HomeMy WebLinkAboutX2019-2290 - PermitsCity of Newport Beach - Building Division IINNIIllllllllllllllllll�lllwllllllllllllllllll�llllfll 100 Civic Center Drive, Newport Beach, CA 92660 COMB Permit: X2019-2290
I III X 2 0 1 9 2 2 9 OIIIII
Permit Counter Phone (949)644-3288 Project No: 0084-2019
Inspection Requests Phone (949)644-3255
Combination Type- SFP ELEC PLUM Issued Date: 0712212019
Inspection Area : 3
r•crcmr r a cxruct 7a0 DAYS AFTER ISSUANCE OR LAST VA
llD INSPECTION'
Address: 1906 SANTIAGO DR NB
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m, and Saturday from 8:00 a.m. to 8:00 p.m. No work on Sundays or Holidays
cription:. SFR -KITCHEN ALTERATION (CITY STANDARD) 400 SF
RI Desc.: N TR 4224 LOT 299
Owner:
HOUCK DARREN M
Address:
1906 SANTIAGO DR
NEWPORT BEACH, CA 92660
Phqne:
562-652-0846 -
Applicant:
HOUCK DARREN M
Address:
1906 SANTIAGO DR
NEWPORT BEACH, CA 92660
Phone:
562-652-0846
Code Edit: 2016
Type of Construction: V-B
Occupancy Group: R3/U
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: y
Building Permit Fee:
$312.00
Plan Check Fee: $271.44
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: $674.36
PROCESSED BY:
ZONING APPROVAL:
r11NG APPROVAL:
Contractor:
Address:
Phone:
Con State Lic:
Lic Expire:
Bus Lic:
Lic Exp Date:
OWNERIBLDR Architect:
Address:
Phone:
O/B Engineer.
Address:
Worker's Compensation Insurance
Carrier -
Policy No:
Expire:
Building Setbacks
Use Zone: I
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: /
Left: I
Right: I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$21.84
$0.00
$28.08
State Lic:
Phone:
Address
,�V ���®
Phone:
Special Conditions:
Planning Department -
Plan check Fee :
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PIW Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
I:
Fire Department
$40.00
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
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $674.36
PUBLIC WORKS APPROVAL:
°
v - -o-
PLAN CHECK BY:
v
APPROVAL TO ISSUE: ems° e a o o me
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) 1 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
the 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
Professions 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of cc{mpletion, the Owner -Builder will have the burden of proving that it was not built or
improved for the 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
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).
xempt from licensure under the Contractors' St License Law for the following reason:
y y signature below f acknowledge that, except for my pe nal residence in wh' I my have resided for at least one a pmpletion of the improvements covered by this permit, I cannot legal)
structure that 1 have built as an owner -builder i has of can constructe I enti ty by licensed contra understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request wh this app 's submitt of ing Web site .leginfo.ca.gov/calaw.html. Dat ' ` —ZZ f
'Signature of Property Owner or Authorized Ag nt
LICENSED CONTRACTOR'S DECLA TION /
I hereby affirm under penalty of perjury that I licens�tl under is' ns o ha err (commencing with Section 7000) of Division 3 of the Business and Professions Code, a d my license is in full force
and effect. License Class !tense N Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
ARNING: 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 (4100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
I 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
performance of the work for which this permit is issued. Policy No.
1 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' compensatioi
nsurance carrier and policy number are:
artier Policy Number iExpiration Date
Phone #
rgentthat, in the perf c the work for whi this p it is issued, I shall not employ any person in any manner so as to become subject to the workers'compensation laws of California, and
ould beco subject t r ers' co n atio rovisions of Section 3700 of the Labor Code, I shall fortjrwith comply with those provisions. �j�Li z /
D
ignature of Appl! ant
iECL-ARATION GAR RU TIOMLXN NG AGENCY
hereby affirm and anty of u t there is n construction lending agency fo Lender's Address of the work for which this permit is issued (Section 3097, Civil Code).
Ender's Name
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act on the prop owners behalf.
I have read this application and the information I have ov! Ed is correct.
I agree to comply with all applicable city and county o ina ces and state cos relating t g construction.
I authorize representatives of this city or county a er ov -)den' ed pro for inspection purposes. Date
signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na
ACTION DATE BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
TO
PERMITFINAL I rp ASBESTOS NOTIFI TI NISNOT BLE TO
CERTIFICATE OF• o 0 o e e o 0 0 o PROPOSED DEMOLI
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