HomeMy WebLinkAboutX2019-1980 - Permits1rp City of Newport Beach - Building Division
- 100 Civic Center Drive, Newport Beach, CA 92660
tom, Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP
II 1111111 ILII0 IIT9 I I I IIT I� �I I I I0 II
COMB Permit: X2019-1980
Project No :
Issued Date : 06/24/2019
Inspection Area: 8
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: 1070 GRANVILLE DR NB
Description: SFR REMOVE (E) 39 SQ OF TILE, REPLACE UNDERLAYMENT, RE -INSTALL TILE, CLASS 'B' MIN.
Legal Desc.: TRACT 14839 LOT 4 OF PROJECT 939.63 LOCATED ON AP 442.421-13
Owner:
CHERIAN ALMA
Address:
1070 GRANVILLE DR
Overtime Plan Ck:
NEWPORT BEACH, CA 92660
Phone:
$0.00
Applicant:. CBCI CONSTRUCTION INC
Address: 10015 MUIRLANDS BLVD #E
IRVINE CA 92618
Phone: 949.542-7255
Code Edit, 2016
Type of Construction: VB
Occupancy Group: R3IU
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:
Flood Zone: X
Construction Valuation: $15
Building Permit Fee:
$324.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$1.00
TOTAL FEE: $325.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
CBCI CONSTRUCTION INC
Address:
10015 MUIRLANDS BLVD #E
Fair Share:
IRVINE CA 92618
Phone:
949-542-7265
Con State Lie:
458773
Lie Expire:
0413012021
Bus Lie:
BT30067389
Lie Exp Date:
05131/2020
Worker's Compensation Insurance
Carrier:
COMMERCE S INDUSTRY INS CO
Policy No:
WC019397866
Expire:
09113/2019
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical W
Plumbing %:
Rear: /
Front: I
Left: I
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone :
Planning Department -
Fire Department
Plan check Fee:
Fire Inspection:
Fair Share:
Fire Plan Rev
SJH Trans :
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
PM Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee: $0.00
0 4F•
State Lie:
State Lic:
V4
r
3)
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $325.00
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-PIdBLiC W.71 KS APPROVAL:
PLAN CHECK BY:
APt ROVIArL TO ISSUE:
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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:
V4
r
3)
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $325.00
k
-PIdBLiC W.71 KS APPROVAL:
PLAN CHECK BY:
APt ROVIArL TO ISSUE:
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OWNER -BUILDER DECLARATION t
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 fob,
1e 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
'rofessions 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
of more than five hundred dollars ($500).
1 1, 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,
Iusiness 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
nprovements 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
n roved 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
pply 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).
7 1 am exempt from licensure under the Contractors' State License Law for the following reason:
Iy 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 legally
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ce.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION q�y
hereby affirm under penalty of pe jury that I am licensed under provisions of Chapter 9 (commencing with Section 7000�of Di ision 3 of the Business and Proles Code, d license is in full force
nd effect. License Class 8 C 5!� License No Date Contractor Signatu .ul fi'�\
YORKERS' COMPENSATION DECLARATION
'ARNING: 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
OST 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:
I 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 IN
a mance of the work for which this permit is issued. Policy No.
G ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensatior
Isurance carrier an�p tiGy number ar%_ A
Date
ne of Agent l rnone fF
certify that, in the erformance of the work for 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 agree
t, if I should become suub/.ght'o, the worke 'n compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. +y1
nature of Applicant ^ lr-,fW l._/ /`JYAIY' Dated,
CLARATION REGA IN ONSTRUCTION LENDING AGENCY //J
weby affirm under p nalty o perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 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 relating to building construction.
I authorize representatives of this city or c9�ntl �I'n, r the ab identified property for inspection purposes. `
naf .ro of Prnnerfv nwnwr or Aufhnrb AOaili , L.Y� V %1111U � Print Prouertv Owners or Authorized Agent's NamL�
ACTION DATE BY 0 DkXR TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 • +
PERMIT EXPIRED L1 I SUBMITTED ASBESTOS t TIFIC'ION TC:
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PERMIT CANCELLED LIEPA � • n • • • e • • • • ,
PERMIT EXTENDED • • • +
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PERMITFINAL SBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF 'I5"I! �,/r�y/� PROPOSDDEM ITI • ••• �•+ • • •�•
OCCUPANCYISSUED SIGNA7 +
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