HomeMy WebLinkAboutX2018-3194 - Permitswhn City of Newport Beach -Building Division
a4' 100 Civic Center Drive, Newport Beach, CA 92660
rte+ } Permit Counter Phone (949)644-3288
-- $ Inspection Requests Phone (949)644-3255
rs>n Combination Type - SFP ELEC MECH PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� I)COMB Permit: X2018-3194
X 2 0 1 8 3 1 9 4 Project No: 2485-2018
Issued Date: 1013112018
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 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 3607 PARK GREEN DR NB
Description: SFR -INTERIOR REMODEL (KITCHEN, BATHROOMS) & EXT ALTERATIONS 3439 SF
Legal Desc.: N TR 6634 LOT 125
Owner:
TRIMAR PROPERTIES LLC
Address:
2015 SHIPWAY LN
Bus Lic
NEWPORT BEACH CA 92660
Phone:
949-439-3539
Applicant:
BENSON JEFF
Address:
234 BROADWAY
Hazardous Mat
COSTA MESA CA 92627
Phone:
949.534-2724
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Contractor: K B CONSTRUCTION
Address: 8201 ORANGETHORPE AVENUE #B
BUENA PARK CA 90621
Phone: 714-745-8600
Con State Lie:
925474
Lic Expire:
1 2/3112 01 8
Bus Lic
BT30061480
Lic Exp Date:
12/31/2018
2016.
Worker's Compensation Insurance
V -B
Carrier:
WIC EXEMPT
R31U
Policy No:
NO EMPLOYEES
0
Expire:
Disabled Access:
0
Hazardous Mat
$0.00
Building Green Fee :
Building Setbacks
Rear: I
$0.00
Address:
Front: I
Grading PC Fee:
$0.00
Left: I
WQ Insp. Fee:
$0.00
Right: I
$0.00
Use Zone:
Parkino Spaces: 0
Building Permit Fee: $2,218.00
Plan Check Fee: $1,929.66
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$60.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$11.00
TOTAL FEE: $5,528.51
PROCESSED BY:
ZONING APPROVAL:
Architect:
BENSON JEFFREY JAMES
Address:
234 BROADWAY
Additional Fee :
COSTA MESA CA 92627
Phone:
949-534-2724 State Lic:C032268
Engineer:
VOLPE ROBERT M
Address:
20321 LAKE FOREST DR STE D-6
Grading PC Consultant:
LAKE FOREST CA 92630
Phone:
949.305-4700 x1 State Lic:C-025116
Designer:
$0.00
Address:
Phone:
Special Conditions: FRANCHISED HAULER:
WASTE MANAGMENT
-Excise Tax:
$0.00
Planning Department -
Fire Inspection:
Additional Fee :
$0.00
Plan check Fee
Demolition Fee
Grading Bonds Fee:
$0.00
Fair Share
General Service
Grading PC Consultant:
$0.00
SJH Trans
Grading Bond:
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check:
$41.25
Electrical %:
$155.26
San Dist:
$0.00
Mechanical %:
$88.72
NMUSD Fee:
$0.00
Plumbing %:
$199.62
$0.00
$0.00
$24.00
$197.00
$564.00
$0.00
$0.00
$0.00
Plan Check Fee : $2,010.91 Fee Due at Permit Issuance : $3,517.60
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
Fire Department
$40.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$24.00
$197.00
$564.00
$0.00
$0.00
$0.00
Plan Check Fee : $2,010.91 Fee Due at Permit Issuance : $3,517.60
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER
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 asigned 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' Slate 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 e.iIS 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
G�IINSED COW.RACTOR'S DECLARATION
I hereby affirmBrrder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70) of iv' ion 3 of the Business and Prof sin nrl my license is in full force
and -effect. License Class License No Date Contractor Signatur
ERSLCOMQENSATION DECLARATION - I
: FAIL TOBECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUN RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COMPENSATIOrI, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
affirAtfMQenalty of perjury one of the following declarations:
t*iave and voill maintain a certificate of consent to self -insure for workers' compensation,
lia"ance of Line work for which this permit is issued. Policy No.
• ...
...
ha0e and will maiAtain 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'
srd4e carrieeand.policy number are:
MM
0.0..* Policv Number Expiration Date
issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
lalfi'e of Agent Phone #
I certify that, in the perfo nce of work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' mpensation laws of California, and ogre
Iat, if I should become su ject to t ken ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant - D /V
Lc
IECLARATION REGA ING C LENDING AGENCY
hereby affirm under p nalty 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
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the pr,perty owner's behalf.
I have read this application and the information I his provided is correct.
I agree to comply with all applicable city and county rdinanc s n state laws relating to building construction. /
I authorize representatives of this cit I count to ni t ya�b(� Pi
tified ro erty for inspection purposes.
P Y Y it Av ,P P P ri PrP I^arc^ r„ Q
..r o.,..,va„ n..,.,e. ,,, a„n..,.,wa e..e„r A V !/ o�t„r o....a., n,. . n„ehn en A� nv. Morn/viIlf, f NXi� nef
OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
z
F�
Y
O
Z
00
00
N
ti
Ol
L
w
W
L
vi
Y C
vi O
L Y
c a
3 �
o �
T
y �
T
� Y
v 3
Y
O
. V
U N
a
Y
L
3 c
v �
L �
� C
O
CL
E
E
V
m U
C in
C
N
y E
C
a=
O
v1
C
C
`
m
m O
c
o
oQ
mu
LM
U N
W
Vl
U E
L
tD
L 00
C
v
L
N 4
N
N N
K
Y
Y
U C
C
U ro
QC
Y
a
"3
Y
n
3
Y
Y
O
Z