HomeMy WebLinkAboutX2018-1083 - Permits�x1t�1� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2018-1083
4: ' 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 8 1 0 8 3 Project No : 0877-2018
l., Permit Counter Phone (949)644-3288
l.. Inspection Requests Phone (949)644-3255
`�"'trrri«'�' " Combination Type - MFP ELEC MECH PLUM Issued Date : 0412512018
Inspection Area : 8
-1000 cone: A
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
vanung spaces:
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
rlrs rlazara cone : N
Job Address: 2021 VISTA CAUDAL NB
Construction Valuation: $75.000.00
Description: MFR -EXTEND MASTER BATH 98 SF
REMODEL KITCHEN, LAUNDRY 598 SF/REROOF W/BORAL TILE ESR -1647 5.0 PSF CLASS "A", CIO WINDOWIDOORS THOUGHOUT
Legal Desc.: TR 5435 (L.L.84-214024) PAR 40
Building Permit Fee: $1,487.00
Excise Tax:
$0.00
Owner: FRAHER KEVIN
Contractor:
PIRRUCCELLO CONSTRUCTION
Architect: BAILEY DAVID
Address: 2801 BLUE WATER DR
Address:
1033 N WHITTIER ST
Address: 23183 LA CADENA DR #101
CORONA DEL MAR CA 92625
Fire Inspection:
ANAHEIM CA 92806
LAGUNA HILLS CA 92653
Grading Bonds Fee:
Phone: 949.887-3835
Phone:
714-2693714
Phone: 949-573-1050 State Lic:CO27404
Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans :
Applicant: BAILEY DAVID
Con State Lic:
683870
Engineer: WILSON KALEN
Record Management: $40.00
Address: 23183 LA CADENA DR #101
Lic Expire:
06/30/2019
Address: 1371 WARNER AVE #A
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LAGUNA HILLS CA 92653
Bus Lic:
8730062996
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TUSTIN CA 92780 m
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Phone: 949-573-1050
Lic Exp Date:
04/30/2019
Phone: 714.576.6524 State Lic:C-083753 ° 00 m
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WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Code Edit: 0
Worker's Compensation Insurance
Designer: •m °
m• °
Type of Construction: V -B
Carrier:
STATE COMP
Address: o ° • ®®
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Occupancy Group: R31U
Policy No:
1572708
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Added /New sq.ft. Bldg: 98
Expire:
03/01/2019
Phone: ° ° °
° ° • ° °
Added /New sq. ft. Garage: 0
$59.48
NMUSD Fee:
$0.00
No of Stories: 1
Building Setbacks
Rear: /
Special Conditions:
$133.83
No of Units : 1
Front: /
= c
c m
Bldg Height: 0
Left: /
mnmom•
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Bldg Sprinklers: N
Right: I
-1000 cone: A
use cone:
vanung spaces:
u
rlrs rlazara cone : N
Construction Valuation: $75.000.00
Building Permit Fee: $1,487.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $1,222.37
Additional Fee :
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management: $40.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Energy Compliance: $56.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety: $9.75
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PNV Plan Check:
$38.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$104.09
San Dist:
$0.00
Building Green Fee : $3.00
Mechanical %:
$59.48
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$133.83
$0.00.
TOTAL FEE: $3,303.52
Plan Check Fee:
$1,371.54
Fee Due at Permit Issuance :
$1,931.98
PROCESSED BY:
ZONING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER
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)
action 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
ifessions 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,
siness 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
)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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
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
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
ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca,gov/calaw.htmi.
nature of Propwv.gwner or Authorized Agent Date
TENSED COqjlI DECLARATION
reh affirm underpenalty 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
i efieci. License Class License No Date Contractor Signature
9RKfRS' CON11 ASATION DECLARATION
MIND, 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 ($700,000), IN ADDITION TO THE
T OF•COMPENS0-AOI$ DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
IftyAffirm under penalty of perjury one of the following declarations:
61save and wig inamtain 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 thr
fprptinbce of Me wbtk for which this permit is issued. Policy No.
Vveland will aintain 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
irance carrierand.pr)ucy number are:
6ief•• • Policy Number Expiration Date
I 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
t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
mature of Applicant Date_
CLARATION REGARDING CONSTRUCTION LENDING AGENCY.
3reby 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).
Idler'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.
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 enter the above -identified property for inspection purposes.
mature of Prooertv Owner or Authorized Aqent Print Property Owner's or Authorized Agent's Name Date
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
- PERMITCANCELLED
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PERMIT EXTENDED
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PERMITFINALtn
CERTIFICATEOF
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ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
OCCUPANCY ISSUED
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SIGNATURE: