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HomeMy WebLinkAboutX2016-4293 - Permits1 �rr'P City of Newport Bealph - Building •Division is TZ 100 Civic Center Drive, Newport Beach, CA 92660 ` j .'. Permit Counter Phone (949)644-3288 u Inr'",tjon Requests Phone (949)644-3255 Combination Type - MFP GRAD MECH ELEC PLUM COMB Permit: X2016-4293 X 2 ,0 1 6 4 2 9 3 Project No 2248-2016 Issued Date : 12/22/2016 Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Job Address: 608 ORCHID AVE NB Description: NEW DUPLEX IN/ATT GARAGE 1,775/1,181 SF, DECKS 939 SF Legal Desc.: CORONA DEL MAR BILK. 642 LOT 10 OF PROJECT 939-82 LOCATED ON AP e e eee•m• Owner NICHOLSON TONYA Contractor: OWNER/BLDR Architect: P41E3,NERGN—" Address: 1607 HARBOR CREST Address: AUTHORIZED AGENT: �ddresr"—"-3919 WESTERLY PL STE 102 ?;y.,• m ° ° ° ° o CORONA DEL MAR, CA 92625 JEFF LOGAN „�;_�a^,°�'�NEWPORT BEACH to 92660 -�a.y +• Phone: Phone. --_"°"" Ph n�:�e 949J186-0120 State Lic:CO22981 j•e •o° em o Applicant: NICHOLSON TONYA Com n S ate Lie. 0/B 1� �Pp�i Engineer: T� JO ; r • ,�` °?j ° • o Address: 606 ORCHIS Lie Expire AdL1r� 5$'.' 10�1Et'a im#3 i J COROAIJ DE MAR CA 9262575� �`'� ❑ ��/D/O fCJi t�•� GARDEN GROVE CA` 928,43 e ° e ° e + A. sje o Phone: 949.378.1327 �c'tC Lie Exp Date L Phone: 714-265-1200 tate Lic:C-062653,°Code Edit: 2 13 -,�ork `Co sn surance .�'"'' O w�®l9 ° o Type of Construction: V -SPI% ='filer j Address: Occupancy Group R /U R t �" P Y p k?)t t1 o- 7 �^ °moo 0 0 Added/Newlil sq.ft. Bldg: 2956 -1 'Expi a Phone: Added/New sq. ft. Garage: 392 No of Stories: 3"` Building Setb ksa a Special Conditions: No of Units: 2 r "rrRia ttBldg Height: 0'�"�€85ofow D Bldg Sprmklers: Y I ;�Y. F i h Flood Zone: x ne. Parkin S aces: 0 Fire Hazard Zone : N Construction Valuation: 50 0 "` (�'e,y•�� Building Permit Fee: $4,563 0 Excise Tax: $0.00 Ian g ep r t'l�. ar Fire Departme t Plan Check Fee: $0: 0 Additional Fee : ch ee : $t-3�i �(1 Fire Inspectio $0.00 Overtime Plan Ck: $0. 0 a n s ee Fair Shar o vvofv� $1f.0� Fire Plan Rev $0.00 Investigation Fee: $O.lip �(ult n : $781.34 SIH Tran. $0.00 Demolition Fee Record Management : $92.d'0 rading Perm' �led) $882.00 In -lieu Housing Fee: $0.00 trt�ept dm $0.00 Energy Compliance: $0.0� Gfapjrrj)ik $171.51 Public Works Departmen - General servi $0.00 CA Seismic Safety : $123.5 v�ct Insp. Fee: $0.00 Park.Dedireti $0.00 d-Bepos $0.00 Disabled Access: $0.06. /lN Plan Check : $3gg1�p. lnstlalso Refun Grade ed $0.00 Hazardous Mat $0.0Qt. y.. y.,{..y• Electric ° $638.82 San Dist: -347.00 Building Green Fee : $38.00;;rechanical %: $501.9�MD D Fee'. e: $0.00 '. Plumbing/g:.0.6H7�,.;:_�"�"°` $0.00 TOTAL FEE :$13,501.. Z �s� "' Plan Check Fee: $0.00 Fee Due at Permit Issuance : $13,501.27 PROCESSED BY: ^ n PUBLIC WORKS APPROVAL: ZONING APPROVAL:M PLAN CHECK BY:`�\ GRADING APPROVAL: v ��y-J ` APPROVAL TO ISSUE: ib NA– 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 th= - 'v°role item(s) ction 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 ~1cv uiresthe 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 of the Business and fessions 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). 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, ,iness 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 oved for the purpose of sale). as owner q -tb% BIOperty, 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 w Cts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). }...... Ro fi¢ensure underthe Contractors' a 'tens Law for th followin reason: ny signatur rebeiow Gacknowledge that, except for y per nal r 'dente in must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalll 8 sTructure that•1 have built as an owner -builder if has no een nstructed in entirety by licensed contractors. I understand that a copy of the applicable law, Section 704 of th Busine s antl fe"Ons Code, is %v ilable upon request when t Is applic on is s at the following Web site:http://www.leginfo.ca.gov/calaw.html. Z� liat�a�re of Prcpertp O ner or Authorized Agent Date :CIVOED CONTRACTOR'S DECLARATI N raby affirm under panalty of perjury that I am 'tensed under pro ions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force ,Wp1t. Licen%b COSS License No Date Contractor Signature WORK®RS' COMPENSATION DECLARATION Ny4RNING:::AILURE.Tp.%QtJRE 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 COST OF COMPENSATION, DRMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby vffirm un deepen alty of perjury one of the following declarations: ❑ 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 performance of the work for which this permit is issued. Policy No. ❑I have 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 insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑I certify that, in the pert man of th work for hich this permit is issued, shall not employ any person in any manner so as to become subject to the workers' cgmpensation laws of California, and agre that, if I should become s ject tot a wo ers' com ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (e /�/ Signature of Applicant Dat _ DECLARATION REGqq DING C ST CTION LENDING AGENCY I hereby affirm under plenalty 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). 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 properly -own' war's behalf. I have read this application and the information r vided is ea act. I agree to comply with all applicable city and cou ty or 'n ces and at a laws relating to building construction. I authorize representatives of this city or county enter above -i ified property for inspection purposes. Signature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DEMARMON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY .REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED DEPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall PERMIT EXTENDED qMD be in place priorto approval to fill pool/spa & shall remain in place & be maintained for the PERMITFINAL(114 BESTOS N TIF' TI NIS NOT PPLICABLE TO life of the pool. CERTIFICATE OF POSED DEM LITIO OCCUPANCYISSUED SIGNATURE: