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Home My WebLink AboutX2018-1725 - Permits:- City of Newport Beach -Building Division *X2018-1725* COMB Permit: X2018-1725 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1338-2018 a" Permit Counter Phone (949)644-3288 t+ Inspection Requests Phone (949)644-3255 Issued Date :08/26/2018 ray v ° Combination Type - SFP ELEC MECH PLUM Inspection Area : 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: 61 LINDA ISLE NB Investigation Fee: $0.00 Record Management: $36.00 Description: SFR WINDOWIDOOR CHANGE OUTS, REPLACE EXISTING ELEVATOR 2500 SF $0.00 Disabled Access : Legal Desc.: N TR 4003 LOT 61 $0.00 Building Green Fee : $10.00 $0.00 Owner: CARDIGAN PATRICK Contractor: G N S CONSTRUCTION Architect: Address: 61 LINDA ISLE Address: P O BOX 141 Address: NEWPORT BEACH, CA 92660 BALBOA ISLAND CA 92662 Phone: Phone: 949-370-7200 Phone: State Lic: Applicant: SIMALT GEORGE Con State Lie: 486187 Engineer: ROSS SCOTT WILLIAM Address: PO BOX 141 Lie Expire: 0113112020 Address: 1800 E 16TH STREET #B NEWPORT BEACH, CA 92662 Bus Lie: BT30054739 SANTA ANA CA 92701 Phone: 949-370-7200 Lie Exp Date: 0 413 012 01 9 Phone: 714.835-2800 State Lic:C-045309 Code Edit: 2016 Type of Construction: V -B Occupancy Group: R31U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $1,645.00 Plan Check Fee: $1,605.15 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $36.00 Energy Compliance: $175.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $10.00 TOTAL FEE: $4,862.65 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Workers Compensation Insurance Carrier: EVEREST NATIONAL INS CO Policy No: 7600014956 - Expire: 0 513112 01 9 Building Setbacks Use Zone: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I 'arkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $129.15 $73.80 $166.05 Plan Check Fee Designer: Address: Phone: Special Conditions: Planning Department - Fire Department Plan check Fee: Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication: $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 mom• ° m mmmo 0 oe • 0 4 0 0 me� • it a "7 ecoa�o ecce .� o 00000 e • 0oo non 00 o e o 0 0 0 o ° 0c0c0o m o ° • °000 $0.00 $0.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 $1,642.65 Fee Due at Permit Issuance : $3,220.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: `� 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: mom• ° m mmmo 0 oe • 0 4 0 0 me� • it a "7 ecoa�o ecce .� o 00000 e • 0oo non 00 o e o 0 0 0 o ° 0c0c0o m o ° • °000 $0.00 $0.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 $1,642.65 Fee Due at Permit Issuance : $3,220.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: `� OWNER -BUILDER DECLARATION 'k, N 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 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 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 (_) 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 im roved for the purpose of sale). 1, 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 apply to an o wR(?rVI 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 exemllPfl'ofn licensure under the Contractors' State License Law for the following reason: $yaay signat ure VV15V I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalll sell a Structure tha$: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 Profms ions Codg, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. 5 gmature of Property.Owner or Authorized Agent Date I.ICr.NSED OOVrF{ACTOR'S DECLARATION F2p3py affirm undo penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00 of Division 3 of the Business and Profess' ns Cod ,and my license is in fu force ani jerect. Ligdrise Class License No Date Contractor Signature NQg,KERS' 6OMPENSATION DECLARATION ,8§Vq ti FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDR THOUSAND DOLLARS ($100,000), IN ADDITION TO THE i. $T OFCOMPENSLkVQtJDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANDATTORNEY'S FEES. under pBnalty of perjury one of the following declarations: and dhl6*Ma4ntain a certificate of consent to self -insure for workers' compensation, issued by the ce of tfle 0drk for which this permit is issued. Policy No. and'will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, carrier and policy number are: 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' ;arrier Policy Number Expiration Date lame of Agent Phone # 71 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 workersjcompensation laws of California, and agre Tat, if I should become s /ubject to�th✓Je workers' compensa n rovisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. j�// r� -- signature of Applicant / / L.� ✓'�. Da Cs Z/^o " DECLARATION REGAfDING CONSJ�i`UCTION LENDING AGENCY I hereby affirm under natty of perju that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 ,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 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 rdinances and state laws relating to building construction. I authorize representatives of this city I county to nt the above-ide roperty for inspection purposes. ,Signature of PropertyOwner or Authorized A ent r. Print Property Owners or Authorized Agent's Na ��C r= K� vDat ACTION DATE BY DECLAPKTION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE ,.4403 PERMITEXPIRED 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED MEPA PERMIT EMENDED 4040MID PERMITFINAL 9910BESTO NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF POSED MOU ON OCCUPANCVISSUED � 1V 67 s1r,NATl1R /" - — z _O_ F- C) U w U z= r- a W ao W OP o r il F C UU C 9 C CO LO N U N M A Z a, a v z X U .a m , �AoG W "a o A � N � C N O � c N U U U 0 0 u z° t ni z ei N � Z IGS 1 y� O' i VV LL a �