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HomeMy WebLinkAboutX2020-1788 - PermitsCity of Newport Beach - Building Division ~9 100 Civic Center Drive, Newport Beach, CA 92660 `4 Permit Counter Phone (949)644-3288 ' - Inspection Requests Phone (949)644-3255 rH u�T' Combination Type - SFP ELEC COMB Permit: X2020-1788 Illllll�llll��lll�llllllllllllllllllllllllllllp II Y Project No: 1432-2020 Issued Date : 09!1012020 Inspection Area: 1 PERMIT EXPIRES 150 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09117/2023 OR PER ZY1C@'BE INVALID Construction Flours., Monday -Friday 7:00 a.m. to 6:30 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. No work V1r 99?fk s or HHo ll�a Job Address: 18 BALBOA COVES NI3 � LDegalr Desc.: N TRon: SFR B011 LOT 1ATTERY 0 UCK P - �� �-�'�� ®� 61% Owner: Owner: MARTIN GREG Address: 18 BALBOA COVES Record Management: NEWPORT BEACH, CA 92663 Phone: $0.00 Applicant: MEYERS SEAN Address: 933 NEWHALL ST Hazardous Mat COSTA MESA, CA 92627 Phone: 949.326-3162 Code Edit: 2019 Type of Construction: Occupancy Group: U Added /New sq.0. Bldg: 0 Added /New sq. 0. Garage: 0 No of Stories: 0 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $161.00 Plan Check Fee: $140.07 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 Contractor: BRIGHT LIFE REMODELING Address: 933 NEWHALL ST COSTA MESA CA 92627 Phone: 908-489.3911 Con State Lie: 1029267 Lie Expire: 07131/2021 Bus Lie: BT30060652 Lie Exp Data: 09130/2020 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9063332 Expire: 04/1912021 Building Setbacks Use 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: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11.27 $0.00 $0.00 IITOTAL FEE: $$359.59 Plan Check Fee j - PROCESSED BY: ZONINGAPPROVAL: GRADING APPROVAL: Architect: IEMN,?VV Address: Phone: State Lie: Engineer: MORALES DOUGLAS,46103 Address: 20751 KEEN "HUNTIN 3 CA 92656 Phone: 949-286- 1 4 State Llc:C-069163 Designer: eewps®N o Address: ®vjS$e Phone: rCT OR INS 1 Special Conditions: _ Planning Department - Fire Department Plan check Fee: $46.26 Fair Share : $0.00 SJH Trans : Fire Plan Rev In -lieu Housing Fee: $0.00 Public Works Department- Park Dedication: $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $176.35 Fee Due at Permit Issuance : $183.24 PUBLIC WORKS APPRQNAL: PLAN CHECK BY: APPROVAL TO ISSUE: Fire Department $46.26 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $176.35 Fee Due at Permit Issuance : $183.24 PUBLIC WORKS APPRQNAL: PLAN CHECK BY: APPROVAL TO ISSUE: I hereby ,Ifirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) Indicated below by the chockmark(s) I have placed next to the Applicable hem(s) (Section 703"..5, Business and Professions Code: Any city or county thatrequires a peril to construct, eller, Improve, demolish, or repair any structure, prior to Its Issuance, also requires the applicant for the peril to ire 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 ofthe Business and Professions ( ode) 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 rive hundred dollars ($500). El 1, as owmir of the property, or my employees with wages as their sole compensation, will do U elf of or V portions of the work, and the stmclure Is not Intended or offered for sale (Section 7044, - Business and Professions Cade: The Contractors' Slate License Law does not apply to An owner of property who, through employees' or personal effort, builds of Improves the property, provided that the improvement are not Intended or offered far sale. If, however, the building or Improvement Is sold within one year or completion, the Owner-Bullder will have the burden of proving that It was not bulls or improved for I ie 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 Gvnor of property who builds or Improves Inwood, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am oxen pt from licensure under the Contractors' Stale License Law for the following reason: By my slgnalu'e befau I acknowledge that, except for my personal residence In which I must have resiled for at least one year prior to completion of the improvements covered by this permit, I cannot legall sella slmo1w, That I heve built as on owner -builder if it has not been Constructed In its entirety by licensed writraolors. 1 understand that a copy of the applicable law, Section 7044 of the Business and Professions C'do, Is available upon request when this application to submitted or at the following Web sae;http9Av .leglnfo.ca.govrcalaw,html. Signature of F opody Owner or Authorized Agent Dale LICENSED CONTRACTOR'S DECLARATION I hereby afPm- under penally of perjury that I am licensed under provisions. of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in lull force and effect. ,Iq License Class License No Dote Contractor Slgnalure4,i n..wn /!'LC.fJF-Iii WORKERS' COMPENSATION DECLARATION ��4,--�P 7 ARNING: FAILU.IF. TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMaUII PEIMLM AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000). IN ADDITION TO THE COST OF COMPS ISATION, DAMAGES AS PROV1060 FOR 111 SECTION 3708 OF THE LABOR WOE, INTEREST, AND ATTORNEY'S FEES. ' I hereby affirm under penalty of perjury one of the following declarations: I have am. 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 lh once d the work for which this Perini is issued. Policy No. I ave and Al 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, Sty workers' Comperh ollo ante carr or and policy number are: Carder Policy Number Expiration Date no of Agen; —IoAo. r certify that, In the performance of the work for which this perp is Issued, I shall not employ any person in any mennerso as to become subject to the workers' compensation laws of California, and agre :, if I Shaul, become subject to the Workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of appficanl,,rrss ,IC Dalex�,%.('T CLARATIC N REG ARUIN C INISTRUCTIONLE xeby Tiffin 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). idele Name ... Lender's Address my signalre below; I certify to each of the following: 1 am the t roperty owner or authorized to act on the property owner's behalf. I have res d this application and the Information I have provided Is correct. I agree to comply with all applicable city and county ordinances and slate taws relating to building construction. I authorize representatives of this city or county to egter the above4dentilied property for Inspection purposes. ICTION I DATE ❑ ISUDMITTEDASBESTOS NO7IFICA7lOM TO: ❑ EPA ❑ AQbID ❑ ASBESTOS M077RC.47701015 NOT APPLICABLE TO PROPOSED DEMOLITIOM. • e °° ion •• • • • • • • _ • ••• • • SIGNATURE: • • • • • • • • • • • • Soo •a • • • •a • • • •oo • • ••