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HomeMy WebLinkAboutX2020-0363 - Permitsr wr City of Newport Boach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 - ark,itCounter Phone (949)644-3288 3 4 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM III IIIIIIIIIIIIIIIIII0 IIIIIIIIIIII01IIIIIIII COMB Permit: X2020-0363 Project No : Issued Date : 02107/2020 Inspection Area : 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7A0 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: 2612 CRESTVIEW OR NB Description: SFR - KITCHEN & BATHS (3) REMODEL PER CITY STANDARDS 550 SF Legal Desc.: N TR 1102 LOT 60 Owner: OWENS ROBERT Address: 2612 CRESTVIEW DR NEWPORT BEACH CA 92663 Phone: 949-542.9600 Applicant: OWENS ROBERT Address: 2612 CRESTVIEW DR NEWPORT BEACH CA 92663 Phone: 949-542-9600 Code Edit: 2019 Type of Construction: VB 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: Flood Zone: X Building Permit Fee: $636.00 Plan Check Fee: $553.32 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 TOTAL FEE : PROCESSED BY: ZONING APPROVAL: Contractor Address: Phone: Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: OWNERIBLDR OIB 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 %: Plumbing %: Rear: / Front: / Left: I Right: / Parkinq Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $44.52 $25.44 $57.24 Plan Check Fee Architect: INSPECTOR Address: Phone: State Lic: Engineer: .... Address: •°•°•° Phone: 00 0 o°.°°• State Lic: • ° °°• Designer: ® o ° • Address: v pyy� 1/'9 ]�q...�. ,qqv°•°; 4es 9S4c �d Sd 16�... NOISE3 o Phone: .00 Y o e 000.o Special Conditions: 0000°o ON SATURDAN%oa Fire Hazard Zone: N ° ""O. 0---- • 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 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 $0.00 Fee Due at PUBLIC WORKS PLAN CHECK BY: GRADING APPROVAL: I/ APPROVAL TO ISSUE: Issuance: $1,360.52 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to tf2e applipable item(s) :lion 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 ifessions 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 ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, :iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, througl employees' or personal effort, builds or improves the property, provided that the 1 vements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or ro ed for the purpose of sale). I, s owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70, Business and Professions Code: The Contractors' State License Law does not Ay to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra�or pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally I a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Aessions Code, is available upon request whe IN p Iicati n�is submitted or at the following Web site:http://www.le�info.ca.gov/calaw.html. (nature of Property Owner or Authorized Agent '� (a�� Date"-7 — 2ENSED r`OlgWCTOR'S DECLARATION ereby affirm ulhelVpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)I of Division 3 of the Business and Professions Code, and my license is in full force Je$fect. License Oiass License No Date Contractor Signature 3RARS' COMPENSATION DECLARATION RNINP. 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 ($100,000(, IN ADDITION TO THE SYOF COMPENSQjIQI$, DAMAGES AS PROVIDED FOR IN SECTION 0106 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. :reStaffirm 61; penalty of perjury one of the following declarations: 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, ice oftbe work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the'i, performance of the work for which this permit is issued. My workers' comps cardemridpolicy number are: • • Policv Number Expiration Date for e• fy that, iri tyre 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 ogre rat, if should become subject to orkers' compens ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'agnature of Applicant Date IECLARATION REG DING CONSTR CTION LEN ING AGENCY hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for wfjich this permit is issued (Section 3097, ivil Code). ender's 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 provided is correct. I agree to comply with all applicable city and county or finances and state laws relating to building construction. I authorize representatives of this city or count a tote above -identified property for inspection purposes. r(S/ Dam to a — 25 3anature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Name rzr ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND ACLMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EMENDED QMD PERMIT FINAL 0 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED 1 SIGNATURE: