HomeMy WebLinkAboutX2018-3767 - Permits;,$xYto City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2018-3767
`. 100 Civic Center Drive Newport Beach, CA 92660 X 2 0 1 8 3 7 6 7 Project No: 2918-2018
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
,Jxxear xv Combination Type - MFP Issued Date:
Inspection Arearea :2018
5
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: 701 POINSETTIA AVE NB
Description: MFR REPLACE DOORS & WINDOWS W/BI-FOLDING DOOR SYSTEM a 1 r
Legal Desc.: PM 332-33 PAR 1 OF PROJECT 939-82 LOCATED ON AP 459.073.22 TOGETHER b
Owner:
NILI AMY
Address:
701 POINSETTIA AVE
Record Management:
CORONA DEL MAR, CA 92625
Phone:
760-274-7509
Applicant:
OAKES SAM
Address:
34167 PCH #C
Record Management:
DANA POINT CA 92629
Phone:
760-274-7509
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: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee: $312.00
Plan Check Fee: $271.44
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$10.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $634.44
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
HARKINS CONSTRUCTION
Address:
34167 PCH #D
Fair Share
DANA POINT CA 92629
Phone:
949-245.9028
Con State Lic:
935372
Lic Expire:
0713112020
Bus Lic:
BT30054025
Lic Exp Date:
02128/2019
Worker's Compensation Insurance
Carrier: NORGUARD INS CO
Policy No: LEWC911544
Expire: 02/2212019
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: I
Front: I
Left: I
Right: I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Architect:
Address:
.io'i %'11 k
Phone: State Lic
Engineer:
BURKE LEO
Address:
34167 PACIFIC COAST HWY #D
Fair Share
DANA POINT CA 92629
Phone:
949-226-7130 State Lic:C-067404
Designer:
Building Dept Adm
Address:
Park Dedication :
Phone:
Special Conditions
Fire Hazard
Planning Department -
Fire Department
Plan check Fee
Fire Inspection:
Fair Share
Fire Plan Rev
SJH Trans
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
PNJ Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL: )
PLAN CHECK BY:
APPROVAL TO ISSUE:
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$0.00
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0
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$634.44
Fire Department
$40.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee: $0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL: )
PLAN CHECK BY:
APPROVAL TO ISSUE:
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o° oc
00
$0.00 °
$0.00
.Duos°
0
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$634.44
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjurythat 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)
ction 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
fessions 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iiness 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).
U 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 by this permit, I cannot
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 th applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with a 'on 00 f Di 'sl n 3 of the Busin ss Cd Professions , and my license is in full force
and effect. License Class License No D 3 Contrac or Signature
NORKERS' COMPENSATION DECLARATION a
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP O ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST 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:
I 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 thi
FuUrance
ce 111"r ork for which this permit is issued. PolicyNo.
agdwill•rpaintain 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
ca•riaF acid policy number are:
[By
rrier • Policy NumberExpiratio
e of 40. � . Phone #
1 certify that, irrthe performance of the wor r which this permit is issued, I shall not employ any person in any manner so as to become sub
t, if I shopld bubject to thew rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with thounaturefCLARl1Tf N REGA CONSTRUCTION LENDING AGENCY
ereb9 aiEi ,Wer Jeenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued
nder's NamO Lender's Address
my svenure below, I certify to each of the following:
I any tlfaproperty owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correc
I agree to comply with all applicable city and county ordinances an aws relating to building construction.
I authorize representatives of this Yty 9L-Geunty to enter the ab entified property for inspection purposes. l'
ACTION LJAiF,/ BY OtCLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE NLY
REGULATIONS PART61 OFTITLE 40ANDAQMD RULE
1403
PERMITEXPIREDI SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED .FPA
PERMITFINAL 1✓ / OSED ESTOS NOIFICATI NOT APPLICABLE TO
CERTIFICATE OF '% -f
OCCUPANCY ISSUED ,NAn IRF•
Date
compensation laws of California, and
Civil Code).
Date
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