HomeMy WebLinkAboutx2019-1938 - Permits1t< City of Newport Beach- Building Division
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COMB Permit: X2019-1938
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100 Civic Center Drive,ewp Newport Beach, CA 92660
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Project No: 0717-2019
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, � Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
c Combination Type -GRAD
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Iss0ued Date : 06/20/2019
Inspection Area : 2
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:
439 EL MODENA AVE NB
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Description:
DRAINAGE FOR NEW POOL AND SPA (S201941058)
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Legal Desc.:
FIRST ADD TO NEWPORT HEIGHTS BLK 26 LOT 15
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Owner:
COX BRYAN Contractor: OWNER/BLDR
Architect:
sr a M f,
Address:
439EL MODENA AV Address: RUIZ JAIME
Address:
NEWPORT BEACH CA 92663_
Phone:
Phone:
Phone:
State Lic: �-s i ,r-:-•"r.
Applicant:
SANCHEZ LEO Con State Lic: OIB
Engineer:
Address:
2452 PACIFIC DR Lic Expire:
Address:
LONG BEACH CA90806 Bus Lic:
Phone: 562-481-6269
Code Edit : 2016
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0.
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee:
$0.00
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 :
$0.00
TOTAL FEE: $624.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Lic Exp Date:
Worker's Compensation Insurance
Carrier:.
Policy No:
Expire:
Building Setbacks
Rear: I
Front: I
Left: I
Right: I
Use Zone:
Parkino Soacess.
Excise Tax
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
$0.00
$0.00
$0.00
$0.00
$312.00
$312.00
$0.00
$0.00
$0.00
$0.00
Phone:
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone: N
Planning Department -
Plan check Fee
Fair Share
SJH Trans:
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:.
$0.00
NMUSD Fee:
$0.00
State Lic:
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
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WOO
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $624.00
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
is 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 Iicensure 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 (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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
nprovements 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
pply 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).
7 1 am exempt from licensure under the Contractors' State License Law for the following reason:
Iy my signature below I acknowledge that, except form 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 -build as t been constr d i 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 ap cation is su owin Web site:http:/lwww.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorize _ Date /
.ICENSED CONTRACTOR'S DEC RATION
hereby affirm under penalty of perjury that I am lioensedvnderprm�is' Cha ter g commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class _ e o Date Contractor Signature
COMPENSATION DECLARATION
DARNING: FAILURE TOGSWRE 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 T
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
QerglZy Iffirm unit .r,penalty of perjury one of the following declarations:
I have and Zill (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
shmiWoe of the work 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' compensal
Isucan6 carrier andpatcy number are:
Policy Number
Date
Vy that, in Ille 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
I Jhould bgetq T epubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
1EGLAIRATION.RECARDING CONSTRUCTION LENDING AGENCY
hereby affirm un84rpenalty 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).
enders Name Lender's Address
ly 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 prqx'@0 is correct.
I agree to comply with all applicable city unty ordinances �aws relating to building construction.I authorize representatives of this ci r county enter the operty for inspection purposes.
cignaturo of Property Owner or AuthoF¢e Print Property Owner's or Authorized Agent's Name
ACTION BM7C%64IANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PAIj F TITLE 40 AND AQMD RULE
1403
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
PERMIT FINAL �I g�.iA/ / L_I ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF llr/✓oO PROPOSED DEMOLITION
OCCUPANCYISSUED �U Id SIGNATURE: