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HomeMy WebLinkAboutX2019-1193 - PermitsCity of Newgort Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1193 4' �00 r.iv,- CE7terDrire, Newport Beach, CA 92660 X 2 e 1 9 1 1 9 3 Project No : 0855-2019 M _ , Permit (-ounter Fiiorae (949)644-3288 V y Mspec.ion ,teque`sls Phone (949)644-3255 Combination Type - MFP ELEC MECH PLUM Issued Date: 12912019 Inspection Area : 8 - PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Gmnstructlzm Ftjurs: 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 2720 VISTA DEL ORO NB Description: MFR 1ST FLOOR PEX REPIPE, KITCHEN AND BATHROOM REMODEL 700 SF Legal Desc.: N TR 7148 LOT 68 Owner: MAINWARING HUW Contractor: R 3 BUILDERS Address: 2720 VISTA DEL ORO Address: 11 CAPRICORN DR NEWPORT BEACH, CA 92660 LADERA RANCH CA 92694 Phone: Phone: 714-330-2240 Applicant: MAINWARING HUW Con State Lic: 936205 Address: 2720 VISTA DEL ORO Lic Expire: 0813112019 NEWPORT BEACH, CA 92660 Bus Lic: BT30066407 Phone: 949-220-4248 Lic Exp Date: 01/3112020 Code Edit : 2016 Workers Compensation Insurance Type of Construction: V-B Carrier: NORGUARD INS CO Occupancy Group: R2I1.1 Policy No: RTWC980632 Added /New sq.ft. Bldg: 0 Expire: 08/03/2019 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I No of Units: 5 Front: I Bldg Height: 0 Left: / Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Construction Valuation: $60,000.00 Building Permit Fee: $833.00 Plan Check Fee: $724.71 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $18.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 Architect Address: Phone: State Lic: Engineer: LIVERMORE JEREMY DAVID Address: 721 AMIGOS WAY UNIT 12 NEWPORT BEACH, CA 92660 Phone: 562-317-0760 State Lic:S-005905 Designer: Address: Phone: Special Conditions: Cirn 41a�a rrV 7nnc N Z S 4 I. �'. Excise Tax: $om Planning Department - Additional Fee : $0.00 Plan check Fee: Grading Bonds Fee: $0.00 Fair Share : Grading PC Consultant: $0.00 SJH Trans : Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PM Plan Check : $0.00 Electrical %: $58.31 San Dist: $0.00 Mechanical %: $33.32 NMUSD Fee: $0.00 Plumbing %: $74.97 TOTAL FEE: $1,785.31 Plan Check Fee PROCESSED BY: ' ZONING APPROVAL: MM 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 $764.71 Fee Due at Permit Issuance : $1,020.60 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION -_J=" •, 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 pia ter next o Me apnl,cabie8em(L') 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 is§uadce, aiso reyui,as thoapplicr ht for 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 8usi )cs§ 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). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended o- offered for salty (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 pmparty, F:ovided t`. t 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 buidin ef- proving 'k,.3t R wns 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). 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.htmi. 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 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signatures 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: J 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 e Ormance of the work for which this permit is issued. Policy No. ]I ve 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' compensatiol Isur nce ,rand olicy number are: � � � � p i ^� arrier ivG li7°r � PolicyNumber I l Expiration 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 agm sat, if I should become subject to the pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. C ignature of Applicant Date iECLARATION REGARDING CONSTRUCTI ING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of thework for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address y 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. I authorize representatives of this city or county to entertlV,ahove-ider fi .d-pF@pmt.y for inspection purposes. ACTION DATE BY )aECLARATION OF COMPLIANCE WITH CODE OF AL FOR OFFICE USE ONLY RE 3 LATIONS ART 61 OF TITLE 40 AND QMD RULE PERMIT EXPIRED LJ SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EpA PERMIT EXTENDED 1 1, OMD CERTIFICATEOF OCCUPANCYISSUED APPLICABLE TO Name Date &4�5