HomeMy WebLinkAboutX2018-1955 - Permitsr
fvl City of Newport Beach - Building Division *X2018-1955* COMB Permit: X2018-1955
_ 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1533-2018
�, ', Permit Counter Phone(949)644-3286
..', Inspection Requests Phone (949)644-3255
"�rsnv" Combination Type - SFP ELEC MECH PLUM Issued Date: 07/0312018
6
Inspection Area : 1
Construction Valuation:
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: 515 VIA LIDO SOLID NB
Building Permit Fee:
$492.00
Description: SFR REPLACE WINDOWS & DOORS, EXPAND DECK. REMODEL (1) BATH & LAUNDRY 160 SF
$0.00
Planning Department-
Legal Desc.: N TR 907 LOT 451
Fire Department
Plan Check Fee: $428.04
Additional Fee :
Owner: KEVIN MCCARTHY
Contractor:
OLIVE TREE CONSTRUCTION
Architect:
• ®m • e
Address: 515 VIA LIDO SOLID
Address:
1048 IRVINE AVE, STE #167
Address:
E
° • • °
NEWPORT BEACH, CA 92663
Fire Plan Rev
NEWPORT BEACH CA 92660
Investigation Fee:
• ° m.�T de+m u o ° m °
Phone:
Phone:
949-378-8456
Phone: State Lic:
° E
Record Management:
$34.00
Grading Permit Fee:
$0.00
Applicant GUIDERO BILL
Con State Lic:
523488
Engineer. GABRIEL MICHAEL R
° °
Address: 425 30TH ST #23
Lic Expire:
12/3112019
Address: 483 E 20TH STREET
• �°-b '^
NEWPORT BEACH CA 92663
Bus Lic:
6730026903
COSTA MESA CA 92627
o
° ° "4"` `�° • °
Phone: 949-675-2626
Lic Exp Date:
01/3112019
Phone: 949-646.6596 State Lio:S-002939
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Code Edit: 2016
Worker's Compensation Insurance
Designer: GUIDERO BILL
Type of Construction: VB
Carrier:
STATE COMP
Address: 425 30TH ST #23
Hazardous Mat
Occupancy Group: R3IU
Policy No:
9169050
NEWPORT BEACH CA 92663
Added /New sq.ft. Bldg: 0
Expire:
09/29/2018
Phone:
Mechanical %:
Added /New sq. ft. Garage: 0
NMUSD Fee: $0.00
• ° °�y�,','��.,°�1° ° ° ° °
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No of Stories: 2
Building Setbacks
Rear: /
Special Conditions:
No of Units : 1
Front: /
TOTAL FEE: $1,147.94
Bldg Height: 0
$521.54 Fee Due at Permit Issuance :
Left: /
PROCESSED BY:
Bldg Sprinklers:
Right: I
Construction Valuation:
$30.000.00
Building Permit Fee:
$492.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $428.04
Additional Fee :
$0.00
Plan check Fee :
$37.50
Fire Inspection:
$0.00
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:
$34.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Energy Compliance:
$56.00
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
$0.00
Disabled Access:
$0.00
PAN Plan Check : $0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical W
$34.44
San Dist: $0.00
Building Green Fee :
$2.00
Mechanical %:
$19.68
NMUSD Fee: $0.00
$0.00
Plumbing %:
$44.28
$0.00
TOTAL FEE: $1,147.94
Plan Check Fee:
$521.54 Fee Due at Permit Issuance :
$626.40
PROCESSED BY:
L_
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
1 _s
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
i n�.
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 itam(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 penally 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 U 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, asownerof the property, am exclusively contracting withlicensedContractors to construct the project (Section 7044, Business and Professions Code: The Contractors` State License Law does nut -
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 exen1gj jrpm licensure under the Contractors' State License Law for the following reason:
By my signature Ijelew I acknowledge that, except for personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit1 cannot legal[)
sell 4structure 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
FProillsions t oV,, Vavailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date'
IJCtNSED CONTRACTOR'S DECLARATION
I hAt%by affirm 4welar enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Division 3 of the Business and Prof Bions Cede, and my license is in full force
land tffect. dwre Class License No Date Contractor Signature
WORKERS'+COMPENSATION DECLARATION
NAIWgP: FAIL& TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
gQS,TOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
.Ito WW affirm under Qenalty of perjury one of the following declarations:
I have and'w'Itrnaintain 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
r fiance of tjieyfork for which this permit is issued. Policy No.
•
A . •%ve and 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' compensatiol
nsu hce carrier and policy number are:
-arrier - Policy Number Expiration Date
Vame of Agent Phone #
:1I certify that, in the pe ormance 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' co pensation laws of California, and ogre
:hat, if I should become ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Date
DECLARATION REG R ING CONSTRUCTION LENDING AGENCY
hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Suit Code).
-ender's Name Lender's Address
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information 1 Pave provided is correct.
I agree to comply with all applicable city and co ty ordinances and state laws relating to building construction. -
I authorize representatives of this city or county o ante th abov -identified property for inspection purposes. x
Signature of PropertyOwner or Authorized Agent Print Pro artOwner's or Authorized Agent's Nam Da
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDEDL.IAQMD
PERMITFINAL '7 ( SBESTO NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF OPOSE DEMOLIT
OCCUPANCYISSI 31 NAT RE: