The URL can be used to link to this page

Home My WebLink AboutX2017-2119 - Permits011ta�r City of Newport Beach - Building Division IIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 7 2 1 1 9 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG MECH COMB Permit: X2017-2119 Project No: 1495-2017 Issued Date: 07/07/2017 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 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 1706 E OCEAN FRONT NB Description: DEMO (E) SFR WIATT GARAGE 2,036 (4 BEDROOMS) Legal Desc.: N TR 518 BLK C LOT 2 Owner: LORA MICHAEL R Address: 9971 RANGEVIEW DR Bus Lie: SANTA ANA CA 92705 Phone: 0313112018 Applicant: LEWIS RAY Address: 1763 BAYPORT WAY Plan Check Fee: $0.00 NEWPORT BEACH CA 92660 Phone: 949-650-4940 Code Edit : 2016 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Contractor: LEWIS R W CONSTRUCTION Address: 1863 BAYPORT WAY NEWPORT BEACH CA 92660 Phone: 714-321-4126 Con State Lie: 597309 Lie Expire: 0613012018 ' Bus Lie: BT00021681 Lie Exp Date: 0313112018 Worker's Compensation Insurance Carrier: CALIFORNIA INS CO Policy No: 46864922 Expire: 12111/2017 Building Setbacks Rear: / Front: I Left: I Right: I Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lie: State Lie: Special Conditions: LIQUEFACTION AREA Construction Valuation: $8.000.00 $0.00 Fire Inspection: $0.00 Fire Plan Rev Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - General Service Plan Check Fee: $0.00 Refund Deposit Additional Fee : $0.00 Plan check Fee: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access : $0.00 PAN Plan Check : $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 Plumbing %: $0.00 TOTAL FEE: $1,349.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: 79 $0.00 $0.00 $24.00 $197.00 $1,127.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,349.00 PIBBLIC WORKS APPROVAL: cc=E e c o e e o m enc o 000 �' Pt.°AWCHECK BY: APPROVALTOISSUE oco c eoc ca c oc o0o c c o 0 0 o c c c c cu e c o cc c c ec e� o0 oe e o coo ooc Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $24.00 $197.00 $1,127.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,349.00 PIBBLIC WORKS APPROVAL: cc=E e c o e e o m enc o 000 �' Pt.°AWCHECK BY: APPROVALTOISSUE oco c eoc ca c oc o0o c c o 0 0 o c c c c cu e c o cc c c ec e� o0 oe e o coo ooc 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 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 U 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 legaill 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:/Lwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Dat LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) Di Isi n 3 of the Business and Pr fessi Cod I I' ense is in full force and effect. License Class License No Date % Contractor Signatur WORKERS' COMPENSATION DECLARATION 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 3706 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 the 7Pyformance of the work for which this permit is issued. Policy No. 71 have and will r ain in 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' compensatiol Isurance carrier an olify number are: //�� :arrier Poll bsof:�D Expiration Date lame of Agent - Phone # ]I certify that, in the perform ce of th wo r 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, and agre iat, if I should become s fact the w rke ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant D IECLARATION REG RDING CONS RUC N LENDING AGENCY 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). Ender's Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the pe wner' half. I have read this application and the information I he a provide is r ct. I agree to comply with all applicable city and county o ance a state laws relating to building construction. I authorize representatives of this city or count o e ter ova Iden led property for inspection purposes. 7 _ i nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Da e \CTION DATE BY DECRATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULALATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED I t6bsuami7rED ASBESTOS NOTIFI TIOC TO • • • • • • PERMIT C,QNCELLED EPA • • • • PERMIT EXTENDED qMD • • • • PERMITFINAL�'� BESTOS IFICATI I OT PLICABLE TO CERTIFICATE OF PROPOSED DEM L OCCUPANCYISSUED SIGNATURE: •• ••• • • •• •• •••