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HomeMy WebLinkAboutX2019-2538 - Permitswnp� City of Newport Beach - Building Division 04' 100 Civic Center Drilfe,. Newpnrt Beach, CA 92660 tom, rr Permit Counter Phone (949j344-3288 e" ar Inspection Requests Phone (949)644-3255 Applicant: Combination Type - MFP COMB Permit: X2019-2538 X 2 0 1 9 2 5 3 6 Project No: 1809-2019 Issued Date : 00/1212019 Inspection Area : 2 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: 627 WESTMINSTER AVE NB Description: MFR *ADDITIONAL SCOPE* ADD HEADERS AT CLOSETS AND KITCHEN- ®� Legal Desc.: N TR 27 BLK 2 LOT 19. GT 'Owner: ESPINOSA Address: 527 WESTMINSTER AVE #B 31402 ISLE VISTA NEWPORT BEACH CA 92663 Phone: LAGUNA NIGUEL CA 92677 Applicant: CONTREX INC Address: 31402 ISLE VISTA Con State Lie: LAGUNA NIGUEL CA 92677 Phone: 714-420-1806 Code Edit: 2016 Type of Construction: VB. Occupancy Group: R3. Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 2 Bldg Height: - 0 Bldg Sprinklers: N Contractor: CONTREX INC Architect: Address: 31402 ISLE VISTA Address: Plan Check Fee: $90.48 LAGUNA NIGUEL CA 92677 $0.00 Phone: 714-420.1806 Phone: Con State Lie: 533798 Engineer: Lie Expire: 06130/2020 Address: Bus Lie: BT30067650 Record Management: Lie Exp Date: 06/3012020 Phone: Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy. No: Expire: Building Setbacks Rear: I Front: I Left: I Right: I State Lie: State Lie: Designer: Building Permit Fee: $104.00 Excise Tax: $0.00 LAGUNA NIGUEL CA 92677 Plan Check Fee: $90.48 Additional Fee : $0.00 Building Dept Adm Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 Record Management: $2.00 Grading Permit Fee: $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 Building Green Fee : $1.00 - Mechanical %: $0.00 Plumbing %: $0.00 TOTAL FEE : $197.48 Plan Check Fee State Lie: State Lie: Designer: TULLENERS ROBIN Address: 31402 ISLE VISTA Fair Share LAGUNA NIGUEL CA 92677 Phone: 714-420-1806 Special Conditions 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 rkq $0.00 Fee Due at Permit Issuance eoee m o Does e• e m o 00 0 m m mmmm¢m 0 om o c o 0 0 om 0 coomco 0 ommo $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $197.48 PROCESSED BY: r / pN p" �' PUBLIC WORKS APPROVAL: / ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 0 0 e eo•000 m mmmoo oemoo o momco ¢ m o 0 0 mmm000 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: $0.00 Fee Due at Permit Issuance eoee m o Does e• e m o 00 0 m m mmmm¢m 0 om o c o 0 0 om 0 coomco 0 ommo $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $197.48 PROCESSED BY: r / pN p" �' PUBLIC WORKS APPROVAL: / ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 0 0 e eo•000 m mmmoo oemoo o momco ¢ m o 0 0 mmm000 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) d 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). ❑ I, 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 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 ownerofthe 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 legal 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.govtcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm Vfift%enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700' P Div' !on 3 of the Business and Pro as my license is in full force end effect. Liceaes, Class License No Date Contractor Signature :RS' gOVIFDFNSATION DECLARATION / !��` o FAILURE TOSlCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUN6RED THOUSAND DOLLARS ($100,000), IN ADDITION TO OMPENSATJON, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rr0t7y affirm ugder penalty of perjury one of the following declarations: J here and will mafntain 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 fotrfiance of the work forwhich this permit is issued. Policy No. .aye:00 0 6 0 and wilt fnairRain 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' compensal trance carrier and policy number are: tiiy that, in tele performance of I should bdb?jM subject to the ire of Applicant Policy Number Date this permit is issued, I shall not employ any person in any manner so as to become subject to the workq/s' compensation laws of California, and ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / ' I weby 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 I Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the pn I have read this application and the information I have I agree to comply with all applicable city and county yyrr I authorize representatives of this city or county to ehti nature of Prooertv Owner or Authorized ADent ACTION I DATE I BY PERMIT EXPIRED PERMIT CANCELLED PERMIT EMENDED CERTIFICATEOF OCCUPANCYISSUED owner's behalf. to laws relating to building construction. led property for inspection purposes. Print Property Owner's or Authorized Ag OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO APPLICABLE TO Name