HomeMy WebLinkAboutX2018-2911 - PermitsCity of Newport Beach - Building Division m IIIIIIIIIIIIIIIIIIIIIUIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III
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o� 100 Civic Center Drive, Newport Beach, CeA 92660.m m
H Permit Counter Phone (949)644-3288 m °
Inspection Requests Phone (949)644-32; g ° ° ° • ° ° ° ° ° m ®m % °
zd�t8 Combination Type - BLDG
COMB Permit: X2018-2911
Project No : 0673-2017
Issued Date : 09/27/2018
Inspection Area : 8
® m •PYyR17lITs.@XPJRE 190 DAYS•AfTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday- Prjday 7 00 a.m. to 6:30 p.rn•, and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 2127 VISTA ENTRADA NB
Description: SFR -ADD 155 SF/REMODEL 1014 SF *CHANGE OF CONTRACTOR*
Legal Desc.: TR 5878 (L.L.84-214031) PAR 25
Owner: MCKENNA INVESTMENTS II LLC Contractor: OWNER/BLDR Architect: BAILEY DAVID
Address: 516 EMERALD BAY Address: MCKENNA KEVIN Address: 23183 LA CADENA DR #101
LAGUNA BEACH CA 92651 LAGUNA HILLS CA 92653
Phone: 949-300-0084 Phone: Phone: 949-573-1050 State Lic:CO27404
Applicant: BAILEY DAVID
Con State Lic:
O/B
Engineer:
WILSON KALEN
Address: 23183 LA CADENA DR #101
Lic Expire:
Address:
1371 WARNER AVE #A
LAGUNA HILLS CA 92653
Bus Lic:
TUSTIN CA 92780
Phone: 949-573-1050
Lic Exp Date:
Phone:
714-576-6524 State Lic:C-083753
Code Edit: 2016
Workers Compensation Insurance
Designer:
Type of Construction: VB
Carrier:
Address:
Occupancy Group: R2
Policy No:
Added /New sq.ft. Bldg: 155
Expire:
Phone:
Added /New sq. ft. Garage: 0
f,
No of Stories: 2
Building Setbacks
Rear: 0
Special Conditions:
No of Units: 3
Front: 0
Bldg Height: 0
Left: 0
;jam
Bldg Sprinklers:
Right: 0
Flood Zone:
Use Zone: R-1
Parking Spaces
0
Fire Hazard
Zone : N
"✓e '1f'
Construction Valuation: $0.00
Building Permit Fee: $0.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $0.00 _
Additional Fee :
$35.00
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
WO 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 : $0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $35.00
Plan Check Fee:
$0.00
Fee
Due at Permit Issuance :
$35.00
PROCESSED BY: d 1
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK
BY:
-
GRADING APPROVAL:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION •• ••• "'
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reascn(c) indicated belowlry the checkmark(s) I have placed next to the applicable item(s)
;Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, imp}o4b, der$ol sh•ordepa!CarW stricture, 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 LldenS2taw'(Chapter 9 (tomftticing 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 (_) all of or (_) it�rlions of the work, and -the sbuolure 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, Wroveh employees yr persaGal etori, builds or improves the property, provided that the
kg1provements are not intended or offered for sale. If, however, the building or improvement is sold within one y@Vof �grppletion, jhe•QJner-MdIger*40 have the burden of proving that it was not built or
ved for the purpose of sale).
I, s 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
to an owner of property who builds or improves thereon, and who contracts fort
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 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. 1 understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request whe t 's applic tion is fubmilted of e following Web site:http://www.leginfo.ca.gov/calaw.htmi. Z 2 p
Signature of Property Owner or Authorized Agent Da�e) Y I
LICENSED CONTRACTOR'S DECLARAT N
I hereby affirm under 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
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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
performance of the work for which this permit is issued. Policy No.
❑1 have 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' compensatio
igsurance.carrier and policy number are:
of Agent
rtify that, in the performance
Policy Number
Date
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
_ workersco ' Weapon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
�/ / A� /9/p/�, /alto 7
nature of Applicant) f_ sz
/r�" !
CLARATION REGA DIDIN CONSTRUCTION LENDING AGENCY
�reby 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).
rder'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 co my ordi nces and state laws relating to building construction. %%% ��' 1101
�% C�i
authorize representatives of this city or cou to ep4 the above -ids fiBq�roperty for inspection purposes. \Z y/ 11
n..e... YYY / /,v // �/".fi, Print PmDertv Owner's or Authorized Agent's NaMe
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PFRMITEXPIRED—11 Ll I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED LIAQMD
PERMITFINAL i1 ya.p elL SBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF �/J/ ROPOSED D, �MOLJTj6N
OCCUPANCYISSUED �'V NATURt."f� //��lL
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