HomeMy WebLinkAboutX2020-0112 - PermitsCity of Newport Beach - Building Division
d ' 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3268
"v Inspection Requests Phone (949)644-3255
a"'trs�c` Combination Type - SFP PLUM
��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII �� COMB Permit: X2020-0112
x 2 0 2 0 0 1 1 2 Project No :
Issued Date: 01/14/2020
Inspection Area : 3
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 8:0 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 328 COLTON ST NB
Description: SFR PEX RE -PIPE (12) FIXTURES
Legal Desc.: TR 772 LOT 13 BILK 14 ALL (EX NELY 5 FT) AND NELY 6FT LOT 14 BLK 14
Owner:
KLISZEWSKI MATTHEW
Address:
328 COLTON ST
Record Management:
NEWPORT BEACH, CA 92663
Phone:
$0.00
Applicant:
PLUMBING FOCUS
Address:
8841 IMPERIAL AVE
Hazardous Mat
GRADEN GROVE CA 92844
Phone:
714-561-5098
Code Edit : 2019
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Construction Valuation: $2,000.00
Building Permit Fee: $104.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $114.36
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
PLUMBING FOCUS
Architect:
Address:
8841 IMPERIAL AVE
Address:
SJH Trans:
GRADEN GROVE CA 92844
In -lieu Housing Fee:
Phone:
714.561.5098
Phone: State Lie:
Con State Lie:
1007873
Engineer:
Lie Expire:
10/31/2021
Address:
Bus Lie:
BT30070651
Lie Exp Date:
01/31/2021
Phone: State Lie:
Worker's Compensation Insurance
Carrier: NO EMPLOYEES
Policy No:
Expire:
Building Setbacks
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: /
Left: /
Right: /
3arkin❑ Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$9.36
Plan Check Fee
Designer:
Address:
Phone:
Special Conditions: LIQUEFACTION AREA
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
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $114.36
s PU�Llc WORKS APPROVAL:
E
`.ALAN CHECK BY:
APPROVAL TO ISSUE:
LE 44
C.v tGV
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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $114.36
s PU�Llc WORKS APPROVAL:
E
`.ALAN CHECK BY:
APPROVAL TO ISSUE:
LE 44
C.v tGV
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 foq
ie 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
Irofessions 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).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do L all of or L) 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 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).
7 1 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 legall)
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/caJaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of Division 3 of the Business and Profe_ scions Cede, gnd my license is in full force
nd effect. License Class License No Date Contractor Signature 7V/✓�iv<-��"
IIORKERS' COMPENSATION DECLARATION /
'ARNING: 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
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 th
erformance of the work for which this permit is issued. Policy No.
have and will maintain 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'
rance carrier and policy number are:
Policy Number
of Agent
Date
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 agree
, if I should becomea blect to the/wig rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
latureofApplicad �% 'G QaC � 20
:reby 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 county to nter thh abov entified property for inspection purposes. ,1
nature of Prooertv Owner or Authorizi Print Prooertv Owner's or Authorized Aoent's NanT@f 1
/1
ACTION
DATE
BY I,
DECEARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY /
REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TZ). a
• e `: ` •'
•• ••
` • +
PERMIT CANCELLED
DEPA • • • `
PERMIT EXTENDED
13AQMD • • • • • +•'
•
PERMIT FINAL
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO +
CERTIFICATE OF
PR POSED MOLITION
OCCUPANCY ISSUED
SIGNATURE:
• •w a
•