805-402.9130. Lie Exp Date: 12/31/2019 Phone: AS: triDp � V ffttJle1LiE1�[, ,1 Code Edit. 2016 Worker's Compensation Insurance Designer.' TALL Type of Construction: VB Carrier: EXEMPT Address:. STRUCTURAL, Occupancy Group: R3/U Policy No: C 30'}�QQ �t qY.9�'°e Added /New sq.ft. Bldg' 0 Expire: t 1pq�i Phone: ELM -"TUM PLUMBING, AND Added /New sq ft. Garage: 0 No of Stories. - 2 Building Setbacks Rear: / e A - D �`�P(��LR Special Cotte sr�:`M 1 J I S No of Units : 8 Front: / 1j 01 -006 " Bldg Height: 0 Left... / Plan Check Fee: Bldg Sprinklers: Right: :/. Fee Due at Permit Issuance : Flnnd 7nne Ilse Zone, Parkins Snaces 0 Fire Hazard Zone'. N Construction Valuation: - $5.000.00 $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Permit Fee: $152.00 Excise Tax:. $0.00 Planning Department. - Fire Department $0.00 Plan Check Fee: $132.24 Additional Fee : $0.00 Plan check Fee $40.00 Fire Inspection: Wuo WQ Insp. Fee: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Disabled Access: Investigation Fee: $152.00 Grading PC Consultant : $0.00 SJH Trans: - $0.00 Demolition Fee Grading Bond:. 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 Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 - Disabled Access: $1,00 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 Fee:' $0.00 ` -, $0.00 , Plumbing %:- $0.00 $0.00 TOTAL FEE : $477.24 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $477.24 n PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I, ' 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 iteni(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 (_) all of or (_) 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). ❑ 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 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 legall, 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 Secti 000 of DMS n 3 of the Business and Professions de, y I cans is In fu rce and effect. License Class License No ate' 1 I� Contractor Sign r WORKERS' CCMPr_-NSATION DECLARATION NARNING: FAILURE T7'S_CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE CJF7 OF (.OMPENSPTIQN„DAMAGES AS PROVIDED FOR IN SECTION 9705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Siereby affirm u) IdEr, peGialty of perjury one of the following declarations: I haV3 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 5ormance of thP,work for which this permit is issued. Policy No. �Iiiays and will' raui;ltain 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' compensatioi nsurance carrier cnd pclicy number are: farrier Policy Number - Expiration Date :ertity that, in the f`erforman the ork for is t s permit is issued, I shall not employ any person in any manner so as to become subject to the if I Fhouldtlgcoyaeau¢jact trQ war ��en tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions, of compensation laws of California, and -1-0 I 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). Lender's Name Lender's Address By my signature below, I certify to each of the following: - 1 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 o n and stateJwsrng to building construction.I authorize representatives oft y or coup a ter - ' iy for inspection purposes. S Signature of Pro artOwner ulhorized Age -"" c. Print Property Owner's or Aut d A ant's Name to (^ ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE TSE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U 15UBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED LIEPA PERMIT EXTENDED UAQMD Iq PERMITFINAL ESTOS NOTIFI If N15 TA PLIC LE CERTIFICATE OF 5 h'i1 /,89,� PR P 56D LITI OCCUPANCYISSUED �d e' 9 clr-N 0I Y <% 0 2 fn air 3sm70 0.1 nron S' --i r T T m 1- N O ro O N. N tll T � -� ro om m roro-oo is nco o� 0 0 a ro f m 0 3 p fA N ro ,y; 0 v oda � ��� g0roP nmiLl asN o mco3. aEi m Z y 5�y ? =sa 3nn n nm� k =°0' �9 n p c n s a -nm sIZ in w '°ooh. �n =�� v0 _ = o m 7wa m m eco CL m (n 3 0� n � 9' w �i m N 5. a m, �. cD O N N N Q O i N N N 0 n aZr O .ttr• O. -v C O N ti. 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Er @ m NK 3 (Dw ro C: M .O C oy��� O 5. ro (D 3 c 0 m N v, �. ro Q v ,n�. �- N .� -t ro o o ro n -, W m N N N (D �� CL a o, cf�- (�'Fe�- Ra BUILDING DIVISION I �A Ay 2 2019 BY: S.E.C. 10 �C Gly I f (� I J I HII AS BUILT PERMIT\A w)Lf 07,q «• I N scoff) 'OSE ALL STRUCTURAL, 'RICAL, PLUMBING. AND IANICAI_ COMPO ,!F�E1"- CITY OF NEWPORTEFALr UMMUNI APPROVAL OF THESE PLANS DOES NOT AUTHORIZATION TO CONSTRUCT ANY INCONSISTENT WITH THE ORDINANCES, Pt ARE, IN ALL RESPECTS, IN COMPLIANCE WITH CITY, ORDINANCES, PLANS AND POLICIES THE CITY OF NEW THE RIGHT TO REQUIRE ANY PERMITTEE TO FEV E IMPROVEMENT AUTHORIZED BY THESE PLA S BES CONSTRUCTION, IF NEC ES RY TO COMP H TH C POLICIES OF THE CITY OF N PO B PERMITTEE'SACKNOWLE- 7: ___.__.._.._ _.,......... - LG E(M/P APPROVAL TO 18BUE BUILDING: DATE' 73 I �I I� BUILDING DIVISION t) MAY 1 2019 n W. S.E.O.