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HomeMy WebLinkAboutX2019-0082 - PermitsCity of Newport Beach - Building Division g 100 Civic Center Drive, Newport Beach, CA 92660 ' Permit Counter Phone (949)644-3288 tnspedlon Requests Phone (949)644-3255. u+ Combination Type - MFP ELEC MECH PLUM III������������4III COMB De0061-2019m019-0082 Issued Date: 0111 712 01 9 Inspection Area : 6 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: 70 CHANDON NB Description:. MFR REMODEL BATHROOMS (2), POWDER ROOM AND RESURFACE FIREPLACES W/STONE 300 SIF Legal Desc.: TRACT 14565 LOT 3 OF PROJECT 936.46 LOCATED ON AP 461-241-15 - Owner: SIMMONS WILLIAM Contractor: CUSTOM CARPENTRY Architect: - Address: 70 CHANDON Address: P.O. BOX 518 Address: NEWPORT BEACH, CA 92657 NUEVO CA 92567 Phone: Phone: 949497-8859 Phone: State Lie: Applicant: MCKEEHAN JESSE Con State Lie:. 732120 Engineer: LARSON HAROLD EUGENE Address: PO BOX 518 Lic Expire: 02/28/2021. Address: 1437 GLENNEYRE ST NUEVO, CA 92567 Bus Lia - ST98040387 LAGUNA BEACH CA 92651 Phone: 949497.8859 Lie Exp Date: 1213112019 Phone: 949-497-5203 State Lic:C-033222 Code Edit : 2016 Workers Compensation Insurance Designer: MCKEEHAN JESSE Type of Construction: V -B Carrier: EVERST NATONAL Address: PO BOX 518 Occupancy Group: R3IU Policy No: 7600010548191 NUEVO, CA 92567 Added /New sq.ft. Bldg: 0 - Expire: 01/01/2020 Phone: 949497.8859 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: VHFHSZ, LANDSLIDE No of Units: 2 Front: I SPECIAL FIRE PROTECTION Bldg Height: 0 Left: / PLAN'ATTITO PERMIT Bldg Sprinklers: Right: I Flood Zone: X - Use Zone: Parkin S aces: 0 Fire Hazard Zone : Y Construction Valuation: $45.000.00 Building Permit Fee: $691.00 ' Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $601.17 Additional Fee : $0.00 Plan check Fee : $40.00 Fire Inspection: Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Investigation Feer $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Bond: Hazardous Mat $0.00 Electrical %: $48.37 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %:. $27.64. NMUSD Fee: $0.00 Plumbing %: $62.19 TOTAL FEE : $1,472.37 PROCESSED BY: ZONING APPROVAL: r Plan Check Fee: GRADING APPROVAL: ( , V GCG GG $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $641.17 Fee Due at Permit Issuance : $831.20 PUBLIC WORKS APPROVAL: PLAN CHECK BY: !-1 r APPROVAL TO ISSUE: 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, alsorequires 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 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 (_) all of or (_) 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). 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 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 legally 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.html. 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 Section 00 of Division 3 of the Business and Pr de, and my li a is in full force and effect. License Class License No Date a Contractor Signatures WORKERS'COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the pert mance of the work for which this permit is issued. Policy No. I have and will suntan workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol insurance carrier ai['�policy numbeq are: . A re of Agent ` Vo'— certify that, in a performance of the work for which this if I should becom I e workers' compensa'� Number Date is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and lions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Dat_177'A+J /S CLARATION REGAKDING CONSTRUCTIONJACDING AGENCY rreby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or countyfe)Me bove-id ified property for inspection purposes. nature of Propertv Owner or Authorized Agent L V Print Property Owner's or Authorized Agent's Name )6M$P M%f§jj&V Dat ACTION PERMIT CANCELLED PERMITEXTENDED DATE I BY DECLARATION 5F COMPLIANCE WITH CODE OF FEDEI REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE NOTIFICATION TO CERTIFITFINALICATE OF 71 OPOSEDOS NOTIFICATION IS NOTAPPLICABLE TO OCCUPANCYISSUED SIGNATURE. VZ FOR OFFICE USE ONLY CCC O 00 Cf mOf � C h'i T U N y C C c c� W C> N 4. m ce a e c e 00 O FU+ bkn N m ee e Ccc c mG '� to cq 410, i i' Q ti_..._ .. ...........o._a.�_._. .� o� rob °' • '�' ���j, uW., o � N . cl ° U to W U U ° O rn cl 3 z a°i U Cd to o o o Ci0 w ° T b `d N N OONE � o ICL z ri b ,y N O h N d o�n� PaQU N'� bpr r W N w CNj M co N ° N b 'iy C.' y Q C) (iP- 1•d yNj cUtl y p YUi OOCL U +-+ VCNO N N L7 O c3 F".