Loading...
HomeMy WebLinkAboutX2019-1190 - Permits (3)City of Newport Beach - Building Division Illlllllllllllllllllllllllllllllllllllllllilllllu Building Permit Fee: COMB Permit: X2019-1190 Plan Check Fee: $90.48 100 Civic Center Drive, Newport Beach; CA 92660. x 2 0 1 9 1 1 9 9 Project No: 0852-2019 $0.00 a Permit Counter Phone (949)644-3288 Energy Compliance: $0.00 CA Seismic Safety: $0.00 -"' rGtion Requests Phone (949)644-3255 $0.00 Hazardous Mat $0.00 Building Green Fee : Combination Type - MFP PLUM Issued Date: 04/1812019 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 8:00 a.m, to 6:00 p.m. No work on Sundays or Holidays Job Address: 270 CAGNEY LN NB St: 1 FI: 2 Unit: 214 Description: MFR REPLACE SHOWER W/ TUB -. Legal Desc.: TR 8336 LOT 6 UNIT 101 OF PROJECT LOCATED ON AP 423-011-22 TOGETHER Owner: GIDLOF BETTY ANNAIJOSEPH GARAVAGLIA Contractor: OWNER/BLDR Architect: STRESHINSKY DAVID Address:. ` 152 VIA SAN NICOLO Address: GIDLOF BETTY ANNA. Address: 15375 BARRANCA PKWY #A-210 PALM DESERT, CA 92260 IRVINE CA 92618 Phone: 760-625-3708 Phone: 760-625-3708 Phone: 949-788-9223 State Lic:C018642 Applicant: GIDLOF BETTY ANNA Con State Lia OIB Engineer: Address: 270 CAGNEY LN #214 Lic Expire: Address: NEWPORT BEACH CA 92663 - Bus Lic: Phone: 760-625-3708 Lic Exp Date: Phone: State Lia Code Edit: 2016 Type of Construction: VB Occupancy Group: R21U 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: Construction Valuation: $1.000.00 Building Permit Fee: $104.00 Plan Check Fee: $90.48 SJH Trans: Overtime Plan Ck $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $246.84 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: 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 W Plumbing %: Rear: / Front: / Left: I Right: I king Spay $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.36 Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee Fire Department Fair Share Fire Inspection:. SJH Trans: Fire Plan Rev In -lieu Housing Fee: Demolition Fee Public Works Department- Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee: 6 R6N o��n c $130.48 Fee Due at Permit Issuance : 6 ( O p0 „?UB�ez WORKS APPROVAL: e e s PLAN CHECK BY: "AP?kOVAL TO ISSUE: o C o C oca se em o a coo co $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $116.36 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: $130.48 Fee Due at Permit Issuance : 6 ( O p0 „?UB�ez WORKS APPROVAL: e e s PLAN CHECK BY: "AP?kOVAL TO ISSUE: o C o C oca se em o a coo co $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $116.36 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) >ection 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 1e 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 DivisiV-� ` ..he 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 of 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, 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 ppw,vements 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 ro d for the purpose of sale). I, 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 ppl o 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). j718m 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 legally ell a structure that I have built as an owner -builder if it has not been constructed in its a irety by licensed contractors. I understand that a copy of the applicable law, Section 7044 ofthe Business and 'rofessions Code, is available upon request whe hi ICa' i i ed r th f Ilowing Web site:http://www.leginfo.ca.gov/calaw.html. `— 1 Id 1 signature of Property Owner or Authorized Agent DaReT I O -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapt r 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force end effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION rARNING: 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 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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. ]I 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' compensation lsurance carrier and policy number are: Policy Number Date of Agent rtify 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 I should become suject to a workevfds/;compe sa(pon ppy�visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r J r I ure of Applicant a L -'F :reby affirm under pen2lty 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 latin o bu d81g construction. I authorize representatives of this city or county tq enterA �iove�identifie� rert�r' spection purposes. of ACTION PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED BY DECLARATION OF COMPLIANCE REGULATIONS PART 63 OF TITLE SUBMITTED iertv Owner's or CODE OF FEDERAL I FOR OFFICE USE ONLY VD AQMD RULE WION TO s • • ••• • r • • •• • • •• • • • ❑ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION •" ••• • • ••• • • • • • • • • • • SIGNATURE: • • • ! • '_ _•_ M