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HomeMy WebLinkAboutX2018-3602 - PermitswtvJfi City of Newport Beach - Building Division "X2018-3602* COMB Permit: X2018-36( td 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2784-2018 Permit Counter Phone (949)644-3288 %➢ *' C Inspection Requests Phone (949)644-3255 �Issued Date Combination Type - SFP ELEC MECH PLUM Inspection Area : 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: 4645 CAMDEN DR NB REMODEL INCL WINDOWS, DOORS, SKYLIGHTS 4500 SF @ £Pq Description: SFR 90 SF & INTERIOR . Legal Desc.: N TR 3357 LOT 127 �,6 Owner: MAI MICHAEL THANG & CHAULINH Contractor: MILO CONSTRUCTION Architect: CUING THIEP HOAG- Address: 4645 CAMDEN DR Address: 101 VIA MONTE PICAYO Address: 1250 COAST VILLAGE RD, STE J CORONA DEL MAR, CA 92625 SAN CLEMENTE CA 92673 SANTA BARBARA CA 93108 Phone: Phone: 949-290.6429 Phone: 805-969-5074 State Lic:C018995 Applicant: RICHARDS CHRIS Address: 1250 COAST VILLAGE RD STE J SANTA BARBARA CA 93108 Phone: 805-969-5074 Code Edit: 2016 Type of Construction: V-B Occupancy Group: R31U Added /New sq.ft. Bldg: 90 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Construction Building Permit Fee: $3,572.00 Plan Check Fee: $3,032.56 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $46.00 Energy Compliance: $268.00 CA Seismic Safety: $52.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $16.00 TOTAL FEE: $8,728.46 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 871429 Lic Expire: 0313112020 Bus Lic: BT30038762 Lic Exp Date: 03131/2019'+-n'zO Workers Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire: Building Setbacks Use Zone: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 30 Front: 6 Left: 6 Right: 6 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $250.04 $142.88 $321.48 Engineer: Address: Phone: Designer: Address: Phone: VAN SANDE GREGORY KEITH 2920 DE LA VINA ST SANTA BARBARA A 93105 805-963-6901 State Lic:C-030964 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 PAN Plan Check : $82.50 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $160.00 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 : $4,927.74 Fee Due at Permit Issuance : PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0.00. $0.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 $3,800.72 OWNER -BUILDER DECLARATION 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 7031.5, 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 the 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 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 U portions of the work, and the structure 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, through employees' or personal effort, builds or improves the property, provided that the improvements 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 improved 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 apply 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). ❑ 1 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. I understand that a copy of the 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.htmi. 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 S 'on 7000) of Division 3 of the Busines and Professions Cody. and my licansgls in full force and effect. License Class License No a �a • G . / i Contr ctor nature ��.....L•r...L WORKERS' COMPENSATION DECLARATION WARNING: FAILURE E. CECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO NE HUNDRED THOUSAND DOLLARS (11100,000(, 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 ender penalty of perjury one of the following declarations: J'I have and w:I' 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 the )er.ormance of the work for which this permit is issued. Policy No. 5 have and wul 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' compensatiol nsurance cair,er and policy number are: -a•rier_ Policy Number Expiration Date J me of Agent Phone # erti t, in the pertormance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the worke 'compensation laws of California, and agree at, if I 1uL11 7bcome su�bj+eyc�t [o thew,orkers�' comppensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iig at e�T`.Aryplie�nt II�CM"`�^— I�i to �• da�� JEC J'N REGARDING CONSTRUCTION LENDING E Y hereby 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 30 7, Civil Code). -ender's Name Lender's Address 3y 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 a 94cable city and county ordinances and state laws relating to building construction. I authorize representativ of this city or county to enter the above -identified roperty for inspection purposes. Signature of Property Own thorized Agent Print Propert Owner's or Authorized Agent's Name � tc'74 agL 0, L-D ' at S• b ' ACTION DATE BY DECLARATION OF COMPUA CE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED CERTIFICATE L •vL rji CERTIFICATE OF J 1 I`�— OCCUPANCY ISSUED REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO NOTIFICATION IS NOT APPLICABLE TO