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HomeMy WebLinkAboutX2019-1736 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 r''+cxsw3u*�c� Combination Type -MFP VIA, W PERMITS EXPIRE 180 DAYS AFTEI Construction Hours: Monday - Friday 7:00 a.m, to 6:30 p.m. an Job Address: 323 CRYSTAL AVE NB Description: MFR -RESTORE TO ORIGINAL CONDITION, MOVE ALL & DOOR TO AL Legal Desc.: TR 1049 LOT 1 IRREG LOT IN NLY COR(AND NLY 32.66 FT LO Owner: LEONARD K>CA92660 actor PDC Address: 323 CRYSTAAddress S HATH NEWPORT BSANTA , Phone' Q ,I Ph n 14 -0Applicant: CASKEY BILCon Stat ic: 9685Address: 630 CAMEO, Lic Shire_ -1118412 Phone: 714-624-7 6 Code Edit: 2 Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Gara%e: No gPStoPies: . . No o*u Unitsd Bldg Height: - °oneo0 Bldb,5%dipl�lers: . Flood Zone: o tluildift,permit Ftiq, o $232.00 Pt9n Clack Feee MUM Qv irtim°e Plan Ck ° ° 0 $0.00 Investigation Fee: ° $232.00 Record Manag(tmenY ° $0.00 ° tr`idrg§EompliantL, $0.00 CA Seismic Safetp:° c $0.00 Disabled Access° ° ° ° $0.00 Hazardous Mat $0.00 Building Green Fee :. $1.00 TOTALFEE: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: III IX2I�II0IIII�III3III�6�'III COMB Permit: X2019-1736 Project No : 1245-2019 . Issued Date: 06/03/2019 Inspection Area : 2 uovniv i UAOI vHuu nvJreVl lum d S ay from((,,at8te:pt, to 6;00p. :00 JC.r1 P40 CONK IfflD0'PER25tj26t1 OPWORK" $Qo'0 Or Architect: ASKEY BILL 92 SOTUNIT C O�fl s: 630 CAMEO Hh CORONA DELI t0 IP Phone:714-624-7086 Engineer: Address: SIR 1% Phone: IPPS CO Addre Spa I mo �0 Rf ` a es: 0 - Fire H rd 7n g v00 �lyn�p_ Eddi IT6e $0.00 spa ading�_gq ea. $0.00 rading onsultant : $0. Grading Permit Fee: .00 Grading PC Fee: $0.00 WQ Jn {�('sp. F 1 `Elleectrical %: ,_�PISn check Fair Share,; $0.00 $0.00 Plan Check Fee: -�In-I' using Fee: is Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 on Sundays or Holidays S DR 92625 its Lic:C017746 .0� Fire Department 40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee - $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $241.84 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $465.00 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' ance, 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 w' Ion 00) 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 appl' r a permit subj is the applicant to a civil penalty of iot more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the d the structure is not intended or o red for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, thro ployees' or gQy�s�ggnnal effort, builds or im�pp�ve the property, provided that the mprovements are not intended or offered for sale. If, however, the building or improvement is sold within on completion th@',��?SBUildI�OIODgoe(f�(ylki'lrSh 0 roving that it was not built or m roved for the purpose of sale). `` 11 I, as owner of the property, am exclusively contracting with licensed Contractors to co a project (Section 7044, usiness ��aqqd p�pfsg 'lo s Code: The Contractors State License Law does not apply to an owner of property who builds or improves thereon, and who contracts projects with a license ntractor p�§ul®H►Rh�Contractors' State Lice w). ❑ 1 am exempt from licensure under the Contractors' State License L e following reason: vv By my signature below I acknowledge that, except for my pars si enc in which I mus resided for one year prior to co ti a improvements covere y this permit, I cannot legally sell a structure that I have built as an owner-builder if of been c d in Irety by license cto I under�tld�l�lopy of the applicable law, Section 7 4 of the Business and Professions Code, is available upon request w sap t n s u at the folio ing e. gi c v calaw.html. _ Signature of Property Owner or Authori gent Date LICENSED CONTRACTOR'S DEC RAJ�O I hereby affirm under penalty of perjury t t I a sed under ro of Er nc Section 7000 'vision 3 of the Business and Professi a an license is in full force and effect. License Class Licen o Da I Contractor Sign WORKERS' COMPENSATION DEC RAT NARNING: FAILURE TO SECURE WORKERS' COMPE RATIO COVERAG UNLA D SHALL SUBJECT E R T RI PEN ND CIVIL FINES UP TO ONE HUNDRED TH U S 157 '0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED R IN CTION 570 THE LABOR CODE, INTER I hereby affirm under penalty of perjury one o the f rations: r`� ❑ ave and will maintain a certificate of nsent to self-i re fib or s' c n 'on, iss ed by the Director of Indt'�I �gleti ns IBJvi ed by Sectio 00 of the Labor Code, for the p ormance of the work for which this permit 'ssued '�„,,��aa(k0 ave and will maintain workers' compensa n in a quir action 3700 of the or Code, fort pe a of t,!hp5T c fe1"%ch: 's r 1 i u r rs' compensat°iol ur nce carrier and policy number are: Carr r - er "OExpir atl on Date ��• • ° °° ° Name of Agent Phone # � • • • ° ° ° ° ❑I certify that, in the performance of the work for w 'ch this a tis ' s t m y�Q y person in any manner so as to b e subject,{}ppy,�thwo rs' ation law: of �aflifornia„ 9HYl°dt& that, if I should become u -jec othe sati pro ion o 70 f,1.66or Code, I shall forthwith y with those pro 'Ions. - , . . • ° ° ° ° Signature of Applicant . "'��— '• °” DECLARATION REGARDI STRUCTION LEN G ENCY V. I hereby affirm under penalt IF er'u that there is a c struction lending agency for the perf nce of the work f Ich t It is issued (Section 3097, Civil Code). • , ° ° Lender's Name r s.Address ° By my signature below, I certify to each of the following: }}oo • ' ' • ° ° ° ° ° A>=YS shelf. I am the property owner or authorized to act on the pr a ,,, I have read this application and the information I have ovided is correct. • ' •••ae I agree to comply with all applicable city and county ordl ces a e la Ing to building construction. 1 authorize representatives of this city or county to ante - v property for inspection purposes. /-�,1. A \yi, ��?j•{� ignature of Property Owner or Authorized Agen Print PropertOwner's or Authorized Agent's Name ACTION DATE BY D F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY GULATIONS PART 61 OFTITLE ]RULE 1403 PFRMITFXPIRFO L 17w I SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL ❑ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: