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HomeMy WebLinkAboutx2018-0298 - Permitser City of Newport Beach -Building Division IIIIP►!��►��►������►►►►►►��►�►�►�►►�d����►�►�►�►►�gllll ,��•,. � 9 8 COMNo: sago 8018-0298 a't 100 Civic Center Drive, Newport Beach, CA 92660 ...... Permit Counter Phone (949)644-3288 ...• u Inspec� Requests Phone (949)644-3255 Issued Date : 0212712018{on ° • m a Combination Type - SFP MECH ELEC PLUM Inspection Area: 4 ° • °„ ° • ° ° . ° • ° r PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. No on Sundays or Holidays• . • ° . ° ° m. work Hours: Monday - Friday 7:00 a.m. to 6:20 p.m. and Saturday from 8:00 a.m. to 6:00 p.o Construction ° Job Address: 10 REGENTS NIB SFR ADD 251 SF (CONVERTED GARAGE SPACE) & REMODEL 127 SF w •,�s °. Description: Legal Desc.: N TR 15409 LOT 4 �'� • °. •. RIIS MARIANNE Contractor: MARQUAND CONTRACTING CORP Architect: „�„ < -• ° ° Owner: d Address: REGGENTSENTS Address: 10 R 5752 SIERRA CASA Address: NEWPORT BEACH, CA 92660 IRVINE CA 92603 949-387-2617 Phone: State Lic: ' •°•'` .�e.w• Phone: Phone: Applicant: MARQUAND MIKE Con State Lic: 316089 0713112019 Engineer: Address: ,. Address: 5321 UNVERSITY DR #G Lic Expire: Bus Lic: BT30062355 IRVINE CA 92653 Lic Exp Date: 0212812019 Phone: State Lic: Phone: 949-387-2617 Code Edit: 2016 Worker's Compensation Insurance Carrier. STATE COMP Designer: COYLE MIKE Address: 23183 LA CADENA #101 42bs a Type of Construction: VB Policy No: 9043738 L� �,.:.�%.%\\s,CR Occupancy Group: R31U LAGUNA HILLS CA 92653 Expire: 0112412019 Phone: 949-677-3464 Added /New sq.ft. Bldg: 261 Added /New sq. ft. Garage: 0 Building Setbacks Rear: I Special Conditions: P No of Stories: 1 Front: / No of Units : 1 Left: I Bldg Height: 0 Right: I Bldg Sprinklers: N Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Flood Zone: X Construction Valuation: $30 240.00 Building Permit Fee: $1,409.00 Excise Tax: $0.00 Planning Department- Plan Fee : $0.00 Fire Department Fire Inspection: $0.00 Plan Check Fee: $1,056.84 Additional Fee : $0.00 $0.00 check Fair Share : $0.00 Fire Plan Rev $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 $0.00 Demolition Fee Record management: $26.00 Grading Permit Fee: $0.00 $0.00 In -lieu Housing Fee : Public Works Department - General Servtice m $0.00 Energy Compliance: $56.00 Grading PC Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: PAN Plan Check: $0.00 Grading Bond: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Electrical %: $98.63 San Dist: $0.00 $0.00 $0.00 Building Green Fee : $2.00 Mechanical %: $56.36 NM USD Fee: $0 00 Plumbing %: $126.81 TOTAL FEE : $2,980.64 Plan Check Fee: $2,980.64 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PROCESSED BY: � PLAN CHECK BY: ZONING APPROVAL: APPROVAL TO ISSUE: GRADING APPROVAL: 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) (Section 7031,0, $usiaess 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 the peit to fi163 Bfgned statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of DiviSYon 3 of the Business and P,rp(essions Code) oT 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 noI mote thanlive nuNdred dollars ($500). I, 36 owner of -the property, or my employees with wages as their sole compensation, will do U all of or us"I ss and Professions Code: The Contractors' State License Law does not apply to an owner f property who, through the orpersonalefforte is nbuildsot eord improves the propeed or offered for lrty,Sprow'ded�hat the irprovements 2(p,ltottntended 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 Proved for the pugpIm of sale). D•k 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 Qappl);;. 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). .la-rt exempt from Ijpensure under the Contractors' State License Law for the following reason: selloy My sjgnature, III f 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, dittea sjr4icture 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 ssiens COgC,,1M.9ilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. SiJRalu're of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION Date I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) Iwsi of the Business and Pr ssions o e, an license is in I force and effect. License Class License No ORKERS' COMPENSATION DECLARATION Dat -=�� Contractor Signat e - a ARNING: FAILURE TO SECURE WORKERS• COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DO LARS (§ ,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I 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 IN pe miance of the work for which this permit is issued. Policy No. I ave 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 insurance carrier and policy nurnr ber are: "' '"r z �C�"� ' Policy Number of Agent Date rnone rf I certify that, in the performance of the wor for which this permit is is ed, I shall not employ any person in any manner so as to become subject to the workers' c mpensation laws of California, and ogre it, if I should becomes ject to work s' compensation provisio of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. mature of Applicant BT ✓tom / 7 /� CLARATION REG DING CONSTR CTI N LEND G AGENC e :reby affirm under enalty of perjury that t IS is nstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). my signature Name my sgnature below, I certry Lender's Address 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 cou ordinances a state laws relating to "ding construction. I authorize representatives of this city or count eRI ab dentified property for ection purposes. / ,r ACTION `_... MIIUn u LUMPLIA LE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 619FtITLE 40 AND AQMD RULE TO PERMIT EXFENDED QMD PERMIT FINAL SBESTO NQ3I�ICA/Y//ON IS NOT CERTIFICATE OF PROPQQSE MO�TIDIy,, OCCUPANCYISSUED /JQ �, o „ _ ///hiZl/6i`%IXI 7,