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HomeMy WebLinkAboutX2020-2731 - Permitscity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II y 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 7 3 1 . M Permit Counter Phone (949)644-3288 � "M Inspection Requests Phone (949)644)644-3255 Combination Type - MFP ELEC MECH PLUM PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJEC UST BE COMPLETf9 B71,I Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Satur from 8:00 a.m. to k*p.m. A Job Address: 8 CREST CIR NB (� Description: MFR *STOP WORK* REMODEL KITCHEN, MASTER & GUEST BATHROOMS Legal Desc.: TR 8406 LOT 1 UNIT 13 OF PROJECT LOCATED ON AP 458-311-04 TOGET \NGa \o Owner: Address: Phone: Applicant: Address: Phone: FROELICH CARTER & BRONWYN Contractor: O - RIBL% rb0W QUO Archi 4612 N 39TH PL Address: ROELICH B NWYMbo�o ress: PHOENIX AZ 85018 16 Phone: / O re. Phone: FROELICH BRONWYN 4612 N 39TH PL PHOENIX AZ 85018 602-301-9050 Code Edit: 2019 Type of Construction: VB Occupancy Group: R211) Added /New sq.ft. Bldg: '0 Added Mew sq. ft. Garage: - -- 0 No of Stories: -2' r1 No of Units : "-. 3 Bldg Height: k Bldg Sprinklers: ,. Building Permit Fee: $416.00 Plan Check Fee: $361.92 Overtime Plan Ck: $0.00 Investigation Fee: $416.00 Record Management: $6.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTALFEE: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: COMB Permit: X2020-2731 Project No : 2169-2020 Issued Date : 1112312020 Inspection Area : 6 3 OR PERMIT WILL BE INV, on Sundays or Holidays Pon State Lie : /B \Q` Engineer: LARA TCARLOS E Lie Expire: Address: 20365 Y STF Bus Lic% - PERRIS CA 9k70 Lic P Date' ,i A$ BUILT Pfe�NalT 909� i&`` �er's Cornpensation I C�aater Pole No: Expire: =ice Building Setbacks Left: 11 Right' I Zone: ':de'' ise T $0.00 Planning Departm 'tonal -il $0.00 '� Plan check Fee g Bonds Fee: �0.00 - Fair Share PC Consultant: $ SJH Tra ing Permit Fee: $0.DQaI in-li ousing rading PC F ((``�$��"'.���¢ P c Works p; WQ Insp. F 1�j r�'d.00 Park D cat' 1 P a eck El ;a M%: `v�O $16.12 N D D Fee: %: 437.44 N- 0'� :�QFse Ham nr- $0.00 $0.00 $0.00 $0.00 rL1 / fire Department 4 Fire Inspection: 0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: 0 10, y0.d0 , ...• $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 WOO Fee Due at Permit Issuance : $1,330.37 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 ndicate l below by th (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, im e, demolish, or re ;%&n the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' e License Law (9 (C( Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. An lalion of Section 707( by any not more than five hundred dollars ($500). LJ I, as owner of the property, or my employees with wages as their sole compensation, will do Business and Professions Code: The Contractors' State License Law does not apply to an ow improve ants are not intended or offered for sale. If, however, the building or improvemen s rq for the purpose of sale). f`'a, o 0 instruct thY proje¢j,�,clion projects with S' 154 sed Con v/ 1. ( 111maysm'tructure s owner of the property, am exclusively contracting with licensed Contractors oan owner of property who builds or improves thereon, and who contracts t exempt from licensure under the Contractors' State License Law fo a follo gnature below I acknowledge that, except for my personal resid in which that I have built as an owner -builder if it has not been strutted in . Professions Code, is available upon request his app' a ion ubmitted o Signature of Property Owner or Authorized A t LICENSED CONTRACTOR'S DECLARMION ,�I I hereby affirm under penalty of perjury that I am licens nder ploil'I�ions of Char, and effect. License Class Lican'Xe'TTVV0 of or resided censSeedd w inc with 06 structure personal eff I have placed next to the applicable 1em(s) Ir to its issuance, also requires the applicant Tor r Section 7000) of Division 3 of the Business and permit subjects the applicant to a civil penalty of Business and Professions Code: l pursuant to the Contractors' Slate one year prior to completion of the . I understand that a copy of the at leginfo.ca.gov/calaw.html. , I( or offered for sale (Section 7044, )roves the property, provided that the den of proving that it was not built or 7000) of Division 3 of thq4ksinNs and Professions )RKERS' C,C,MPENSATION DECLAR N �� ' � ` (ems' tNING: FAILURE TO SECURE WORKERS' COMPE ION COVERA IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES 9EI�CM IN� TO ONE IT OF COMPENSATION, D WAGES AS PROVID ORINSECTIO 706 OF TAELABOR CODE, INTEREST, AND ATTORNEY'S FEES. • CO reby'affirm under penalty of perju a of the fo Ing declarations: ` ,,`O�� i have and will' maintain a icate of c sent to self -insure for workers' compensation,. issued by the or d,6t Relations pro formance of tho wo:l. for this pkeit Is issued. Policy No. \� nova and will main rkerS�npensation insurance, as required by Section 3700 of the Labor Code, a performance of a wo`I�drev Trance carrie;� and p bar are: rier, Policy Number Expir on�e the workers of :reby affirm under penalty of perjury t1fiWhe% a cVW Ider's Name ' V my signature below, I certify to each of th"ollo x I am the property owner or authorized to act 9n th rop I have read this application and the information I h I agree to comply with all applicable city and c y or I authorize representatives of thfs cft or co y to enter nature of ProDertv Owner or Authorize nt ACTION I DATE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED permit is issued, I shall not I provisions of Section 370( ;!Sand state laws rela' g to above -identified orgiiferty for REGULATION RT 61 OF 1403 11 I SUBMITTEDA 5T01 State License Law does not this permit, I cannot of the Business and is in full force (f100,000), IN ADDITION TO THE 3700 of the Labor Code, for this permit is issued. My workers' arson in any manntwlso as to c subject to the workers' compensation laws of California, and Code, I shall fo with conpKy 49 those provisions. 1,04 rDE OF FEDERAL AQMD RULE TO 15 NOT APPLICABLE .a z1�- za work fyr'wUWthis permit is issued (Section 3097, Civil Code). [�ltltl[yilp.7xU�1�'1 Fdo �,11e /l -