HomeMy WebLinkAboutX2018-3032 - Permitswtaa City of Newport Beach - Building Division IIIIIIIIIIIIIIIIII�IIIIIIIIII�IIIIIII�II� IICOMB Permit: X2018-3032
¢ 100 Civic Center Drive, ON port MaW, (`Ae92L3i6(° ° o ° o x 2 0 1 8 3 0 3 2 Project No : 1260-2018
E, Permit Counter Phone (944)644-3288
si Inspection Requests Phoii J �94SJ694'3J56' o' moo i e °
Combination Type - SFP ELEC MECH PLUM Issued Date : 2018
Inspection Arearea : 3
m ® o o m oFlEAVITSI&PIAE7180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hoursi.Anday-eFrirlay 7:06.a.n&. til 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 2 CAPE ANDOVER NB o 0' 0 o .. ... °
Description: SFR -ADD 274 SF (61 @ IST FL, 213 @ 2ND FL), REMODEL 1001 SF
Legal Desc.: N TR 15012 LOT 7
Owner:
RABBITT SHELLEY 8: CHRIS
Address:
2 CAPE ANDOVER
Record Management:
NEWPORT BEACH, CA 92660
Phone:
$0.00
Applicant:
CHILDS CYNTHIA
Address:
2732 E COAST HWY STE B
Hazardous Mat
CORONA DEL MAR CA 92625
Phone:
949.718-3528
Code Edit: 2016
Type of Construction: V -B
Occupancy Group: R31U
Added /New sq.ft. Bldg: 274
Added /New sq. ft Garage: 0
No of Stories: 2
No of Units: 1
Bldg Height 0
Bldg Sprinklers.
Flood Zone:
Valuation: $155.000.00
Building Permit Fee: $2,368.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$58.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$7.00
TOTAL FEE: $3,732.85
PROCESSED BY:
ZONING APPROVAL:
Contractor:
WILLHOIT CONSTRUCTION INC
Architect:
CHILDS CYNTHIA
Address:
1278 GLENNEYRE ST #213
Address:
2732 E COAST HWY #B
In -lieu Housing Fee
LAGUNA BEACH CA 92651
Public Works Department -
CORONA DEL MAR CA 92625
Phone:
949-285.5444
Phone:
949-718-3528 State Lic:CO22985
Con State Lic:
941138
Engineer:
HOUSHMAND MOHSEN
Lic Expire:
1113012018
Address:
4400 CAMPUS DR #A
Bus Lic:
BT30040606
$564.00
NEWPORT BEACH CA 92660
Lic Exp Date:
11130/2018
Phone:
949-752-1612 State Lic:C-042283
Worker's Compensation Insurance
Carrier: ESG
Policy No: WC1067643
Expire: 0410112019
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: 10
Front: 10
Left: 5
Right: 5
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$165.76
$94.72
$213.12
Plan Check Fee :
Designer:
Address:
Phone:
1
Special Conditions: GOODWIN ENTERPRISE
TO HAUL DEBRIS r i
Planning Department -
Fire Department
Plan check Fee
Fair Share
Fire Inspection:
SJH Trans
In -lieu Housing Fee
Fire Plan Rev
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$41.25
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00 Fee Due at Permit Issuance : $3,732.85
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: 38L
GRADING APPROVAL: APPROVAL TO ISSUE:
Fire Department
$0.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$24.00
General Service
$197.00
Refund Deposit
$564.00
Grading Bond:
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $3,732.85
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: 38L
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) indicatep bNo .by tte ahecAark(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, demoliEol, pr repair antstluc(urg, Wior Qt its issuance, also requires the applicant for.
he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chaptel•9 (otimmencingwithti9ettion 7000) of Division 3 of the Business and
'rofessions 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
lot more than five hundred dollars ($500).
I, as owner of the propertysr my employees with wages as their sole compensation, will do (_) all of or (_) portions of the,work, and the e{ructAeis notintsndedwr offered for sale (Section 7044,
3usiness and Professions C06: The Contractors' State License Law does not apply to an owner of property who, through erydtgyeea' or Qe0;9Aal2)ffart,'bupdCor io-lproves the property, provided that the
mprovements are not intended'or offered for sale. If, however, the building or improvement is sold within one year of compleNort, t e-OwnerB Tilde will haf %tfieppoen of proving that it was not built or
m roved for the purpose of sale)..
1, 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
Ip 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:
3y 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 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 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.htmi.
Signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)7000) off the Business and Pr ions d nd my licens Is in full force
Ind effect. License Class License No Date Contractor Signatur-
VORKERS' COMPENSATION DECLARATION
IARNING: 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
GET OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
4a�l have 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 th
rmance of the work for which this permit is issued. Policy No.
s 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'
:e carrier and policy number are:
Policy Number
of
Date
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 agre
if I should become subject
�ss((ubject to W m' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
lature of Applicant(\ Dat
:1_ARATION RFGAARD r9 CONSTRIIOTION I FNnINr Ar.FNCY
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 provided is correct.
I agree to comply with all applicable city and county ordinances and tate laws relating to building construction.
1 authorize representatives of this city or county to enter t ab -identified property for inspection purposes.
nature of Prooertv Owner or Authorized Aaentn) 7 Print Prooertv Owner's or Authorized Aaent's N iTI (JS
ACTION
DATE
BY " DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY 3
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
-
1403
PERMITEXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
DEPA
PERMITEXTENDED
OAQMD
PERMITFINAL
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
OCCUPANCYISSUED
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