HomeMy WebLinkAboutX2018-2337 - Permits"v City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-2337
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 2 3 3 7 Project No
Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
Issued Date : 08/03I2018
Combination Type - SFP
Inspection Area : 4
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: 19 MAINSAIL DR NB
Description: SFR -WINDOW (8) & DOOR C/O LIKE FOR LIKE
Legal Desc.: N TR 0425 LOT 66
Owner:
GORDON RIKKI
Address:
19 MAINSAIL DR
CORONA DEL MAR, CA 92626
Phone:
310-871-2125
Applicant:
WIN-DOR INC
Address:
450 DELTA AVE
BREA CA 92821
Phone:
714385-1202
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R311.1
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $292.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
IL TOTAL FE : $293.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
WIN-DOR INC
Address:
450 DELTA AVE
BREA CA 92821
Phone:
714385-1202
Con State Lie:
545553
Lie Expire:
0212812019
Bus Lie:
BT97027424
Lie Exp Date:
11130/2018
Worker's Compensation Insurance
Carrier:
AMERICAN GUARANTEE
Policy No:
WCO229821
Expire:
01/01/2019
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
*�chanical %:
Plu)nbina %:
Rear: I
Front: I
Left: I
Right: /
3arkina Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
0
Architect: UOR
Address: it
Phone: State Lie:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
State Lic:
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00 e u
PUBLIC WOIjKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
Issuance
a
'$0.00
:L.OG
$0.00
Koo
$0.00
$0.00
$0.00
$293.00
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indite
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demt
ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License LI
Irofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Sectir
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 U portions of th
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through el
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comph
n roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, E
pply to an owner of propertywho buirds or improves thereon, and who contracts for the projects with a licensed Contractor 1
1 1 am exempt -from licensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one ye
ell,a struclur%tHat I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I and
'rd#essions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginf(
signature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 T
nd effect. License Class License No D i
COMPENSATION DECLARATION
d below by the checkmark(s) I have placed next to the applicable item(s)
Ih, or repair any structure, prior to its issuance, also requires the applicant for
(Chapter 9 (commencing with Section 7000) of Division 3 of the Businessand
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
work, and the structure is not intended or offered for sale (Section 7044,
oloyees' or personal effort, builds or improves the property, provided that the
on, the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
to completion or the Improvements covereo Dy tnls permit, I cannot
that a copy of the applicable law, Section 7044 of the Business and
Date 4
//
3 of the Business and Prossi S Co m Sei m full force
Contractor Signature -.ttr +
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO 9fUMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FE
hereby affirm u-IrIcr penally of perjury one of the following declarations:
hgve and wol maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of ndustrial Relations as provided for by Section 3700 of the Labor Code, for th
ante of Cie Aork for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perormance of the work for which this permit is issued. My workers' compensatiol
u�an a carrier and policy number are:
r Policy Number Expiration Date
ame of Agent Phone #
�i Ubrtify that; in`the performance of r or whi his permit is issued, I shall not employ any person in any manners as to became subject to the workers' compensation laws of California, and agree
.et, i' I should become subject tot e o tion provisions of Section 3700 of the Labor Code, I shall forthwith omply with those provisions. p
irnatereof Applica - Da 6/J7Ace,
DECLARATIONREARDING CON§TRUCTIOR LENDING AGENCY
tai eov affirm and r penalty of perjury that there is a construction lending agency for the performance of the work for which his permit is issued (Section 3097, Civil Code).
s.tder's Nams, Lender's Address
y my signaturebelow, 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 c rrect
1 agree to comply with all applicable city and county ordinances state laws relating to building construction. _ 3
I authorize representatives of this city or cou ty t nler th � a -den for inspection purposes.
i nature of Property Owner or Authorized Agent Property Owners or Aut rized A ent's Nam Z a e
IL
1CTION DATE BY DECLARA ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE TSE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
UEPA
PERMIT EXTENDED
LJAQMD
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
'III —Ire
ev_
i
L1 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
ar-NATnaP•