HomeMy WebLinkAboutX2019-1836 - PermitsJob Address:
Description:
Legal Desc.:
City of Newport Beach - Building Division
too Civic Center Drive, Newport Beach, CA 92660
Permit Counter Prone (949)644-3268
Inspection Requests Phone (949)644-3255
Combination Type - SFP
"X2019-1836*
COMB Permit: X2019-1836
Project No:
Issued Date: 06M 112019
Inspection Area : 6
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID
30 m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Construction Hours: Monday- Friday 7i00 a.m. to 6:P.
23 CALAIS NB
SFR INSTALL DROWNING PREVENTION DEVICES (R2019-0175)
Owner:
MC DERMOTT
Address:
23 CALAIS
NEWPORT COAST CA 9257
Phone:
949-500-0310
Applicant:
ROPPOLO BARBARA
Address:
567 DUNNEGAN PL
LAGUNA BEACH CA 92651
Phone:
949-500.0310
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: t
No of Units : '
Bldg Height:
Bldg Sprinklers:
2016
R31U
Construction valuation:
Q,
Building Permit Fee:
$104.00
Plan Check Fee: $90.48
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
TOTALFEE
PROCESSED BY:
ZONING APPROVAL:
Contractor:
OW N ERIBLDR
Address:
AUTH AGENT:
BARBARA ROPPOLO
Phone:
949-500-0310
Con State Lie:
OIB
Lie Expire:
Bus Lie:
Lie Exp Date:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Rear: I
Front: I
Left: I
Right: I
Excise Tax:
$0.00
Additional Fee :
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant:
$0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
0.00
WO Insp. Fee:
$0.00
Electrical %:
$0.00
Mechanical %:
$0.00
Plumbing %:
$0.00
$195.48 Plan Check Fee
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
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 Lie:
State Lie:
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0,00
Demolition Fee
$0.00
Building DeptAdm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $195.48
' JBL'= WORK" APPROVAL:
PLAN CHECK GY: "
A^PITO'/A: TO ISSUE:
GRADING APPROVAL:
VvvNtlt-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 iSSLI.,Ice, u^Lso 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 L) all of or
Business and Professions Code: The Contractors' State License Law does not apply to an owner_) llo f or who, through U portions of the work,employeand the
herstrructnal effort, is not intends d 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 completion, 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
❑apply 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).
1 am exempt from Rcensure under the Contractors' State License Law for the following reason:
By 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 legalll
sell a structure that I have built as an owner -builder if It fjas not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of a Bu , 11 cannot
and
Professions Code, is available upon request whe t �applicafi Is submitted or at the to[ wing Web site: http://www.leginderst understand
th law.html
Signature of Property Owner or Authorized Agen�(y'/
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
Ind effect. License Class License No
YORKERS' COMPENSATION DECLARATION Date Contractor Signature
WARNING: 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 (11100,000), IN AODMON TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 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
erformance of the work for which this permit is issued. Policy No.
11 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' compensatio
is a carrier and policy number are:
arrier Policy Number
ame of Agent Expiration Date
I`ertify that, in the performance of the work for which this permit is issued, I shall not employ an rnone #
It, if I should become su ject to the workers' compensation t(rovisions of Section 3700 of he Labor Code, in
hall forthwith Complyas to bwith hose pecome rovito sions.
onse workers' compensation laws of California, and ogre
(nature of Applicant !� /
!CLARATION RE R NG CONSTRUCTION L AGENCY DY l
Ider'Brebaffirm under penalty of perjury that there is a co [ruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
lder's Name
MY signature below, I certify to each of the following: Lender's Address
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 relating to building construction.
I authorize representatives of this city or cou ta above -id tified property for inspection purposes. nature of Property Owner or Authori>ed A�.If
ACTION
, rIu en owner's or Authorized A
RATI N F C MPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
ATION A 61 OFTITLE 40 AND AQMD RULE
PERMIT EXPIRED
PERMIT CANCELLED—PERMITEXTENDED
FfT'
UBMITTED;1 FSTF
EPA
PERMIT fINAL
QMDCERTIfICATE
OF
ESTOS NOTIFICATION IS NOT APPLICABLE TO
OCCUPANCY ISSUED
SED DEMOUT IGNn lee.