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HomeMy WebLinkAboutX2019-2830 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllllllllll COMB Permit: X2019-2830 100 Civic Center Drive, Newport Beach, CA 92660 III X 2 0 1 9 2 8 3 0 II Project No: 2015-2019 L, Permit Counter Phone (949)644-3288 iy. Inspection Requests Phone (949)644-3255 arr, .� Combination Type - SFF ELEC Issued Date : 0912512019 0 Inspection Area : 4 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 an Sundays or Holidays Job Address: 1788 PORT STANHOPE CIR NB Description: SFR- BATTERY BACKUP Legal Desc.: NTR 14533 LOT '������®� Owner LEW SUSAN Contractor: BRIGHT LIFE REMODELING Architect: Address: 1788 PORT STANHOPE CIR Address: 933 NEWHALL ST Address: NEWPORT BEACH, CA 92660 COSTA MESA CA 92627 Phone: Applicant: MEYERS SEAN Address: 933 NEWHALL ST COSTA MESA CA 92627 Phone 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: 32 Bldg Sprinklers: Flood Zone: X Building Permit Fee: $232.00 Plan Check Fee: $201.84 Overtime Plan Ck $0.00 Investigation Feer $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 Phone: 908-489-3911 Con State Lie: 1029267 Lie Expire: 07/3112021 Bus Lie: BT30060562 Lie Exp Date: 09/30/2019 Worker's Compensation Insurance Carrier: STATE FUND Policy No 9053332 Expire: 04/19/2020 Building Setbacks Rear: 10' Grading Bonds Fee: Front: 10' Fair Share Left: 5' Grading PC Consultant: Right: 5' Use Zone: PC -3 Parkino Snaces 0 Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lie: State Lic: BARBA VIN 933 NEWHALL ST COSTA MESA CA 92627 Special Conditions:. Excise Tax: $0.00 Planning Department - Fire Inspection: Additional Fee: $0.00 Plan check Fee Demolition Fee Grading Bonds Fee: $0.00 Fair Share General Service Grading PC Consultant: $0.00 SJH Trans: Grading Bond: Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check : $0.00 Electrical %: $30.37 San Dist : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 oomocc e r c c .ceoco e $0,119. ooeomo. �1�c9sQ0° o 0 o c � $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 IITOTAL FEE: $640.21 Plan Check Fee: $384.97 Fee Due at Permit Issuance : $255.24 PROCESSED BY:. aA�_ PUBLIC WORKS APPROVAL: ZONING APPROVAL: GRADING APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: oomocc e r c c .ceoco e $0,119. ooeomo. �1�c9sQ0° o 0 o c � $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 IITOTAL FEE: $640.21 Plan Check Fee: $384.97 Fee Due at Permit Issuance : $255.24 PROCESSED BY:. aA�_ PUBLIC WORKS APPROVAL: ZONING APPROVAL: GRADING APPROVAL: PLAN CHECK BY: 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, 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 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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or `) portions of the work, 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 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). 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 anownerof property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I 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://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent i� Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ,70Q0) Bion 3 of the Busines Profession Code, and myligenSe is in full force nd effect. License Class License No D Ce `11 , Contractor Si ature ou //l��„Q,�y/A IIORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE.TP.5;CURE 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 COMPE41SATION,IJAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm LiMer penalty of perjury one of the following declarations: .... . I have and•y. iflppfntain 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 thI rror ce of the work for which this permit is issued. Policy No. R2ve and wig m3iGtain 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' compensatior 1 rance carrier" pplicy number are: arrie►•�Policy Number Expiration Date ......I A.....H • • Phnno 8 SPcertify 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 wor ers' compensation laws of California, and h9e Tf1 Should bac subject t he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �i89�tyr� of p licant AA te_ iECLARATIOP�RC�ADDING CONSTRUCTION LENDN hereby affirm untlerpenalty 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 3y 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 th' 'tf or county to e r the above -i entified property for inspection purposes. Signature of PropertyOwner AUKOzed Agent Print Property Owner's or Authorized 4eqvs Name Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED OEPA PERMIT EXTENDED EIAQMD CERTIFICATEOFITFINi OCCUPANCY ISSUED '/ / L-� ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: