HomeMy WebLinkAboutX2018-2413 - Permitswl�r City of Newport Beach - Building Division(IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIl IICOMB Permit: X2018-2413
6' 100 Civic Center Drive, Newport Beach, CA 92660 X 2 6 1 6 2 4 1 3 Project No: 0057-2017
'< Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
Combination Type - SFP Issued Date :
Inspection Arearea :2018
8
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: 1964 VISTA CAUDAL NB VS1
Description: MFR -DELTA 1 &2ADD41 SF &AS BUILT FLOOR PLAN &SHEARWALL >LegalDesc.: TR5435 (L.L.84.214024) PAR 119NOwner: FABER MICHAEL Contractor: OWNERIBLDR Architect:�,
Address: 1964 VISTA CAUDAL Address: Address: TOP
NEWPORT BEACH, CA 92660
Phone: 714-396-0896 Phone: Phone: State Lic:
Applicant: FABER MICHAEL
Con State Lie:
OIB
Engineer:
STANGER CRAIG
......
Address: 1964 VISTA CAUDAL
Lie Expire:
Address:
2014 E WESTPORT DR #A
NEWPORT BEACH, CA 92660
Bus Lie:
ANAHEIM CA 92806
Phone: 714.396-0896
Lie Exp Date:
Phone:
714-778-6691 State Lic:S-003893
Code Edit : 2016
Workers Compensation Insurance
Designer:
°
Type of Construction: V -B
Carrier:
Address:
Occupancy Group: R31U
Policy No:
°
Added /New sq.ft. Bldg: 0
Expire:
Phone:
o ° o
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: I
Special Conditions:
°
No of Units: 1
Front: I
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Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone: Parkin S aces:
0
Fire Hazard Zone : N
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Construction Valuation: $1.000.00
09
Building Permit Fee: $97.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $0.00
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: $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access: $0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $98.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$0.00 Fee Due at Permit Issuance : $98.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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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 L) 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
oved for the purpose of Sale)_
,Ias 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
y 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 the Ilowing reason:
By my signature below I acknowledge that, except for my personal res' c is ust 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 beon lits 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 a ca' it o he following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED C014TRACTOR'S DECLARATION
I hereby affirm ligdArp6nalty 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
rhg(ji;gc:pt. Licers%�lass License No Date Contractor Signature
)VORK'ERS' CQMP•P_NSATION DECLARATION
NARN14% FAILURE TQ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE
COS16OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm uodar.p$nalty of perjury one of the following declarations:
1•6ave and,will rijaintain 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
AfOrFrjance of th ew o rk for which this permit is issued. Policy No.
M Piave 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' compensatiol
144 1;fte carnal; and Rolicy number are:
3arrier' ..... • Policy Number Expiration Date
Jerre of Agent • Phone #
7 certify that, Ifi Me 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
hat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Dale_ _
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
areby 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).
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 pro ed' orrect.
1 agree to comply with all applicable city and county or ' a nd state laws relating to building construction.
I authorize representatives of this city or coun 4A -identified property for inspection purposes.
nature of Property Owner or Authorized Agent _.. Print Prooertv Owner's or Authorized Acent's Name
ACTION
PERMIT CANCELLED
PERMIT EMENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDEI
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
1 Ll I SUBMITTEDASBESTOS NOTIFICATION TO
TO
FOR OFFICE USE ONLY