HomeMy WebLinkAboutX2019-1265 - Permitsr`r�r City of Newport Beach- Building Division
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III�llllllll l COMB Permit: X2019-1265
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Building Permit Fee:
$831.00
Excise Tax:
$0.00
Planning Department-
l II
II
100 Civic Center Drive, Newport Beach,
CA 92660
X 0 1 9
1
6 5
Project NO : 0908-2019
$0.00
a4.
Permit Counter Phone(949)644-3288
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
ewk, Inspection Requests Phone (949)644-3255
Fair Share : $0.00
Fire Plan Rev
Combination Type - SFP ELEC
Issued Date: 04/23/2019
$0.00
Grading PC Consultant
.$0.00
Inspection Area : 3
Demolition Fee
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION_
Record Management:
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
- $0.00
Job Address: 9 CASTAWAYS LN NB„
Building Dept Adm
$0.00
Description: SFR REMOVE & REPLACE DOOR & WINDOW W/ (N) MULTI -SLIDING DOOR,. NEW ATTITRELLIS W1TV WALL 346 SF
$56.00
LegalDesc.:
$0.00.
Public Works Department-
General Service
Owner: DAMRON JEFFREY
Contractor: HARKINS CONSTRUCTION
Architect:
$4.65 - .
Address: 9 CASTAWAYS N
Address: :.. 34167 PCH #13
Address:
Refund Deposit
NEWPORT BEACH CA 92660
DANA POINT CA 92629
Disabled Access :
$0.00'.
Phone:
Phone: 949-245-9028
Phone: - State Lie:..
-.-:6
Applicant - BURKE LEO
Con State Lie: 935372
Engineer: BURKE LEO
$0.00
Address:. 34167 PACIFIC COAST HWY #D
Lie Expire: 0313112020
Address: 34167 PACIFIC COAST HWY #D
DANA POINT CA 92629
Bus Lie: BT30066134
DANA POINT CA 92629
$2.00
Phone .949-226-7130-
Lie Exp Date: 02/29/2020
Phone: 949-226.7130 State Lic:C-067404
Code Edit: 2016
Worker's Compensation Insurance
Designer: HANN PRYNDANA,:•..-.ter
Type of Construction: VB
Carrier: - NORGUARD INS CO
Address: 34167 -D PCH
Occupancy Group: R31U
Policy No: HAWCO21004
- - DANA POINT CA 92629
Added /New. sq.ft. Bldg: 0
Expire: 02/22/2020
Phone: 949-226-7130
Added /New sq. ft. Garage: 0 -
i
No of Stories: 2
Building Setbacks. Rear I.
Special Conditions:
No of Units : 1
Front:
E 1 ` F;JftLIC WORKS APPROVAL:
Bldg Height: 0
Left:
.....Right:
.Bldg Sprinklers:
ZONING APPROVAL:
Flood Zone: X
Use Zone: Parkino Spaces: 0
Fire Hazard Zone: N
PLAN CHECK BY:
. . I GI °°'. VC
L onscrucnon va matin:
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Building Permit Fee:
$831.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Feer $410.64
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 Fee:
$0.00
Grading PC Consultant
.$0.00
SJH Trans: $0.00
Demolition Fee
Record Management:
$14.00
Grading Permit Fee: -
- $0.00
In -lieu Housing Fee: $0.00
Building Dept Adm
$0.00
Energy Compliance:
$56.00
Grading PC Fee:
$0.00.
Public Works Department-
General Service
$0.00
CA Seismic Safety:
$4.65 - .
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access :
$0.00'.
PM/ Plan Check : $0.00
- Grading Bond: :
$0.00
Hazardous Mat
$0.00
Electrical %::
$58.17.
San Dist: $0.00
Building Green Feer
$2.00
Mechanical %:
.$0.00
NMUSO Fee: $0.00
-$0.00
Plumbing %I
$0.00
$0.00 .
TOTAL FEE ; $1,416.36
Plan Check Fee: $0.00 Fee Due at Permit Issuance :
$1,416.36
i
PROCESSED BY:.
`
E 1 ` F;JftLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
"` �`�,
°
`�. E°c. `1B '4`°'ROVAL TO ISSUE:
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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 items)
(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 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.htm].
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 Sectio 7 of Divi io 3 of the Business and P es �D�
Ions Codq, arrt9 bce In full force
and effect. License Class License No Date 1_1
Contractor Signatu
WORKERS' COMPENSATION DECLARATION de
NARNING: 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 ($100,000(, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
)grformance of the work for which this permit is issued. Policy No.
have and willtt�t10�Itain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
'ance carrier an$Dakcv number ares-.
Date
of Agent
certify that, in the performance of the work for which this pe 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
I, if I should become su ject to the wo ers' cc nsati R visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant ' '
CLARATION REGA CONSTRUCTIO ENDING AGENCY
Ireby affirm under nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3;97, Civil Code).
Ider's Name Lender's Address `
my signature below, I certify to each of the following:
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 county ordinances and state laws lating to building construction. -
I authorize representatives of this city or cou�ty�° enter th ove- operty for inspection purposes.
nature of Prooertv Owner or Authorized ADent Y i F�� Print Property Owner's or Authorized Agent's Nartl1( �eOr/I�LJf�+�C� Dice �` L ?L
ACTION
DATE
BY ir DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY r J
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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