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HomeMy WebLinkAboutX2017-2163 - Permitswry City of Newport Beach - Building Division o 100 Civic Center Drive, Newport Beach, CA 92660 Record Management: Permit Counter Phone (949)644-3288 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 Inspection Requests Phone (949)644-3255 2043 WESTCLIFF DR NB Combination Type - BLDG *X20172163* COMB Permit: X2017-2163 Project No: 1535-2017 Issued Date: 0 711 212 01 7 Inspection Area : 7 Applicant: WILSON JEANINE PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 5848 VARNA AVE Record Management: 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: 2043 WESTCLIFF DR NB $0.00 Disabled Access : Description: COMM AWNINGS (7) 530 SF $0.00 - Legal Desc.: N TR 4225 LOT 2 Policy No: .; Expire: 04/0112018 Phone: Owner: HANKEY INVESTMENT CO Contractor: MILLER J CANVAS INC Architect: Address: 190 NEWPORT CENTER DR Address: 2429 S BIRCH STREET Address: NEWPORT BEACH CA 92660 SANTA ANA CA 92707 Phone: Phone: 714.641-0052 Phone: State Lie: Applicant: WILSON JEANINE Address: 5848 VARNA AVE Record Management: VALLEY GLEN, CA 91401 Phone: 818-994-3999 Code Edit : 2016 Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $12.500.00 Building Permit Fee: $262.00 Plan Check Fee: $227.94 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $6.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $623.94 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: 693222 Engineer: Lie Expire: 1113012018 Address: Bus Lic: BT00008990 In -lieu Housing Fee: Lie Exp Date: 0 613 0/2 01 8 Phone: Worker's Compensation Insurance Designer: Carrier: STATE COMP Address: Policy No: 9094060 Expire: 04/0112018 Phone: Building Setbacks Use Zone: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: / 'arkinc Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : 0 MONEY ALAN 2447 W 12TH ST STE 1 TEMPE AZ 85281 State Lic:C-046959 Special Conditions: Fire Hazard Zone : N 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 P/W Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 c -n0o 0 0 oe• , oeomoo $0.00' 0omo $89.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $623.94 PUBLIC WORKS APPROVAL: PLAN CHECK BY: SY%r APPROVAL TO ISSUE: Fire Department $37.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: c -n0o 0 0 oe• , oeomoo $0.00' 0omo $89.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $623.94 PUBLIC WORKS APPROVAL: PLAN CHECK BY: SY%r APPROVAL TO ISSUE: 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do `) all of or U portions of the work, and the structure is not intended or offeredfor 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). ❑ 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 70 1) of Division 3 of the Busines�'and Professions Co(W, and may licen e is to full force and effect. License Class License No ate (�'f ContractoKSignature WORKERS' COMPENSATION DECLARATION 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 ,GES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. affirmundeepenalty of perjury one of the following declarations: . . 'e and Nill maintain a certificate of consent to self -insure for workers' ince of the work for which this permit is issued. Policy No. compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for and VII.ryaiotain 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 Expiration Date of Agent " ' Phone # eQify that, in the performance 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 if I Should baoOineosubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. — Fterg Of V'y"P�l�i+licaot.-1�+�-��-r—�� �� ��,^ 1e °2 7 GIARATION:VGARIJING CONSTRUCTION LENDING 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 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 county to enter the above-identified�,prooperty for inspection purposes. . nature of ProDertv Owner or Authokz€d Acent 5Q�,Z & e V� Print Property Owner's or Authorized Agent'Wame J 0o v:� ACTION DATE 8Y v DECLARATION OF IREGULATIONS PARTOMPLIANCE WITH CODE OF 1 OF TITLE 40 AND QMD RULE AL FOR OFFICE USE ONLY PERMIT EXPIRED LII SUBM117ED ASBESTOS PERMIT CANCELLED EPA PERMITFINAL $ 3 ® Ni I Com^,- UASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: Civil Code). W\'\50.,