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HomeMy WebLinkAboutX2018-0089 - PermitsCity of Newport Beach- Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-0089 a00 Civic Center Drive, Newport Beach, CA. 92660 .Investigation Fee: x 2 0 1 8 0 0 8 9 Record Management: Project No: 0068-2018 In -lieu Housing Fee: Permit Counter Phone (949)644-3288 $126.00 $0.00 - $0.00 - ` Inspection Requests Phone (949)644-3255 Disabled Access : $0.00 Hazardous Mat .$0.00 Building Green Fee `.. Issued Date: ex .• Combination Type - SFP ELEC PLUM MECH Inspection Arreaea :2018 2 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: 608 S BAY FRONT NB - - - Description: SFR INTERIOR REMODEL (2000 SF): Legal Desc.: BALBOA ISLAND SEC 2 LOT 5 BILK 1(AND LOT 6 BILK 1 Owner: HANSEN ROBERT Contractor: FABERWEST CONSTRUCTION Architect: ,e••ee 0 Address: 841 APOLLO ST #450 Address: P.O. BOX 10771 Address: �' ° ° • ° EL SEGUNDO,CA 90245 NEWPORT BCEACH CA 92658 � f' • e o eoeooc Phone: Phone: 530.277-7502 Phone: sn State Lic: owoeoa ; e' c Applicant: FABER MARK Con State Lic: 592260 Engineer: ARMSTRONG SCOTT DANIEL -s .;F7• • c •. e ° o° Address: PO BOX 10771 Lic Expire: 02128/2018 Address: 25068 VIA LAS LOMAS °4A. e ° NEWPORT BEACH CA 92658 Bus Lic:. BT30030099 MURRIETA CA 92562 Phone: 949-838-5026 Lic Exp Dater 12131/2018 Phone: 714-225-7056 State Lic:C-074715 • •+ •. # en000 Code Edit : .2016 Worker's Compensation Insurance. Designer. Type of Construction: V -B Carrier: Occupancy Group: R3/U Policy No: STATE FUND 9050853 : Address: o *`, Added /News ft. Bldg: 0 Expire: q� 9� P 0 4/0112 01 8' Phone: ° 'Q- "w'? °oc•oo Added /New sq. ft. Garage:. 0 Added ° • No of Stories: 2 Building Setbacks Rear: / Special Conditions: AE8 FLOOD ° No of Units : 1 - Front: / Bldg Height: 0 Left:. / Bldg Sprinklers: N -Right:, / Flood. Zone: AE Use Zone: Parkino Seaces: 0 Fire Hazard Zone : N _. Building Permit Fee: $1,495.00 Plan Check Fee: $1,300.65 Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %:' TOTAL FEE: $4,077.15 $0.00 Overtime Plan Ck $0.00 Plan check Fee: .Investigation Fee: $0.00 $0.00 Record Management: $26.00 In -lieu Housing Fee: Energy Compliance: $126.00 $0.00 CA Seismic Safety: $0.00 PAN Plan Check [ $0.00 Disabled Access : $0.00 Hazardous Mat .$0.00 Building Green Fee `.. $8.00.' Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %:' TOTAL FEE: $4,077.15 $0.00 Planning Department - $0.00 Plan check Fee: $0.00 Fair Share $0.00 SJH Trans .$0.00 In -lieu Housing Fee: $0.00 Public Works Department - $0.00 Park Dedication :. $0.00 PAN Plan Check [ $0.00 $104.65 San Dist: $0.00 $59.80 NMUSD Fee: $0.00 $134:55 Plan Check Fee : $1,464.15 Fee Due at Permit Issuance: PROCESSED BY: C� 1�--�/v \ - PUBLIC WORKS APPROVAL: ZONING APPROVAL: ✓ PLAN CHECK BY: (146_ GRADING APPROVAL: APPROVAL TO ISSUE: $0.00 $0.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 $2,613.00 Fire Department $37.50. Fire Inspection: $0.00 Fire Plan Rev $0.00.. Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $104.65 San Dist: $0.00 $59.80 NMUSD Fee: $0.00 $134:55 Plan Check Fee : $1,464.15 Fee Due at Permit Issuance: PROCESSED BY: C� 1�--�/v \ - PUBLIC WORKS APPROVAL: ZONING APPROVAL: ✓ PLAN CHECK BY: (146_ GRADING APPROVAL: APPROVAL TO ISSUE: $0.00 $0.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 $2,613.00 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applfeable item(s) Iction 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 o the Business and Ifessions 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)... 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3iness 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). I am exemptfrum licensure under the Contractors' State License Law for the following reason: my signatdie b®10d✓ 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 legalh a structure that I lave 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 lessions Code,as available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nliture of PropertylOwner or Authorized Agent Date -ARSED CONTRACTOR'S DECLARATION )reby affirm.i?hdP@F&nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of ivisiono the Business and Profes i6ns ode, an sly li nse is. in full force I effect. License (mass License No Date Contractor Signature )RKERS' VFPUNSATION DECLARATION rNINe: FAILUX2 TO"SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN RED THOUS D DOLLARS (4100,000), IN ADDITION TO THE I?dF COMPENSA'JION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Irbi5taffirm ugder 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 Io4Ph.nce of the work for which this permit is issued. Policy No. .0. `. • . Wave and will tiWritain 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 trance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # 1:11 certify that, in the performance of 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 that, if I should become sqKject to the work s^ , mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. > Signature of Applicant ®b1 � Date L DECLARATION REG DING CON UCTION LENDING AGENCY I hereby affirm under enalty of ped ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code Lender's Name Lender's Address By 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 cou t9 ordinances a ahstate ws relating to building construction. I authorize representatives of this city or county o en Pe Peab a-ide led property for inspection purposes. % Signature of Property Owner or Authorized A ant " � " 77 Print Property Owner's or Authorized Agent's Name -%�2 Dat ACTION DATE BY DECLAAATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITEXTENDED PERMITFINAL P.ASBESTOS OTIFICATION IS NOTLICABLE TO CERTIFICATE OF /� /� PROPOSED D MOLITION//qgP OCCUPANCYISSUED "p `1 /7 SIGNATURE