HomeMy WebLinkAboutX2019-3703 - Permits.whr�4h City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3703
100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 3 7 0 3 Project No : 0740-2018
H . • Permit Counter Phone (949)644-3288
Inspection Requests Phone(949)644-3255 HERS VERIFICATION REQ Issued Date: 12104/2019
Combination Type - SFP MECH ELEC PLUM
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:
906 BELLIS ST NB
Description:
SFR DELTA 3, INCREASE SCOPE OF WORK, ADD FIREPLACE,
RELOCATE F.A.U. & WATER HEATER
Legal Desc.:
N TR 4893 LOT 14
Owner:
DENNIS KENNETH L
Contractor:
CP MC CLARY CONSTRUCTION INC
Address:
906 BELLS ST
Address:
1013 LINDEN PLACE
NEWPORT BEACH, CA 92660
COSTA MESA CA 92627
Phone:
Phone:
949-642-9264
Applicant:
VOLK MICHAEL W
Con State Lic:
513053
Address:
2151 MICHELSON DR #140
Lic Expire:
10131/2021
IRVINE CA 92612
Bus Lic:
BT00004228
Phone:
949-852-5900
Lic Exp Date:
08131/2020
Code Edit :
2016
Type of Construction:
V-B-SPR
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
Flnod Zone:
X
Construction Valuation: $10,000.00
Building Permit Fee: $232.00
Plan Check Fee: $201.84
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$24.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $586.49
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation Insurance
Carrier: STATE COMP INS FUND
Policy No: 1300846
Expire: 06/01/2020
Building Setbacks Rear: I
Front: I
Left: I
Right: I
Z
Architect:
VOLK MICHAEL W
Address:
2151 MICHELSON DR #140
IRVINE CA 92612
Phone:
949-852-5900 State Lic:C019344
Engineer:
MANSHADI FARHAD
Address:
1800 E 16TH ST UNIT B
f`y
SANTA ANA CA 92701
J
Phone:
714-835.2800 State Lic:C-036840
Designer:
Address:
�J
Phone:
Special Conditions: REV19-1941
Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$40.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PNV Plan Check :
$41.25
Grading Bond:
$0.00
Electrical %:
$16.24
San Dist:
$0.00
Mechanical W
$9.28
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$20.88
$0.00
^�
Plan Check Fee
: $283.09
Fee Due at Permit Issuance :
$303.40
PUBLIC W61RKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: 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(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 applicant for
1e 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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).
7 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade: The Contractors' State License Law does not
poly 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).
7 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 legal
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:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent D
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) of Division 3 of the Business and r ession Co n icense is in full force
nd effect. License Class License No Date,;L�/� Contractor Signature -
VORKERS' COMPENSATION DECLARATION
DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNBRED THOUSAND DOLLARS I$100,000I, 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:
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
e of the work for which this permit is issued. Policy No.
have and will,%IIntaln 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'
Fence carrier I �blicv number arec n
ie of Agent
certify that, in the performance of
if I should beco lecYt6"FH6
latureofAoDlicant s
Expiration Date
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
hereby affirm under (lenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name Lender's Address
3y 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, an ate laws relating to building construction.
I authorize representatives of this city or c o e abo tified property for inspection purposes.
Signature of Property Owner or Authorized Agen Print PropertyOwner's or Authorized Ag
ACTION DATE RATION OrCOMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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