HomeMy WebLinkAboutX2018-2892 - PermitsaCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�III�IIIIIIIIILIU11111111� COMB Permit: X2018-2892
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 2 Project No: 2310-2018
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC PLUM Issued Date : 10/2312018
- Inspection Area : 3
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: 1046 WEST WIND WAY NB
Description: SFR DETACHED SOLID ROOF PATIO COVER (288 SF) W/ATT 6'H X 20 LF BLOCK WALL "INSIDE THE P/L"
Legal Desc.: N TR 4224 LOT 188
Owner: JOHN & ALLISON PENCE
Address: 707 ST JAMES RD
NEWPORT BEACH CA 962663
Phone:
Applicant: WALZ JR
Address: 23 CORPORTE PLAZA #150
NEWPORT BEACH CA 92660
Phone: 949.836-5977
Code Edit: 2016
Type of Construction: VB
Occupancy Group: U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Contractor:
MR BUILD HOME IMPRV CO
Address:
8391 BEVERLY DR #340
4600941902
LOS ANGELES CA 90048
Phone:
888-792-8453
Con State Lie:
439166
Lie Expire:
0212912020
Bus Lie:
BT30049270
Lie Exp Date:
10/31/2018
Worker's Compensation Insurance
Carrier:
CA INSURANCE CO
Policy No:
4600941902
0 Expire:
08/16/2019
0
CA Seismic Safety:
Building Setbacks
Rear: 6'street
$0.00
Front: 10' open space -
$0.00
Left: 6' -
$1.00
Right: 6'
Building Permit Fee: $771.00
Plan Check Fee: $365.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$8.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.65
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $1,349.01
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Architect:
WALZ JOHN ROBERT
Planning Department -
Address:
510 LARKSPUR AVE
L
Plan check Fee:
CORONA DEL MAR CA 92625
Grading Bonds Fee:
Phone:
949.836-5977 State Lic:C031388
Engineer:
WILSON KALEN
SJH Trans:
Address:
1371 WARNER AVE #A
$0.00
In -lieu Housing Fee:
TUSTIN CA 92780
�1®
Phone:
714-576.6524 State Lic:C-083753
WQ Insp. Fee:
Designer:
Park Dedication :
$0.00
Address:
P/W Plan Check:
Phone:
Special Conditions:
Excise Tax:
$0.00
Planning Department -
$80.00
Additional Fee :
$0.00
Plan check Fee:
Fire Plan Rev
Grading Bonds Fee:
$0.00
Fair Share :
Grading PC Consultant:
$0.00
SJH Trans:
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Refund Deposit
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
P/W Plan Check:
$0.00
Electrical %:
$53.97
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$69.39
Plan Check Fee:
E
$381.00 Fee Due at Permit Issuance : $968.01
v " ,
PUBLIC WORKS APPROVAL:
� e
'PLAN CHECK BY:
APPROVAL TO ISSUE:
Fire Department
$80.00
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
$381.00 Fee Due at Permit Issuance : $968.01
v " ,
PUBLIC WORKS APPROVAL:
� e
'PLAN CHECK BY:
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
the 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
Professions 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
not 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,
Business 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
improvements 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
improved 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
apply 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).
❑ 1 am exempt from licensure under the Contractors' State License Law. for the following reason:
By 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 legall)
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:hltp://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Divisio 3 of the Business and Professions Code, and mY license is in full force
and effect. License Class License No Date Contractor Signatu' sr ii
INORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 th
3Vormance of the work for which this permit is issued. Policy No.
have andmaintain 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'
rance carripolicy nyryher are:
Number
of
Date
11 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
iat, if I should become sub' ct to the wor orfs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Iignature of Applicant
IECLARATION REG DI G CO RUCTION LENDING AGENCY
hereby affirm under 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).
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.
I authorize representatives of this city or county)o enter th?a¢gv@-identified property for inspection purposes. ` r�� S f , /Z�/F
;innature of Pranertv Owner or Authorized Aoenh/ C % Print Property Owner's or Authorized Agent's Name✓ c 1VOLA I "\Py1G Da{�'�' C�
DATEI BY DECLARATION OF REGULATIONS PARTO 1 OF IITLE 40 AND AQMD RULE CE WITH CODE OF RAL FOR OFFICE USE ONLY
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TA
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PERMITFINAL
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'ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
PR OSEDEM LITION ((
OCCUPANCYISSUED
SIGNATURE: •'
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