HomeMy WebLinkAboutX2020-1503 - PermitsCity of Newport Beach - Building Division
a - 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP PLUM
IIIIII�IIIIIIII�IIIIIIIII�IIIIIIIIIIII II COMB Permit: X2020-1503
X 2 0 2 0 1 5 0 3 Project No :
Issued Date : 06126/2020
Inspection Area : 8
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0612712023 OR PERMIT WILL BE INVALID
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: 419 VISTA FLORA NB
Description: MFR REMOVE EXISTING SINK & TOILET, REMOVE TILE & REINSTALL SINK & TOILET (NO COMMON WALLS)
Legal Desc.: TR 5740 LOT 7 & FOR OF LOT 76 ....
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Owner:
CROSS JOHN/SARAH
Address:
419 VISTA FLORA
NEWPORT BEACH, CA 92660
Phone:
Applicant:
JOHNINEWPORT COAST ELITE
Address:
20701 BEACH BLVD #52
HUNTINGTON BEACH CA 92648
Phone:
949-873-3255
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 4
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Contractor:
NEWPORT COAST ELITE
Address:
20701 BEACH BLVD #52
HUNTINGTON BEACH CA 92648
Phone:
949-873-3255
Con State Lic:
1018582
Lic Expire:
09/30/2020
Bus Lic:
BT30071162
Lic Exp Date:
0212812021
2019 Worker's Compensation Insurance
VB Carrier:
NO EMPLOYEES
R21U Policy No:
0 Expire:
0
Building Setbacks
Rear: /
Front: I
Left: /
Right: /
Building Permit Fee: $107.00
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 : $35.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
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Special Conditions:
' 1� SP ECT® R
Fire
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee:
($82.63)
Plan check Fee :
$0.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PNV Plan Check:
$0.00
Grading Bond:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$9.63
$0.00
Plan Check Fee:
$0.00
Fee Due at Permit Issuance :
$35.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:��L
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)
ction 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
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
fessions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
roved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ly to an owneref property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am gxempt fib"Itcensure under the Contractors' State License Law for the following reason:
")•signature below4 acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalll
a str cture t&t i bav'e built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
f%ss?Ts Code, ig available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
iatiure of Property Owner or Authorized Agent Date
TENSED CONTRACTOR'S DECLARATION
rebyatfirm unr%'r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 o Divis' n 3 of the Business and Pro ssions is in full force
,efjept. LicepS$C12gs License No Date 7A Contractor Signalur
If9KfRS' COMPVNSATION DECLARATION
NW* JA1LURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00D(, IN ADDITION TO THE
TOF CVMPENS A110N+BAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. -
reby •• affirm uncle+penalty of perjury one of the following declarations:
•
I jyny4 and vyll Prf %am 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 thi
ormance of theNOrit 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' compensatior
rance carrier and policy number are:
Policy Number
Dale
Na of Agent Phone #
certify that, in the performance of the work for hlsk-thi is issued, I shall not employ any person in any manner so as to become subject to the workers' c mpensation laws of California, and agre
I should become sub' ct to the wort provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant - Dat
DECLARATION REGAR NG CONSTRUCTIM—LEftMG AGENCY
hereby affirm under pe alty 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).
-ender's Name Lenders Address
3y 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 /haye provided is correct.
I agree to comply with all applicable city and couordinan es an state law relating to building construction.
I authorize representatives of this city or county tter the arty for inspection purposes.
3i nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name �"` �`r7 C 1J Dale's 2d2t
ACTION DATE BY DECLARATION OF CO PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGUTA'rIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED Ep;
PERMITEXTENDED / OMD
CERTIFICATEOF J I SI PIDED 1) OCCUPANCYISSUED