HomeMy WebLinkAboutX2018-2925 - PermitsiM City PfNewpoct Beach -,Building Division
g !. 100 CivicaCenfer Drive, N�xportoDeac�;�, qA 92660 X 2 8 1 8 2 9 2 5
F Permit COuntar *oae;940)&44.3288 -
v Inspectitl Regdests Phone•(944)944-5155
r rtw• Combination Type - BLDG
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COMB Permit: X2018-2925
Project No: 2326-2018
Issued Date : 10/24/2018
Inspection Area : 5
e e •• • e e o: : :P[ RMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Gamtruction Hours: MondW- FNdaY 7rUD a m MA -In,- - +;citurday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 1715 GALATEA TER NB
Description: SFR BLOCK WALL INSIDE PIL THIGH X 10 LF (TO ENCLOSE TRANSFORMER)
Legal Desc.: N TR 2813 LOT 148
Owner: JOSEPH & JEAN SNOWDEN Contractor: - CT&T CONCRETE PAVING INC Architect:
Address: 1715 GALATEA TERR Address: 324 SOUTH DIAMOND BAR BLVD Address:
NEWPORT BEACH, CA 92663 P M B 275
Phone: 949-754-5152 Phone: 909.629.8000 Phone: State Lie:
Applicant:
PACK BRANDON
Con State Lie:
875627
Address:
428 OLD NEWPORTBLVD
Lie Expire:
04/30/2020
CA Seismic Safety:
NEWPORT BEACH, CA 92663
Bus Lie:
BT30066004
Phone:
949-295-2730 -
Lie Exp Date:
0 513112 01 9
Code Edit: 2016
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $412.00
Plan Check Fee: $365.00
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
TOTAL FEE: $818.00
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation Insurance
Carrier: EMPLOYEE SVC GROUP
Policy No: C66207205
Expire: 10/01/2019
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: I
Left: I
Right: /
Parkina Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee:
Engineer: MANSHADI FARHAD
Address: 1800 E 16TH ST UNIT B
SANTA ANA CA 92701
Phone: 714-835-2800 State Lic:C-036840
Designer:
Address:
Phone:
Special Conditions:
Planning Department -
Fire Department
Plan check Fee
$40.00
Fair Share:
- $0.00
SJH Trans:
Fire Plan Rev
In -lieu Housing Fee
$0.00
Public Works Department -
Park Dedication:
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00 Fee Due at Permit Issuance : $818.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
Fire Department
$40.00
Fire Inspection: -
- $0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $818.00
PUBLIC WORKS 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 reason(s) indicated below by the chtclgnark(•e) 1 -hal effaced next tothe applicable item(s)
lection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any afro urappriorio its iroluehil;A, ajy'q,requires the applicant for
is 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
'rofessions 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
of 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 st6uCiure Is not interdeel or offered for sale (Section 7044,
usiness and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who, through employees' or personai effort, bull&'or imorpves tDe bropf rty, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-BuilderWirhave the bdrtlln of previngthet it was not built or
nproved for the purpose of sale).
1 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
pply 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 exempt from licensure under the Contractors' State License Law for the following reason:
y 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 Iegalll
ell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi.
ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of givision 3 of the Business and Pro fessionsf.Qda, army liifeoAa!%s in full force
nd effect. License Class License No Date 0'Z4/-1 Contractor Signatu�.I/Y/ /L �G■
I/ORKERS' COMPENSATION DECLARATION
'ARNING: 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
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 th
e mance of the work for which this permit is issued. Policy No.
�I ve 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' compensatioi
isu nce carrier and policy number are:
arrier Policy Number Expiration Date
ame of Agent Phone #
I 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
let, if I sof ld become
can�ubject the wor rs' compe tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
!/�l�/L� Do 1 2 Y- IV
iECLARATION REG DING CONSTRUCTION LENDININ AGENCY
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 3097, Civil Code).
ender's Name Lender's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or count to r bove-i ified rty for inspection purposes. (�
i nature of Property Owner or Authorized A ant Print Property Owners or Authorized Agent's Nam ��4,N W)h 'fete Dale O Z
\CTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
CERTIION IS NOT APPLICABLE TO
FICATE OF r lvU�l l�I I IG PROPOSED DEMOLITION
OCCUPANCYISSUEO I l I SIGNATURE:
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