HomeMy WebLinkAboutX2019-1444 - Permitsx City of Newport Beach - Building Division
IIIIIIIIIIIIIIIII�IIIIII�IIIIIIIIIIIIIIII II
COMB Permit: X2019-1444
' z 100 Civic Center Drive, Newport. Beach, CA 92660
X:2 0 1 9 1 4 4 4
Project No : 1011-2019
.?. Permit Counter Phone (949)644-3288. -
Inspection Requests Phone (949)644-3255
> Combination Type - MFP ELEC PLUM
Issued Date: 05/03/2019
Inspection Area : 2
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: 317 CORAL AVE NB
-
Description: MFR INTERIOR REMODEL (KITCHEN, BATHROOMS) AND LIGHTING THROUGHOUT 200 SF *STOP WORK" 119-1108
.....
Legal Desc.: BALBOA ISLAND SEC 3 BILK 15 LOT 27
....
Owner. BORLAND PATRICIA A Contractor.
SCOTT BORLAND GEN CONT Architect
` 4 ° ' ° •
cy • a
°z °
_.
Address: 317 CORAL Address:
-
24701 QUEENS CT Address:
-
s
s
`
NEWPORT BEACH, CA
LAGUNA NIGUEL, CA 92677
'�-"' l- ii
Phone: -949-875-6565 Phone:
949.400.2225
.Phone:
oeoe
State Lica. • •
• °
o
-Applicant. BORLAND SCOTT Con State Lie: 1014858 -
Engineer: NICHOLAS RICHARD
o e
Address: 317 CORAL AVE Lie Expire:
-. 06/30/2020
Address: 2260
GOLDEN CIRCLE
NEWPORT BEACH, CA 92662 Bus Lie:
bt30067187
NEWPORT BEACH CA 92660
Phone: 949-400-2225 Lie Exp Date:
05130/2020
Phone:. 949400-2225 State Lic:C-068523 , e
o ®• m m
°
Code Edit: 2016 Worker's Compensation Insurance
Designer.
OO°oo.°.
Type of Construction: V-B Carrier:
EXEMPT
Address:
° °
o
°
a �.
Occupancy Group: R3/U Policy No;
- ° •
o°oo
° °.
Added /New sq.ft. Bldg:. - 0 - Expire:.
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2 Building Setbacks
Rear: / -
Special Conditions:
FLOODZONE
No of Units : 2
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
Flood Zone:- Use Zone:
Parking Spaces:
0 Fire Hazard Zone:
N
Construction Valuation: , $5.000.00
Building Permit Fee: $152.00 Excise Tax:
$0.00
Planning Department -
- Fire Department
Plan Check Fee:. $132.24 - Additional Fee :
$0.00.
Plan check Fee: $40.00
Fire Inspection:. $0.00
Overtime Plan Ck:. $0.00 Grading Bonds Fee:
$0.00
Fair Share : $0.00
Fire Plan Rev $0.00 -
Investigation Feer $152.00 Grading PC Consultant:
$0.00
SJH Trans : $0.00
Demolition Fee:
Record Management :. $2.00 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 :. $0.00
PAN Plan Check :.. $0.00
Grading Bond: $0.00
Hazardous Mat - $0.00. Electrical %:
$10.64 -
San Dist: $0.00
Building Green Fee :. $1.00 Mechanical %:
$0.00 - -
NMUSD Fee: $0.00
$0.00
Plumbing %:
$13.68
$0.00
TOTAL FEE`. $503.56
Plan Check Fee:
$0.00 Fee Due at Permit Issuance : $503.56
PROCESSED BY: 15�PUBLIC
WORKS APPROVAL:
ZONING APPROVAL:
hJA&
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
, n^
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 applicableitem(ss)
(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 applir
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 Bu"
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 fora permit subjects the applicant to a civil_,
not more than five hundred dollars ($500). ..a`
❑ 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 personaleffort, 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 e.mperty, 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).
iamexempbfrorn licensure under the Contractors' State License Law for the following reason:
Bypy ygnaturebelovfI 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
sell a i4elcture than 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 Codepis -available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Sygbl3tufaof Propaay.Owner or Authorized Agent Date
LICENSED CQNTRACTOR'S DECLARATION
I MM151 gffirm LIC(I gRalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio/LPENALTIES
f Di ision 3 of the Business and Professi s Code, an license is in full force
an4effect. License Class License No baContractor Signature
I P� ?(fFS' COpIIPEySATION DECLARATION
NARNING: FAILURE TO SEGUE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AND CIVIL FINES UP TO ONE HUNDRE THOUSAND DOLLARS ($700,000), IN ADDITION TO THE
CQV"PPMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
ftefyy.&firm ur:441 penalty of perjury one of the following declarations:
..
I have and will .m.aintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided forbySection 3700 of the Labor Cade, for thf
3erformance of the work for which this permit is issued.. Policy No.
:11 have 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' compensatior
nsurance carrier and policy number are:
Carrier Policy Number Expiration Date
rlwl,�
of Agent Phone #
ertify that, in the pert rmonce of the work forwhich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' mpensation laws of California, and agref I should become bject rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant /De
5L
DECLARATION REG DING CONSTRUCTION LENDING AGENCYI hereby affirm under enalty of ere is a construction lending agency forthe performance of the work forwhich this permit is issued (Section 3il Code).
Lender's Name Lender's Address
By my signature below, I certify to e o ollowmg:
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.
I agree to comply with all applicable city and c my ordinances and state laws relating to building construction.
I authorize representatives of this city or counP to enter the ab tified property for inspection purposes.
Signature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Nam LO -� v� D e
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
14
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATIONTO
PFR MITfANCF11F0I IPPA
CERUFICATE OF 1. 1151 W- NATURE OLITION ION IS NOTA
OCCUPANCYISSUED l/ / I P I`!VVSSIIGG
kC
O
7 ;
a � ¢ a a a
N
CL
1
e o 0 o
d
Ir
�l^y
vl
G
�_
W
H
II II II 11
LO}
O
N
W
7
DO
U)
Z
LU
U
E
3
J
�f
n>
E
¢¢
�. O IO O.Lo O
N
0 0 0
o
O
1 U
�o O
e r N
W
Ix
W
2
W
Q
Q
Z
m
2
D
Z
LU
CL
Q
U
Ix
a
a
Q
O
U
kC
O
7 ;
a � ¢ a a a
N
CL
1
e o 0 o
d
C
o
G
CL
a
II II II 11
LO}
O
N
M
7
a o
d
1
e o 0 o
C
C
o
G
o N N O
O M
a
II II II 11
LO}
=
I`
DO
L_
E
3
LO
} O N N.� +
n>
E
¢¢
�. O IO O.Lo O
t3 L6rr N -NM
0 0 0
o
O
�o O
e r N
EA
LL
11 II If
C —
I I Lo 12 f2
o
i.i. �
z
}. ,
L)
NN0+
>
LO 6 Lo
Q
NN
a o
d
OJG I+e
o0 -Oro d� 1 K 6510-F7
06'6 4 oocx <�9sla �21VIAI-7
1
Al
C
n
o
�
o
a
m
=
7
DO
L_
E
{•
n>
E
¢¢
(OD-
a
o
V3
b4
EA
LL
N
C —
o
L)
C
>
Q
J
?
N
O
"
Q
>
cn
w
F
W
LV2
d
d
Q
CL
>
a
o
2
N
Lh
V'
OJG I+e
o0 -Oro d� 1 K 6510-F7
06'6 4 oocx <�9sla �21VIAI-7
O
N
vi
L
O
1
Al
C
n
N
> OO
O
a
m
=
7
DO
L_
E
{•
n>
E
¢¢
(OD-
a
o
E
LL
N
C —
a C0
:0
C
d C
IM�_iyZCO(1,
ro
W
LU
6
¢
O
N
vi
L
O
1
Al
W
n
_
> OO
O
a
m
7
N y
L)
{•
C
> OO
a
to
L)
{•
as
¢¢