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HomeMy WebLinkAboutX2016-4288 - Permitstui ivewport Beach - Building Division, i u0 Civic Center Drive, Newport Beach, CA 92660 II I Permit Counter Phone (949)644-3288 a . I Inspection Requests Phone (949)644-3255 Oar peA r� Combination Type - SFP GRAD ELEC MECH PLUM COMB Permit: X2016-4288 2 0 1 6 4 2 8 8 Project No: 2368-2016 Issued Date : Area ;A 2016 Inspection Area PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Job Address: 606 ORCHID AVE NB Description: NEW SFR W/ATT GAR 2947 & 400 SF �a''•"'� • 0 0 Legal Desc.: CORONA DEL MAR LOT 8 BLK 642 coa•eo � • o ° ° o Owner: NICHOLSON TONYA Contractor: OWNER/BLDR Architect: ANDRADE STANLEY m• Address: 1607 HARBOR CREST CIRCLE Address: AUTHORIZED AGENT: o Address: 2680 S COAST HWY ^` ° CORONA DEL MAR, CA 92625 JEFF LOGAN LAGUNA BEACH CA 92651 ° • o • ° n Phone: Phone: Phone: 949.715.7474 State Lic:C018971 Applicant: ANDRADE STANLEY Con State Lie: OIB Eyjggined7 TRAN JOHN DINH Address: 2880 S COAST HWY Lie Expire: -?�" Address: 14$71 EUCLID ST #3F LAGUNA BEACH CA 92651 Bus Lic: r r•<A): +'ARDEN GROVE CA 9284& :.••me A ° ° Phone: 949.715-7474 Lie Exp Date: , E st4b�L+G" 7114-26t13yQ0 State Lic:C-062653 ° - tt . tl, 1 ••b• a°me-..O Code Edit: 2013 Worker's Comperrsa&hlnsurance „�. D Type of Construction: V -B -SPR ..Carrit+i`:" Occupancy Group: R3/U -" Policy No: "'� „ Added /NewITI sq.ft. Bldg: 2947 ,`� r s Expire____,—, r �� Phone:. t Added /New sq. ft. Garage: 400 - "`��' `51 No of Stories: 3 'R .,,; �,..BuO _ ng Setbacks Reef �.-.sem. Special Conditions: No of Units s< Frodf 2� ', ✓'-'' y. Bldg Height: 0 '.. Left 3 s; .- Bldg Sprinklers: Y Flood Zone: X . `R�gftt, 3's'°�'£-:�" Use Zone Parkmo Soaces: 0_-_,. ;'s��' F W ire Hazard Zone : N VViiJ4 uVaV vo uauV .uVVV h 1:` Building Permit Fee: $4,563.00 kcise Tax :$0'40 't plarlr(itr�g-,O�partment - Fir t�inent ; Plan Check Fee: $0.00 Additional Fee =$0 Ot�� �,. Plan check Fee . $225.00 Fi edt�Or! $0.00 Overtime Plan Ck: $0.00 Grading Bpnds Fee y $h,30J Fair Share . a �,m , ire Ian Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant $.00 SJH Trans �m R D olition Fee Record Management : $0.00 Grading Permit Feet. $820.00 In -lieu Houing Fe : $O.QO �; t�''ilding Dept Adm $0.00 Energy Compliance: $0.00 Grading Pee: $0.00 ublic Works ent - �;O� General Service $0.00 CA Seismic Safety: $110.50 WQ Insp. Fee: $0.00 " ^, }, Park Dedication : $0 � Refund D sW—, $0.00 Disabled Access: $0.00 ;� € '�.t PNV Plan Check : $266.00 art Bond: $0.00 Hazardous Mat $0.00 Electrical % t $3t9 41 San Dist: ($741.00) ./`-e 9 Building Green Fee : $34.00 Mechanical % $162 52 .._ ') NMUSD Fee: $2,877.7 blit s,,: $0.00 Plumbing %: "� _.: ;.::. $440 67 ' X3'1- °-af° $0.00 TOTAL FEE : $9,067.86 Plan Check F $0.00 �ppue°e mit Issuance : $9,067.86 �w PROCESSED BY: Pt1 LI WORKS APPROVAL: ZONING APPROVAL: 1L/ V� `� `r f Y PLAN CHECK BY:�� n GRADING APPROVAL: APPROVAL TO ISSUE: IAN l Jy \ 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,_, IF!' ction 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 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 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ;iness and Plpfte�l 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 r) vements are not ntended 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 4ld for thepurpose of sale). ' 0 as° owner of a property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Jy fb an owner pf property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). CJ Il exemptdrornlicensure under the Contractors' State License for the following reason: B) Ty'sjgnatund be18w'I acknowledge that, except for my al r sidenc n which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalll sella.structure that I Have built as an owner -builder if it h not een onstruct d in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 f the Business and Prp{assions Code, Isavailable upon request when is ap licati is sUpmil at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ., $ippatyf@ of Prop'e'rty Owner or Authorized Agent Date �_ 41f j$ED CONTRACTOR'S DECLARAT ONLJ I -hereby -affirm t4 p6la&'lalty of perjury that I a 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 and effect. License C19ss License No Date Contractor Signature WQMeRS' COMPENSATION DECLARATION NARNING: FAILUREoro S%8URE 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 IN Derformance of the work for which this permit is issued. Policy No. 131 have 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' compensatior nsurance carrier and policy number are: -arrier Policy Number Expiration Date Name of Agent Phone # ❑I certify that, in the=toe work fo 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 agree :hat, if I should beco, rkers' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 9Bpp<<Signature of ApplicaDat_ tl��I ILDECLARATION REGRU TIO ENDING AGENCYhereby affirm underthat 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 property wrens behalf. I have read this application and the information I h e pro Ided is co rect. I agree to comply with all applicable city and c unty rdin nces and tate laws relating to building construction. I authorize representatives of this city or count o en th dentified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na Da 0� ACTION DATE BY D C 'RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED U ISUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMITEXTENDED QMD be in place priorto approval to fill pool/spa & shall remain in place & be maintained for the PERMITFINAL ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO life of the pool. CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: