HomeMy WebLinkAboutX2019-2319 - PermitsCity of Newport Beach - Building Division IIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 X 2 6 1 9 2 3 1 9
Permit Counter Phone (949)644-3288.
Inspection Requests Phone (949)644-3255
Combination Type - MFP
"
-PERMITS EXPIRE 180 DAYS AFTER ISSUANCE
Construction Hours., Monday
- Friday 7:00 a.m. to 6:30 p.m. and Saturday f
Job Address: 1728 BEDFORD LN NI3
.Building Permit Fee:
$168.00
Description: MFR WINDOW (12) DOOR (4) CHANGE OUT" LIKE FOR LIKE"
Legal Desc.: TR 1893 LOTS 2122&23
Additional Fee:
$0.00
.Owner: BCH FRONT WATERFORD DOVER NEW
Contractor:
EMERICON BUILDERS INC
Address: 130 NEWPORT CENTER DR #230.
Address:
1045 W KATELLA AVE
NEWPORT BEACH CA 92660
SJH Trans :
ORANGE CA 92867
Phone:
Phone:
949-466-2011
Applicant: EMERICON BUILDERS INC.
Con State Lie:
931272
Address: 1045 W KATELLA AVE
Lie Expire:
04/30/2021.
ORANGE CA 92867
Bus Lie:
BT30062512
Phone: 949.466-2011
Lie Exp Date:
03/3112020
Code Edit : 2016 -
Worker's Compensation Insurance
.Type of Construction:. VB
Carrier:
STATE FUND
Occupancy Group: R2IU
Policy No:
9048345
Added /New sq.ft. Bldg` 0
Expire: -
03/0112020
Added /New sq. ft. Garage: 0
TOTAL FEE : $169.00
$0.00
No of Stories: 2
Building Setbacks
Rear: I
No of Units : 4 -
NMUSD Fee:
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
Flood Zone: X
Use Zone: Parkina Spaces: 0
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL: _
COMB Permit: X2019-2319
Project No :
Issued Date: 07124/2019
Inspection Area : 3
OR LAST VALID INSPECTION.
rom 8:00 a,m. to 6:00 p.m. No work on Sundays or Holidays
M1„ i a
Architect:
Address:
Phone: State Lie: ....
Construction Valuation:
$8.000.00
Engineer: -
BOOO
.Building Permit Fee:
$168.00
Excise Tax:
Plan Check Fee: $0.00
Additional Fee:
$0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Investigation Fee:
$0.00
Grading PC Consultant
SJH Trans :
Record Management:
$0.00
Grading Permit Fee:
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
CA Seismic Safety:
$0.00
WQ Insp. Fee:
Public Works Department -
Disabled Access:
$0.00
°
$0.00
Hazardous Mat
$0.00
Electrical %:
.Refund Deposit
Building Green Fee:
$1.00
Mechanical %:
$0.00
O
Grading Bond:
Plumbing %:
$0.00
TOTAL FEE : $169.00
$0.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL: _
COMB Permit: X2019-2319
Project No :
Issued Date: 07124/2019
Inspection Area : 3
OR LAST VALID INSPECTION.
rom 8:00 a,m. to 6:00 p.m. No work on Sundays or Holidays
M1„ i a
Architect:
Address:
Phone: State Lie: ....
$0.00
°
Engineer: -
BOOO
Address:
Plan check Fee :
$0.00
Fire Inspection:
$0.00
Phone: State Lie:
o
°
$0.00
Fire Plan Rev
0 0°
Designer:
SJH Trans :
$0.00
Demolition Fee
Address:
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Phone:
Public Works Department -
°ococz
General Service
°
$0.00
Special Conditions: 4 UNITS
$0.00
.Refund Deposit
c000co
o
° c.
P/W Plan Check :
$0.00
O
Grading Bond:
O CG00
$0.00
Fire Hazard Zone : N
$0.00
$0.00
Planning Department -
Fire Department
$0,00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
$0.00
- Fair Share :
$0.00
Fire Plan Rev
$0.00
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
$0.00
Public Works Department -
General Service
$0.00
$0.00
Park Dedication :
$0.00
.Refund Deposit
$0.00
P/W Plan Check :
$0.00
Grading Bond:
$0.00
$0.00
San Dist :
$0.00
$0.00
NMUSD Fee:
$0.00
$0.00
$0.00
-
$0.00
Plan Check Fee:
$0.00
Fee Due at Permit Issuance:
$169.00
PUBLIC. WORKS 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
he 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
lot 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 L portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mprovements 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
mproved 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:
3y 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://w .leginfo.ca.gov/calaw.htmi.
Signature of•Prepepy Owner or Authorized Agent Date
.ICENSEbCONTRACTOR'S DECLARATION
�44eby affirm Under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec' 7000 Iwslon 3 of the Busin s (( Professions Co a is in full force
an&effect.: ),.Dense Class License No Date Z4 Contractor ignalure
IVCLRKERS' COMPENSATION DECLARATION
fARNING: FAILURE TiO.SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE
:ObT OF COMP NSATIDN, DAMAGES AS PROVIDED FOR IN SECTION 8706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES
hereby affirm: rider penalty of perjury one of the following declarations:
11 have andoIII 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 the
ioriormance ofthe work for which this permit is issued. Policy No.
ave and. ill 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' compensatior
isuriance cMdr ani policy number are:
of
Policy Number
Date
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
3e.come subject to the work»>�omDeDsafien provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
CLARATION REGAND)WCO TIDING AGENCY
areby affirm under pe perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section
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 haveread 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 representativjeaO cl y or county to enter - ed property for inspection purposes.
nahlre of Prnnerty nw nr AfiaP ithn Anent Print Prooertv Owner's or Authorized Aaant's VeiRS//
compensation laws of California, and agree
071 /`Ly111
Civil Code).
ACTION DATE BY a' DECLAftTf6N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE NLY '� tgN.7Mvw (/
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
NOTIFICATION TO
PERMITEXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCY ISSUED
TO