HomeMy WebLinkAboutX2020-0067 - Permitsy M'rt�r�'kt City of Newport Beach - Building Division
rr� 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
.a......", Inspection Requests Phone (949)644-3255
..... Combination Type - MFP
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0067
x 2 0 2 0 0 0 6 7 Project No : 1825-2018
Issued Date : 01109/2020
Inspection Area : 8
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: 301 CYPRESS ST NB
Description: MFR - ADD' SCOPE (REV20-0043) FRAMING REPAIR
Legal Desc.: TR 12208 LOT 1 UNIT 9 OF PROJECT LOCATED ON AP 48-104-13 TOGETHER
Owner:
PLUMMER COURT HOA
Address:
301 CYPRESS ST
NEWPORT BEACH, CA
Phone:
315-729-9051
Applicant:
PAZ EUGENIO
Address:
220 OCEANSIDE BLVD
OCEANSIDE CA 92054
Phone
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R3
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units: 9
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Valuation: $2,000.00
Building Permit Fee: $104.00
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 :
$1.00
TOTAL FEE: $105.00
PROCESSED BY:
ZONING APPROVAL:
Contractor:
PRIMECO PAINTING INC Architect:
Address:
220 OCEANSIDE BLVD
Address:
OCEANSIDE CA 92054
Phone:
800-881-8067
Phone: State Lic:
Con State Lic:
731584
Engineer:
Lic Expire:
01131/2021
Address:
Bus Lic:
BT30056639
- . t
Lic Exp Date:
Worker's Compensation
09130/2020
Insurance
State Lic:
,,ryry ,,ryry
VAO v�Designer:
Carrier:
c
DEPT OF INDUSTRIAL REL Address:Policy
No
4503-0179
e^
�l� ele
Expire:
06 30 2020
P • '
Joe
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: I
Left: I
Right: I
3arkinc Soaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
�l`r=
�pecial Conditions: REV20-0043
Fire
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
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building DeptAdm
General Service
Refund Deposit
Grading Bond:
St t.-
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $105.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: AFFROVAL TO ISSUE:
OWNER -BUILDER
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 applicarA a
to 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 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
of more than five hundred dollars ($500).
1 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,
Iusiness 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
nproved 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
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).
I I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 Iegalh
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Divi ion 3 of the Business and Pr9assions Code, my license is in full force
nd effect. License Class License No Date 9 Contractor Signature
CORKERS' 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 ($100,000), IN ADDITION 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:
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
`ormance of the 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 performance of the work for which this permit is issued. My workers'
carrier and policy number are:
Policy Number Expiratic
of Agent Phone #
Date
JI certify that, in the 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 agre
tat, if I should become subject to the workers' compen tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant Da 1>/ Aww
IECLARATION REGTION rKNP.ING AGENCY
hereby affirm under penalty of perjury that there is a co truction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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 ordinances and state laws relating to building construction.
authorize representatives of this city or county to enter the bov = entified property for inspection purposes. _ ��� 'L2 y /
ACTION I DATE I BY
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DECLARATION OF"bOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
ASBESTOS NOTirICATIO.J TO
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
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