The URL can be used to link to this page

Home My WebLink AboutX2019-2133 - Permitsat $ City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-2133 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 1 3 3 Project No : 2106-2017 : Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 `"a rnc'b Combination Type = MFP - Issued Date: 07/09/2019 Inspection Area : 1 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. 11729TH ST NB Description:: DESCRIPTION CHANGE -DUPLEX TO CONDOS Legal Desc.: NEWPORT BEACH CITY BLK 29 LOT 27 Owner: MARTIN ROBERT LOWELL Contractor: SHOWALTER CONST INC Architect: Address: 1064 LA MIRADA ST Address: .1791 WHITIER AVE Address: LAGUNA BEACH, CA 92651 COSTA MESA CA 92627 Phone: Phone:. 949-673-1645 Phone: State Lie: Applicant: GUIDERO WILLIAM Can State Lie 664380 Engineer:.. GABRIEL MICHAEL R Address: 42530TH STREET Lie Expire: 0212912020 Address: 483 E 20TH STREET. NEWPORT BEACH CA 92663 Bus Lie BT00006144 COSTA MESA CA 92627 Phone: 949-675-2626.. Lie Exp Date: 05131/2020 Phone: 949-646-6596 State LieS-002939 Code Edit, 2016 Worker's Compensation insurance Designer Type of Construction: V -B -SPR .Carrier: STATE COMP Address: Occupancy Group: R3/U Policy No: 9220612 Added /New sq.ft. Bldg: 0 Expire: 1110212019 Phone: .Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: Bl of Units : 2 Front. / iz Bldg Height 0 Left:Bldg Sprinklers:Right /:� vFlood Zone: Use Zone' ParklnnSnaces- n Flra Ha A�"ru Ani tNsa Excise Tax: 11616iinb Permit Fee:. ' m $0.00 Additional Fee : FZla2 Check Fee° CL -$8860 Grading Bonds Fee: Gva timu Plan Ck: $0.00 Grading PC Consultant: lovestigation Fee: ` $0.00 Grading Permit Fee: RecgEd,N9anaget$eRe°, $0.00. Grading PC Fee: EnercyComplianCet c $0.00 WQ Insp. Fee: OA Seismic Safety $0.00 .$0.00 Disabled Access o �. � ° $0.00 Excise Tax: $0.00 Additional Fee : $35.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: :$0.00 Grading PC Fee: $0.00 _ WQ Insp. Fee: $0.00 IGa7ARFOUS Mat o , $0.00 Electrical %: BuIldinj Green 5se : $0.00 Mechanical %: o a o o oon Plumbing %: 0000nc o '. ° T9,JAI_ FEE $35.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: $0.00 $0.00 $0.00 Planning Department - Fire Department Plan check Fee: $0.00 Fire Inspection: Fair Share : $0.00 Fire Plan Rev SJH Trans : .$0.00 Demolition Fee In -lieu Housing Fee : $0.00 Building Dept Adm Public Works Department- General Service Park Dedication : $0.00 Refund Deposit PM Plan Check: $0.00 Grading Bond: 'San Dist: $0.00 NMUSD Fee: $0.00 - Plan Check Fee: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 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 issuanEe, 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 im roved 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). n I 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 to LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700,p,' f Ivi 3 of the Business and Profeyyy ' Code m lice In full force and effect. License Class License No Date Contractor Signaturl�/ INORKERS' COMPENSATION DECLARATION 4f1 NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO SAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ave 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 the ance of the work for which this permit is issued.. Policy No. 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 ance carrier and policy number's e: _ -arrier Policy Number. Expiration Date Vame of Agent Phone # ❑I certify that, in the performan a the wor for Ich t s permit' sued, .1shall not employ any person in any manner so as to become subject to the workers' compen, tion ew�gf•C;alifornia, and agref :hat, if should become subje t e workers mpen tion pr ns o 0 of the Labor Code, I shall forthwith comply with those provisions. j • • • • ° ° ° �j Signature of Applic ` ...... • ° ° ° ° DECLARATION RE D GCON UCTI LENDING AGENCY :•••:• . �� hereby affirm under penalty of ury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ...... -ender's Name Lender's Address • • ° ° ° ° 3y my signature below, I certify to each of the foll1prop • • • • ° ° ° • .. I am the property owner or authorized to act oowner's behalf.I have read thisapplication and the informatioedis rrectI agree to comply with all applicable city and ces ds eI s rel 'n construction.I authorize representatives of this city or counabove- tifi pro rty pection purposes. �/ 8�� •,p. u� Signature of Property Owner or Authorized Agent Print Pro ert Owner's or Authorized A ent's Nam ACTION DATE BY DECLM41ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY • ° REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE • � • • • • 1403 •••• PERMITEXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITEXTENDED LIAQMD PERMITFINAL 4 ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF 4 1`'� /�1� PROPOSED DEMOLITION OCCUPANCY ISSUED, . d \ SIGNATURE: