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HomeMy WebLinkAboutX2019-0529 - Permits" City of Newport Beach - Building Q6vfi lcm e °® o (II�III�IIIIIIII IIIII IIIIIIIII IIII IIIII COMB Permit: X2019-0529 o 100 Civic Center Drive, Newport Beach, CA 92660 9 1 9 0 5 2 9 Project No: 0061-2019 R . - Permit Counter Phone(949)644-3286 000, oo° o e ooe oe • R Inspection Requests Phone (949)644-3255 Combination Type -SFP o • Issued Date : 0211912019 Inspection Area : 6 Added /New sq. ft. Garage: 0 - PERMITS EXPIR9-180 Oil-S,AFTER 1S31YANCE OR LAST VALID INSPECTION. Building Setbacks Rear: Construction Hours: Monday -Friday 7:0d a.m.ofbo6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 70 CHANDON NB Height: 0 Left: Description: SFR - CHANGE OUT SLIDER TO FRENCH DOORS (NO CHANGE TO HEADER) Right: Legal Desc.: .TRACT 14565 LOT 3 OF PROJECT 936-46 LOCATED ON AP 461-241-15 $0.00 Owner: SIMMONS WILLIAM - Contractor: CUSTOM CARPENTRY Architect: - Address: 70 CHANDON Address: P.O. BOX 518 Address:. $0.00 NEWPORT BEACH, CA 92657 NUEVO CA 92567 $0.00 Phone: - Phone: 949-497-8859.. Phone: State Lie Applicant: MCKEEHAN JESSE Con State Lie: 732120 Engineer: Address:. PO BOX 518 Lie Expire: 0212612021 Address: $0.00 NUEVO, CA 92567 Bus Lie: BT98040387 $0.00 Phone: 949-497-8859 : Lie Exp Date: 1213112019 Phone: State Lie: Code Edit 2016 Worker's Compensation Insurance Designer. Type of Construction: V -IB Carrier: EVERST NATONAL Address: Occupancy Group: R31U Policy No: 7600010548191 Added /New sq.ft. Bldg: 0 Expire: 01/0112020 Phone: Added /New sq. ft. Garage: 0 Construction Valuation: $1.200.00 No of Stories: 2 Building Setbacks Rear: I Special Conditions: nit f,f" No of Units : 1 Bldg Front: I Height: 0 Left: I Bldg Sprinklers: Right: I TOTAL FEE: $105.00 PROCESSED BY: ZONING APPROVAL: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant: Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %m: Plumbing %°: Construction Valuation: $1.200.00 Building Permit Fee: $104.00 a -s. Plan Check Fee: $0.00 Planning Department- 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: $105.00 PROCESSED BY: ZONING APPROVAL: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant: Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %m: Plumbing %°: PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $105.00 a -s. $0.00 Planning Department- Fire Department $0.00 Plan check Fee: $0.00 Fire Inspection: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm .$0.00 Public Works Department-. General Service ::$0.00 Park Dedication : $0.00 Refund Deposit PNV Plan Check : $0.00 Grading Bond: $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00- . $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $105.00 OWNER -BUILDER DECLARATION ; I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License LA; for t9e i6Sor (,Hinrticated ;slow by the checkmark(s) I have placed next to the applicable item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, derflolish;or repair any structure, prior to its issuance, also requires the applicant for ^ is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exe$rUion -Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty ofF of more than five hundred dollars ($500). ;, • , ; •. , •, •� I, as owner of the property, or my employees with wages as their sole compensation, will op l_)jalf of or (;:)•portions of tht ,wori, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property vfio, thipugh ejnpfoyeey" 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 compIs lion, fife Owner -Builder will have the burden of proving that it was not built or n 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 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly. 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://w .leginfo.ca.gov/calaw.htmi. 'signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and PDDfasetens-Goda. and my license is in full force nd effect. License Class License No Dal 9 FIX, I Contractor Signatur 1/ORKERS' 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 ($700,000), IN ADDITION TO THE OST 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: ] 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 th r�rmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date is of Agent —inone s certify that, in the performance of the work for whic his 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 if I should become �uhjeeYto-the-wQLkers' com ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant��` �f`— Dq�y�L� F'/r>)`I )ECLARATION REG A ING CONSTR N LENDING AGENCY VI 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 ry',my signature below, I certify to each of the following: 'i 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 slVe laws relating to building construction. I authorize representatives of this city or coitnt7fo--eflt"eib-ove-iohtified property for inspection purposes. Signature of Property Owner or Authorized A ent Print Property Owner's or Authorized Ag ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED DEPA PERMIT EXTENDED 0AQMD PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED 1 '7i ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION srr,NATNRF- ■ e% § ©°\ § % &«er