HomeMy WebLinkAboutX2018-2464 - PermitsCity of Newport Beach - Building Division *X20182464* COMB Permit: X2018-2464
x`7 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 1231-2018
Eo y4 Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
rum Combination Type - SFP ELEC MECH PLUM Issued Date: 08/2012018
0
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: 3506 CATAMARAN DR NB
Description: SFR *ADDITIONAL SCOPE" ENCLOSE PORTION OF GARAGE INTO LAUNDRY ROOM 24 SF
Legal Desc.: N TR 6152 LOT 12
Owner: MARTIN VALINDA JEAN
Contractor:
OWNER/BLDR
Architect:
Record Management:
Address: 3506 CATAMARAN DR
Address:
MARTIN VALINDA JEAN
Address:
$0.00
CORONA DEL MAR, CA 92625
$0.00
Hazardous Mat
$0.00
Building Green Fee :
Phone: 949-433-6070
Phone:
Phone:
State Lie:
Applicant: MARTIN VALINDA JEAN
Con State Lie:
Ole
Engineer:
HUSZCZ MARIAN JOHN
Address: 3506 CATAMARAN DR
Lie Expire:
Address:
8 CORNWALLIS
CORONA DEL MAR, CA 92625
Bus Lic:
$0.00
Building Dept Adm
IRVINE CA 92620
Phone: 949.433-6070
Lie Exp Date:
Public Works Department -
Phone:
949-551-3316 State Lic:S-003555
Code Edit: 2016
Worker's Compensation Insurance
Designer:
JAVERT DENNIS
Type of Construction: V -B
Carrier:
Refund Deposit
Address:
17504 WINDCREEK CIR
Occupancy Group: R31U
Policy No:
$0.00
RIVERSIDE CA 92503
Added /New sq.ft. Bldg: 0
Expire:
$7.84
Phone:
951.688-5421
Added /New sq. ft. Garage: 0
Mechanical %:
$4.48
No of Stories: 1
Building Setbacks
Rear: I
Special Conditions:
OWNER/BIrDR ATTACHED TO
No of Units : 1
$10.08
Front: I
X2018-1606
Bldg Height: 0
$0.00
Left: I
Plan Check Fee:
$0.00
Bldg Sprinklers:
$330.34
Right: /
Construction Valuation:
Building Permit Fee: $112.00
Plan Check Fee: $97.44
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$4.00
Energy Compliance:
$56.00
CA Seismic Safety :
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $330.34
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Excise Tax:
$0.00
Planning Department-
Fire Department
Additional Fee :
$0.00
Plan check Fee:
$37.50
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
WQ Insp. Fee :
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
P/W Plan Check:
$0.00
Grading Bond:
$0.00
Electrical %:
$7.84
San Dist:
$0.00
Mechanical %:
$4.48
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$10.08
$0.00
Plan Check Fee:
$0.00
Fee Due at Permit Issuance :
$330.34
PUBLIC WORKS APPROVAL
PLAN CHECK BY:
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(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
he 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
3rofessions 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
lot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
mpfoved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
Ipply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State Lic rise Law for the following reason:
3y my signature below I acknowledge that, except for my perso al resid nce in which I must have resided for at least one year prior to completion of the improvements covered y this permit, I cannot Iegalh
sell a structure tIW L have built as an owner -builder if has not Ban co strutted in its entire icensed contractors. I understand that a copy of the applicable law, Section 44 of t e Busi ess and
'rofessions Code, is available upon request when t applicat n is su itt r at t lowing Web site:http://www.leginfo.ca.gov/calaw.html. �, .`, �/
Ngnatyre--of Pr813eVy Owner or Authorized Agent Da LCJ 0
00RI�SED QO$MACTOR'S DECLARATI N
hereby affirm NcIbI penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions ode, and my license is in full force
tM effect. License Class License No Date Contractor Signature
yCriltERS' porglaVNSATION DECLARATION
VARNINS: FAILURV IM 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
:OSI eF COMPEN$11jIQW, DAMAGES AS PROVIDED FOR IN SECTION 3105 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
#ieft% affirm UplW eeenalty 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 Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
,84&?'ynnce of the wook for which this permit is issued. Policy No.
3I havg and will mailhain 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
asuranse carrier andpplicy number are:
arzier • • • Policy Number Expiration Date
Jame of Agent If Phone #
:1I certify that, in th=ofperjury
work for which s permit is issued, I shall not employ any person in any manner so as to become subject to the worker compen tion la a f California, and agre
hat, if I should becorker ' sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
>ignature of ApplicaD e_
)ECLARATION REUCTION LENDING AGENCY
hereby affirm undehat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 97, Civil Code).
.ender's Name Lender's Address
iy 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. p
1 have read this application and the information I have rovided is correct.
I agree to comply with all applicable city and coun or mantes and state laws relating to building construction.
I authorize representatives of this city or countynt r the bove-identified property for inspection purposes.
:ianature of Prooertv Owner or Authorized ADent // A ��— Print Property Owners or Authorized Agent's Name ��� Da
ACTIONI DATE BY/ I
REGULATIONS OF COMPLIANCE
TITLE WITH
AND DE OF RUDERAL FOR OFFICE USE ONLY
PERMITEXPIRED I ILJISUBMITTED ASBESTOS
PERMITCANCELLED EpA
CERTIITFINAL
FICATEOF tI ` 1 � J SIGNATURE: EMO IIO TION IS NOTA TO
OCCUPANCYISSUED o //,I