HomeMy WebLinkAboutX2019-3955 - Permits�1*t.,, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3955
a R00 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 3 9 5 5 Project No: 2729-2019
N
�� '� Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
'
x u `' Combination Type - SFP ELEC MECH PLUM Issued Date : 0211412020
-------- ------ 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 5:00 p.m. No work on Sundays or Holidays
Job Address: 1815 TRADEWINDS LN NB
Description: SFR INTERIOR REMODEL (KITCHEN, BREAKFAST RM & FAMILY ROOM) 650 SF WINDOW/DOOR CIO'S®�
Legal Desc.: N TR 3B01 LOT 43 '� ����
Owner: FOSTER NICHOLAS Contractor: OWNER/BLDR Architect: MUEHLBAUER BRIAN
Address: 1815 TRADEWINDS LN Address: Address: 2753 CAMINO CAPISTRANO #B-2
NEWPORT BEACH, CA 92660 NEWPORT BEACH CA'92672
Phone: Phone: Phone: 949-388-5300 State Lic:C035133 -
Applicant: WILLIAMS ROB
Con State Lic: Ole
Engineer:
Address: 2753 CAMINO CAPISTRANO
Lic Expire:
Address:
•BOO°®
SAN CLEMENTE, CA 92672
Bus Lic:
....
° c
Phone: 949-388-5300
Lic Exp Date:
Phone:
State Lic:
• • •
• ° ° • • °
Code Edit: 2016
Worker's Compensation Insurance
Designer:
c oe
°
Type of Construction: V -B
Carrier:
Address:
°
• •°
° • °
Occupancy Group: R3/U
Policy No:
Added /New sq.ft. Bldg: 0
Expire:
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: /
Special Conditions:
• ° m °
°
No of Units : 1
Front: /
o
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
�..°
Construction Valuation: $74.000.00
°
•°°°
Building Permit Fee: $931.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $809.97
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: $34.00
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 %:
$65.17
San Dist: $0.00
Building Green Fee : $3.0
Mechanical %:
$37.24
NMUSD Fee: $0.00
$0.00
Plumbing %:
$83.79
$0.00
TOT L FEE: $2,00 .17
Plan Check Fee :
$849.97 Fee Due at Permit Issuance :
$1,154.20
PROCESSED BY:
PUBLIC WORKS A7!!2
_
/
C
APPROVAL:
LZONING
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE
OWNER -BUILDER DECLARATION r-,
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 L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
6iness 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
)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:
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 legal,
a structure that I have built as an owner -builder' 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
,fessions Code, is available upon request w t is pplication is subs ittted or at the following Web site:http://www.leginfo.ca.govlcalaw.htmi. _ , e ^ n
nature of Property Owner or Authorized Agent �- .� ri Date `7 G
SENSED CONTRACTOR'S DECLARATION
:reby affirm uildBt penalty 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 effect. LicenseaGlass License No Date Contractor Signature
CQFAPfgSATION DECLARATION
RE 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
NSATIC94, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
IferedS*affirm under per)elty of perjury one of the following declarations:
• . •••••.
111av1! 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
erformance of t4%work for which this permit is issued. Policy No.
I:••••
W;-and will mis"diin 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' compensa
lsurance carrier and policy number are:
• • Policy Number Expiration Date
•• • Phone#
0• I1fy that, irot�le 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
f should bedcMesubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date
CLARATION I DING CONSTRUCTION LENDING AGENCY
:reby affirm under p natty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 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 owners 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.
nature of Prooertv Owner or Authorized ADent 1,/__�/ Print Pronertv Owner's or Authorized ADent's Name t 1GClrP_.. C G�y- 2C
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
CERTIFICATE OF
OCCUPANCYISSUED
DATE BY DECLARATION OF ICOMPLIANCE
40 AND RULE II FOR OFFICE USE ONLY
REGULATIONS PA T
SUBMITTED ASBESTOS NOTIFICATION TO
1 ��/^^ UASBESTOS NOTIFICATION IS NOT APPLICABLE TO
V� �3 %'1Yv PROPOSED DEMOLITION
...........
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