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HomeMy WebLinkAboutX2018-0166 - PermitsIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-0166 x 2 0 1 8 0 1 6 6 Project No: 0248-2018 Issued Date : 0 6/0812 01 8 Inspection Area :*21' 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: 1.27 MARINE AVE NB Description: COMM - OUTDOOR PATIO 350 SF "VILLAGE INN" Legal Desc.: BALBOA ISLAND SEC 4 LOT 15 BLK 1 & LOT 16 BLK 1 EX E 10 FT LOTS 15 & Owner: KINSTLER JR CHARLES Contractor: OWNERIBLDR Address: 127 MARINE AVE Address: AUTH AGNT: MILLER DANIEL NEWPORT BEACH CA 92662 Phone Applicant: City of Newport Beach - Building Division Address: 100 Civic Center Drive, Newport Beach, CA 92660 .... oo°° ° NEWPORT BEACH CA 92662 Permit Counter Phone (949)644-3288 925-351-4782 Inspection Requests Phone (949)644-3255 Combination Type - CIP IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-0166 x 2 0 1 8 0 1 6 6 Project No: 0248-2018 Issued Date : 0 6/0812 01 8 Inspection Area :*21' 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: 1.27 MARINE AVE NB Description: COMM - OUTDOOR PATIO 350 SF "VILLAGE INN" Legal Desc.: BALBOA ISLAND SEC 4 LOT 15 BLK 1 & LOT 16 BLK 1 EX E 10 FT LOTS 15 & Owner: KINSTLER JR CHARLES Contractor: OWNERIBLDR Address: 127 MARINE AVE Address: AUTH AGNT: MILLER DANIEL NEWPORT BEACH CA 92662 Phone Applicant: MILLER DANIEL Address: 127 MARINE AVE .... oo°° ° NEWPORT BEACH CA 92662 Phone: 925-351-4782 Phone: Con State Lic: OIB Lie Expire: Bus Lie: Lie Exp Date: AFM Architect: RANIERI RANDY INSPr-CTOR Address: 3141 LIMERICK LN COSTA MESA CA 92626 Phone: 714-296.5502 State Lic:CO24225 Engineer: Address: Phone: State Lie: Code Edit: 2016 Type of Construction: V -B Occupancy Group: A2 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: Y Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Rear: / Front: /o•o Left: / Right: / Use Zone: Parking Spaces: Designer: Address: Phone: Special Conditions: 0 Fire Hazard Zone : O/B AUTH ATTACHED N .... oo°° ° ° ° 000 ° ° • ° ° Construction Valuation: $30.000.00 ° o 0000 Building Permit Fee: $492.00 Excise Tax: $0.00 Planning Department- Fire Department ° Plan Check Fee: $428.04 Additional Fee : $304.00 Plan check Fee : $450.00 Fire Inspection: 10,110° • Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 ° ° ° ° Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee ° Record Management : $28.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm 4.40° Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 CA Seismic Safety : $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $6.6Q ° Disabled Access : $82.00 P/W Plan Check : $1,520.00 Grading Bond: $e'.@0 ° Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $3,306.04 Plan Check Fee: $732.04 Fee Due at Permit Issue ce : $2,574.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING 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 checkmark(s) I have placed next to the applicable item 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 -- 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 npmvements 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 FI, a ved for the purpose of sale. s°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 undtilr6 he Contractors' State License Law for the following reason: ty 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 c vered by this permit, I cannot legal) ell a structure that I have built as an owner -build r if it has not been constructed in its entirety by licensed contractors. I understand that copy of the applicable law, S tion 7044 of the Business and 'rofessions Code, is available upon request n 'catioryis sub 'fled or h following Web site:http://www.leginfo.ca.gov/calaw.html. g l� signature of Property Owner or Authorized Ag "'— s .ICENSED CONTRACTOR'S DECLARATI N hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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 3703 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 'ormance of to irk for which this permit is issued. Policy No. havg and wilt irW llain workers' compensation insurance, as required by Section 3700 of the Labor Code, Ileaoe carrier vo policy number are: vier : ' ' Policy Number Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for for the performance of the work for which this permit is issued. My workers' Date Lof Agent , Nnoneu s f Cortify that mtiteeerformance 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 agrer I" iif f sho 1 I*Wxom Ubja'd he wor ars' com ensatio�� w/�I s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,iodm� of 1D I .. 1 SC.SC ,�7,'"�'r' pp D 'l ImakARATIOMREGARDING CONSTRUCTION LENDING AGENCY heretay affirm urfder penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 , Civil Code). gndej's Name- Lender's Address j7.signature belbli, I certify to each of the following: „lam the property owner or authorized to act on the property owner's behalf. I have rea(k&&,9pplication and the information I have provided is correct. I agree to comply with all applic le city and count ordinances and state laws relating to building construction. 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