HomeMy WebLinkAboutX2018-0642 - Permits"`t4 City ofNewportBeach - Building Division *X20180642* COMB Permit: X2018-0642
''. 100 Civic Center Drive, Newport Beach, CA 92660 Project NO : 0527-2018
- H ;' , Permit Counter Phone (949)644-3288
at 4r Inspection Requests Phone (949)644-3255
°'�eae�w` , '' Combination Type - SFP ELEC MECH PLUM Issued Date : 04/30/2018
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>
JobAd
D esption: SFR INTE RIRE
OR FAMILY, LAUNDRY, BATHROOMS) AND CREATE NEW BATHROOM 1817 SF �'
Legal Desc.: N TR 4224 LOT 188 S
Owner:
PENCE ALLISON & JOHN
Contractor:
MR BUILD HOME IMPRV CO
Architect:
WALZ JOHN ROBERT
Address:
707 ST JAMES RD
Address:
8391 BEVERLY DR #340
Address:
510 LARKSPUR AVE
Hazardous Mat
NEWPORTBEACH, CA 92665
Building Green Fee :
LOS ANGELES CA 90048
CORONA DEL MAR CA 92625
Phone:
949-874-1666
Phone:
888.792.8453
Phone:
949-836-5977 State Lic:C031388
Applicant:
WALZ JOHN ROBERT
Con State Lie:
439166
Engineer:
WILSON KALEN
Address:
510 LARKSPUR AVE
Lie Expire:
02129/2020
Address:
1371 WARNER AVE #A
CORONA DEL MAR CA 92625
Bus Lie:
BT30049270
TUSTIN CA 92780
Phone:
949-B36-5977
Lie Exp Date:
10/31/2018
Phone:
714-576-6524 State Lic:C-083753
Code Edit: 2016
Type of Construction: V -B
Occupancy Group: R3/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Building Permit Fee: $2,995.00
Plan Check Fee: $2,605.65
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$50.00
Energy Compliance:
$268.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$20.00
Worker's Compensation Insurance
Carrier: CA INSURANCE CO
Policy No: 4600941902
Expire: 0 811 612 01 8
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 6'
Front: 10'
Left: 6'
Right: 6'
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$209.65
$119.80
$269.55
IITOTAL FEE: $7,474.15 Plan Check Fee
PROCESSED BY:
ZONING APPROVAL:-�
GRADING APPROVAL:
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share:
SJH Trans :
In -lieu Housing Fee:
Public Works Department -
Park Dedication : $0.00
PIW Plan Check: $114.00
San Dist: $0.00
NMUSD Fee: $0.00
0000
0 m
oomm
ccoo
0
0000
o c
o c
0co 0c
0 0
0000
m
m $0.110
0`98!00°
$?97.00
$564.00
$0.00
$0.00
$0.00
$2,643.15 Fee Due at Permit Issuance : $4,831.00
PUBLIC WORKS APPROVAL: A- QQ
PLAN CHECK BY: ke ,Uv
APPROVAL TO ISSUE: C1tl_
0 0
omo0oo
0 0
omo0o
0
000co
omomoc
o • o
o
m000mu
0
oomo
Fire Department
$37.50
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
0000
0 m
oomm
ccoo
0
0000
o c
o c
0co 0c
0 0
0000
m
m $0.110
0`98!00°
$?97.00
$564.00
$0.00
$0.00
$0.00
$2,643.15 Fee Due at Permit Issuance : $4,831.00
PUBLIC WORKS APPROVAL: A- QQ
PLAN CHECK BY: ke ,Uv
APPROVAL TO ISSUE: C1tl_
0 0
omo0oo
0 0
omo0o
0
000co
omomoc
o • o
o
m000mu
0
oomo
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)
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 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 oPoffered 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
ly 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).
J 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 legally
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 % Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S ion 70 0 Divis' n 3 of the Busi ss and Professions Cod an my cense Is in full force
nd effect. License Class License No o Cont ESignature
YORKERS' 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
OST 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:
*..i
I have and well.mantain 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
erf nce of theWofk for which this permit is issued. Policy No.
....
'yRave will rrgi�ltain 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
isurance carrier and policy number are:
�arrierr Policy Number Expiration Date
Ine OtAgent • • • Phone #
DI ceAify that, irwtba 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
A9t' IT 1hould QeF "*sub' toty
the work s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
I herebyy affimi uriderpon analty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sect 097, Civil Code).
V eR Name _ Lender's Address
Elf IfigSignaturL*qLAI;w!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 t 's -city or county to r the bove-i entified property for inspection purposes.
Signature of Property Ow r u rized A ent w� Print Pro ert Owner's or Authorized Agent' c'� Dat
ACTION DATE RV DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED LJAQMD
PERMITFINAL BESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF RQP SED DEMOUTI—�
OCCUPANCYISSI SIGN E:
wo
>�
X N
0
Z Q
>
w
Y/ O
W o
/ • 00 C)
W
N m m
�o
Z
rn rn
O
V M N
W M
IL 'rn
U) -1 (D
Z w C
w
w
U)
If LLLL ow
I
I
I
i
I
I
I
a
c
m
�E
L
L � C
N C �
L N N
Q `% L ;
m'003o
C O N m
m 0
m ._ m
7 LN
m N N a0
Tq
o
3 Ea
O N
� � m
o
3: CD
w
0.0 O
r L N
o 3 c
CL
>
3�2
o m n
C ai
O
O U m
U
Q
o a
m N n
C
_CD
T � 7
O
a O CD
U Q .�
m 7
L
a) '15 O.
w ai E
0.I�L(n OU
CD
F-
CDm
C
O
0
0
ob
c
O
O
X_
\t
O
X
O
X
>'
"0
U
CL
N
C
U
Q -
N
C
o
=
L
(L
a.
d
L
m
LUd
LLd
LLL
yy
y
n
\
N
V
1
z
Z
W.
O
Q
0
E
a
WO
N
N
L
Ea
E
OU
m
0)
UZa
m
U
�:
c
Z
Q
Z
N
N
C
CN
N
N
CD
a)
L
U
U
U)
U)
aa)
c
3a
aci-oo
-an
-00cao
c
ma�OQC7QcncnQWQ
I
I
I
i
I
I
I
a
c
m
�E
L
L � C
N C �
L N N
Q `% L ;
m'003o
C O N m
m 0
m ._ m
7 LN
m N N a0
Tq
o
3 Ea
O N
� � m
o
3: CD
w
0.0 O
r L N
o 3 c
CL
>
3�2
o m n
C ai
O
O U m
U
Q
o a
m N n
C
_CD
T � 7
O
a O CD
U Q .�
m 7
L
a) '15 O.
w ai E
0.I�L(n OU
t
CD
F-
C
O
0
0
ob
c
m
a
1
\t
C
>'
"0
U
CL
N
C
U
Q -
N
C
o
=
L
\
I
yy
y
n
\
V
t
CD
F-
C
O
0
0
ob
c
m
a
0.
C
>'
"0
U
CL
N
C
U
Q -
N
C
o
=
L