HomeMy WebLinkAboutX2018-1028 - PermitsCity of Newport Beach -Building Divisiot, �IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� �{ COMB Permit: X2018-1028
4 " 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 1 0 2 8 Project No : 0831-2018
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 -
'*caxaw'' Combination Type - SFP ELEC MECH PLUM Issued Date : 04/2412018
Inspection Area : 1
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 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 607 36TH ST NB
Description: SFR INTERIOR REMODEL, ADD INTERIOR ELEVATOR, NEW WINDOWS 440 SF
Legal Desc.: CANAL SECTION BLK 636 LOT 4
Owner: SMITH KENT DONNER
Contractor:
T H T CONSTRUCTION
Architect:
SLOAN STEVEN R
Address: 607 36TH ST
Address:
463 E 19TH STREET
Address:
462 FLOWER ST
NEWPORT BEACH, CA 92663
COSTA MESA
CA 92627
COSTA MESA CA 92627
Phone:
Phone:
949-646-2262
Phone:
949-646-9900 State Uc:C018506
Applicant: SLOAN STEVEN R
Con State Lie:
725078
Engineer:
Address: 462 FLOWER ST
Lie Expire:
0913012018
Address:
COSTA MESA CA 92627
Bus Lie:
BT30060997
Phone: 949-646.9900
Lie Exp Date:
1013112018
Phone:
State Lic:
Code Edit: 2016
Worker's Compensation Insurance
Designer:
Type of Construction: V -B
Carrier:
EXEMPT
Address:
Occupancy Group:. R31U
Policy No:
Added /New sq.ft. Bldg: 0
Expire:
0111 712 01 6
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions:
No of Units : 1
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
Flood Zone:
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $110.000.00
Building Permit Fee: $1,145.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $996.15
Additional Fee :
$0.00
Plan check Fee :
$37.50 Fire Inspection:
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $26.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00 Building Dept Adm
Energy Compliance: $77.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
CA Seismic Safety: $0.00
WQ /nap. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
Disabled Access: $0.00
PAN Plan Check:
$0.00
Grading Bond:
Hazardous Mat $0.00
Electrical %:
$80.15
San Dist:
$0.00
Building Green Fee : $5.00
Mechanical %:
$45.80
NMUSD Fee:
$0.00
Plumbing %:
$103.05
TOTAL FEE : $2,515.65
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
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$1,033.65 Fee Due at Permit Issuance : $1,482.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: /�/\
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
action 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, atter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
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
)fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 byany applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500).
1, 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 or offered for sale (Section 7044,
6iness 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
)rovements 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
)roved 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
fly 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 am exempt from licensure under the Contractors' State License Law for the following reason:
my signature, 66180 & 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 legall}
a structure thSffffave 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
Ifesaions Coda? is•available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
nature of Property Owner or Authorized Agent Date
TENSED CON.TRACTOR'S DECLARATION
:rdbi affirm unbar gpnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of Di ion 3 of the Business and Prof ssions Code, a d my license is in full force
ieft8ct. Licerlsg-Cliss '� License No -1 ZSt�`7 SS Date Contractor Signatu
)RKERS' CAMPENSATION DECLARATION
114M8: FAILURE TOS*VWRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM AL PENALTIES AND CIVIL FINES UP TO ONE HU DRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
4 05 eOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
IrBby Bffirm under penalty of perjury one of the following declarations:
I have and MAI•IfIEi(Itain 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 the
fivin nce of the work for which this permit is issued. Policy No.
fi90e and w1l,rhaipfain 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' compensatior
mance carrier and policy number are:
Policy Number
of Agent
Date
Ibertify that, in the pe ormance 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' mpensation laws of California, and agre
t, if I should become ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �II
nature of Apr) licantD _
CLARATION RE RDING CONSTRUCTION LENDING A NCY
:reby affirm unde penalty 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).
ider's Name Lender's Address
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.
1 agree to comply with all applicable city and cou ty ordinances and state laws relating to building construction.
I authorize representatives of this city or county o enter the above, --(entified property for inspection purposes. /t 1 I
nature of Prooertv Owner or Authorized ADent c_Ai�AA�.4 Print Property Owner's or Authorized AGent's Name �Ll^OtM-L to T
ACTION DATE BY/ DECLARATION OF IREGULATIONS PA T0MPLIARCE WITH CODE OF 61 OF TITLE 40 AND AQMD RULE AL FOR OFFICE USE ONLY
PERMITEXPIRED I I / I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
PERMIT EXTENDED
OTIFICAT
PERMITFINAL / "�// 1 SIGNA7EDTM LIT101t, APPLICABLE
CERTIFICATEOF
OCCUPANCYISSUED