HomeMy WebLinkAboutX2019-2389 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 X 2 9 1 9 2 3 8 9
g., Permit Counter Phone (949)644-3288
- Inspection Requests Phone (949)644-3255
C4mbination Type - SFP GRAD MECH ELEC PLUM
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSP
Construction Hours: Monday -Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:6
COMB Permit: X2019-2389
Project No : 1724-2019
Issued Date: 10/24/2019
Inspection Area: 1
Job Address: 1525 OCEAN BLVD NB
Construction Valuation: $78.000.00
$56.00
W, e m
W/Y
$312.00.
Description, SFR KITCHEN AND BATHROOM REMODEL,
RAISE FLOOR IN.DIDNING
RM, NEW FRENCH DOOR/WI
Building Permit Fee: ` $959.00
D RIR STAIR CASE 511 SF DRAINAGE
$0.00
Legal Desc.: N TR 518 BLK B LOT 39
$0.00
Fire Department
Disabled Access:
Plan Check Fee: $834.33
Additional Fee 1
Owner ONEIL KERRY
Contractor
$40.00:
Fire Inspection:
Hazardous Mat
Overtime Plan Ck: $0.00
Address: 1525 OCEAN BLVD
Address:
DRAKE CONSTRUCTION INCArchitect:
7422 MOUNTJOY DR
Address:
� B®
rV
r d1
NEWPORT BEACH, CA 92661
Grading PC Consultant :
HUNTINGTON BCH CA 92648
SJH Trans`.
$0.00
Demolition Fee
Phone
Phone.
714-369-6650
Phone:
State Lie:
$0.00
Applicant: FRANCIS TIMOTHY
Con State Lie:..
881821 -
Engineer:
FORBES DALE L -
M
Address: 15761 MORNING BIRD
Lie Expire
, 07/31/2020.
Address:
1800 E 16TH ST #13
HUNTINGTON BEACH, CA 92649
Bus Lie:
BT30051436
SANTA ANA CA 92701
Phone: 714-230-6416
Lie Exp Date..
0613012020
Phone:
714-835-2800 ': State Lic:C-030407
Code Edit . 2016
Worker's Compensation Insurance -
Designer:
FRANCIS TIMOTHY
0 .
Type of Construction V -B
Carrier
STATE COMP FUND
Address:
15761 MORNING BIRD
Occupancy Group: R31U
Policy No
9022425. :
HUNTINGTON BEACH, CA 92649
�.
Added INew sq.ft. Bldg:. 0 -
Expire:
08/3012020
phone:
714.230.6416
Added /New sq. ft. Garage:. " 0
No of Stories: 2
Building Setbacks
Rear:. 0'
Special Conditions: LIQUEFACTION AREA.
No of Units : 1
Front: 9'
HIGH DENSITY
°Bldg Height: 0
- _
-
Left: 3'
signed Noise agrmt wl ap
Bldg Sprinklers:
Right: 3".
' - Flood Zone: X
Use Zone:. Parkine Spaces: 0
Fire Hazard Zone : N
General Service
- Refund Deposit
Grading. Bond:
$0.00
$0.00
$1,914.05
TOTAL FEE: $2,788.38 Plan Check Fee : $874.33 Fee Due at Permit Issuance
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
aae cs
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
4 0 ¢'oc cam.
con se -ua 'v ooc. oo
APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Construction Valuation: $78.000.00
$56.00
Grading PC Fee:
$312.00.
Public Works Department=
CASeismic Safety:
Building Permit Fee: ` $959.00
Excise Tax:
$0.00
Planning Department-
$0.00
Fire Department
Disabled Access:
Plan Check Fee: $834.33
Additional Fee 1
$0.00
Plan check Fee:.
$40.00:
Fire Inspection:
Hazardous Mat
Overtime Plan Ck: $0.00
Grading Bonds Fee:
- $0.00
Fair Share :
$0.00
- Fire Plan Rev
Building Green Fee ;.
Investigation Fee. $0.00
Grading PC Consultant :
,$0.00
SJH Trans`.
$0.00
Demolition Fee
Record Management: $38.00
Grading Permit Fee
$312.00
`. In -lieu Housing Fee
$0.00
Building Dept Adm
General Service
- Refund Deposit
Grading. Bond:
$0.00
$0.00
$1,914.05
TOTAL FEE: $2,788.38 Plan Check Fee : $874.33 Fee Due at Permit Issuance
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
aae cs
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
4 0 ¢'oc cam.
con se -ua 'v ooc. oo
APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Energy Compliance:
$56.00
Grading PC Fee:
$312.00.
Public Works Department=
CASeismic Safety:
$0.00 -
WQ Insp. Fee:
_ $0.00
Park Dedication :
$0.00
Disabled Access:
$0.011
PAN Plan Check :
$41.25. .
Hazardous Mat
$0.00
Electricals 0/ o:
$67.13
.San Dist:
$0.00
Building Green Fee ;.
.$4.00
Mechanical %:
$38.36
NMUSD Fee:
$0.00
Plumbing %:
$86.31
-
General Service
- Refund Deposit
Grading. Bond:
$0.00
$0.00
$1,914.05
TOTAL FEE: $2,788.38 Plan Check Fee : $874.33 Fee Due at Permit Issuance
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
aae cs
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
4 0 ¢'oc cam.
con se -ua 'v ooc. oo
APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
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
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 applicart.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
improved 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' Stale 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 entirely 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.htmi.
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 7-0 f Divis'on 3 of the Business and P fe sions Code and my license is in full force
and effect. License Class License No Date t%,,12A&F9Contractor Signatu
WORKERS' COMPENSATION DECLARATION
WARNING: 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 ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 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
pe ormance of the work for which this permit is issued. Policy No.
I have and wi . alntain 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' compensatio
insurance carrier n policy numb ve:
Carrier 999 JA P Icy Number Expiration Date
Name of Agent s Phone #
u
I certify 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 agre
that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant V D a, ��
DECLARATION REGARR CONSTRUCTION LENDING AGENCY
I 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).
Lender's Name Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners 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 co t to enterthe ab = dentified property for inspection purposes. _
Signature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name D
ACTION
DATE
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
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PERMITCANCELLED
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PERMIT EXTENDED
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NOTIFICATION 15 NOT APPLICABLE TO
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OCCUPANCYISSUED
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