HomeMy WebLinkAboutX2018-3078 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
to Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
IIIIIIIIIIIIIIIII�IIIIIII�IIIIIIIIIIIIII II COMB Permit: X2018-3078
X 2 0 1 8 3 6 7 8 Project No :
Issued Date : 10/1112018
Inspection Area : 4
Applicant:
. PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Address:
1851 PORT TIFFIN PL
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:
1851 PORT TIFFIN PL NB
714-606.4747
Description:
SFR KITCHEN UPGRDS, RPLC KITCHN WINDOW, SLIDING DOOR, & DEN SLIDING DOOR (108 SF) "CTY STD"
Carrier:
Legal Desc.:
N TR 7032 LOT 35
7
Expire:
Phone:
i
Owner:
OWEN CHRISTI Contractor: OWNERIBLDR Architect
ej ��
Address:
1851 PORT TIFFIN PL Address: Address:
.< 36' f? r. <-. ,. . � ry:�
Overtime Plan Ck:
NEWPORT BEACH, CA 92660
00000
Phone:
714-606-4747 Phone: Phone:
State Lie:
Applicant:
OWEN CHRISTI
Address:
1851 PORT TIFFIN PL
Bus Lie:
NEWPORT BEACH, CA 92650
Phone:
714-606.4747
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added/New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Con State Lie: O/B
Engineer:
Lie Expire:
Address:
Bus Lie:
o 0
Lie Exp Date:
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
Address:
Policy No:
0o c
Expire:
Phone:
Building Setbacks
Rear: I
Front: I
Left: I
Right: /
State Lie:
Special Conditions: OIB AUTH ATTACHED
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uonscrucuon vaivarwn:
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o 0
moos
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Building Permit Fee:
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Planning Department -
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c00000
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0
0
$40.00
mm 0
0
Overtime Plan Ck:
c00000
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0
Fair Share :
$0.00
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0
Investigation Fee:
$0.00
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$0.00
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c00000
0
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Record Management:
$2.00
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uonscrucuon vaivarwn:
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Building Permit Fee:
$312.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $271.44
Additional Fee :
$0.00
Plan check Fee :
$40.00
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:
$2.00
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 %:
$21.84
San Dist:- - $0.00
--
Building Green Fee :
$1.00
Mechanical %:
$12.48
NMUSD Fee: $0.00
$0.00
Plumbing %:
$28.08
$0.00
TOTAL FEE : $686.84
Plan Check Fee:
$0.00 Fee Due at Permit Issuance:
$688.84
PROCESSED BY:
PUBLIC WORKS APPROVAL:
C
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
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 iter
(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 appli.ant 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 Busi;ess 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 p nalty of
more than five hundred dollars ($500).
1, 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,
1 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
provements 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
d for the purpose of sale).
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
ffap Iy 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:
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 y 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 7 44 of the B sine s and
Professions Code, is available upon request this p' n is 2y����leginfo.ca.gov/calaw.htmi.
ora�tFje�Ifol We sib http:// .leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized AgentY__
`//fTi. �/ A/"— I
LICENSED CONTRACTOR'S DECLAMPM
I hereby affirm uridEcpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession e, and my license s in full force
and effept. License Class License No Date Contractor Signature
IM712MS' C101GIPFNSATION DECLARATION
NI(RNIN(P: FAILURE VSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DOST OF SOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
°hereby affirm under penalty of perjury one of the following declarations:
f bile and will mafrltain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
154Urprice of 11"93 for which this permit is issued. Policy No.
:IJwbfe and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation
paula4DC carrier and policy number are:
:arrier : Policy Number Expiration Date
ef.Agent
of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
hg workers'ggmp¢d$'ption provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1
Ireby 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
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 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 j6ie-ei or coyafly top
�Iteyfe above i en ' d property for inspection purposes. �%
nature of Prooertv Owner or A h ed ACE t "� l r I ,AF M®/M/ / Print Prooertv Owner's or Authoriz Aoent'sMame V
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EMENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE BY I REGULATIONS PART1 OF ATION OF IITLE 40 AND AQMD RULE CE WITH CODE OF RAL FOR OFFICE USE
2(
SUBMITTED ASBESTOS NOTIFICATION TO
ISNOTAPPLICABLE TO
Civil Code).
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