HomeMy WebLinkAboutX2018-3361 - Permits1c,* City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
H. Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
,rge »b Combination Type - SFP ELEC
COMB Permit: X2018-3361
IIIIIIIIIIIIIIIIUIIIIII�llllllll6lll II
Project No : 2609-2018
Issued Date:
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: 2661 BAY SHORE DR NIB
Description: SFR -ADD 5 SF (MST. BED RM) & COVERED BALCONY @ MBR. NEW BALCONY @ 2ND FL HALL. RIR DOORS W/ BI -FOLD & POCKET DOORS. RIR ALL (E) WINDOWS
Legal Desc.: N TR 1102 LOT 6
Owner:
RAEDER JR. JOHN P
Address:
2661 BAY SHORE DR
Record Management:
NEWPORT BEACH CA 92663
Phone:
$70.00
Applicant:
CHILDS CYNTHIA
Address:
2732 E COAST HWY STE B
Hazardous Mat
CDM CA 92625
Phone:
949-718-3528
Code Edit : 2016
Type of Construction: V -B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 5
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 29
Bldg Sprinklers:
Construction
Building Permit Fee: $1,113.00
Plan Check Fee: $968.31
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$50.00
Energy Compliance:
$70.00
CA Seismic Safety:
$13.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$4.00
TOTAL FEE: $2,377.47
PROCESSED BY:
ZONING APPROVAL:
Contractor:
LONGMAN JEFF
Address:
PO BOX 15372
Y
NEWPORT BEACH CA 92659
Phone:
949-202-6029
Con State Lic:
885301
Lic Expire:
10/3112020
Bus Lic:
BT30019621
Lic Exp Date:
0713112019
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 10
Front: 10
Left: 3
Right: 3
Architect: CHILDS CYNTHIA
Address: 2732 E COAST HWY #B
Phone:
Special Conditions: LIQ I �'•
i;
$0.00
CORONA DEL MAR CA 92625
Phone:
949-718-3528 State Lic:CO22985
Engineer:
SHEPPARD STEVEN THOMAS
Address:
28782 EL MIO LANE
Fire Inspection:
LAGUNA NIGUEL CA 92692
Phone:
949.481-9669 State Lic:S-005446
Designer:
Fire Plan Rev
Address:
$0.00
Phone:
Special Conditions: LIQ I �'•
i;
$0.00
Planning Department-
Fire Department
$0.00
Plan check Fee :
$40.00
Fire Inspection:
$0.00
$0.00
Fair Share:
$0.00
Fire Plan Rev
$0.00
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
$0.00
Public Works Department -
General Service
$0.00
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
P/W Plan Check: $41.25
Grading Bond:
$0.00
$77.91
San Dist: $0.00
$0.00
NMUSD Fee: $0.00
$0.00
$0.00
$0.00
Plan Check Fee
: $1,049.56 Fee Due at Permit Issuance :
$1,327.91
PUBLIC WORKS APPROVAL:
VIA
PLAN CHECK BY: V l +' 1✓
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION '
• h
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
ie 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 (_) all of or L) 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
nprovements 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
n(�roved for the purpose of sale).
J 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
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' Stale License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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)
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:htlp://w .leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Ivisi n of the Business and Prof s io a my licemse'l;a in full force
nd effect. License Class License No Dat /� Contractor Signature/✓r /--�
I/ORKERS' COMPENSATION DECLARATION
'ARNING: 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 1$100,0001, IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 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
erformance of the work for which this permit is issued. Policy No.
]I have and will 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
Isurance carrier and policy number are: _.
Policy Number
of Agent
Date
I ertify 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 workers' compensation laws of California, and agree
if I should become subject t workers' comp Ion provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions.
mature of Applica DS2c�%�
CLARATION REG*MW T UC "ON LENDING AGENCY ���{{(
areby affirm under genal y of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, vil Code).
Idler's Name Lender's Address
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 I have provided is correct.
I agree to comply with all applicable city and county ordinan and state laws relating to building construction.
I authorize representatives of this city or county to ent e o e-rde 'fled property for inspection purposes.
mature of Prooertv Owner or Authorized ADent v �7 Print Property Owner's or Authorized Agent's NameN , Date
ACTION DATE BY ` MPLIANCE WITH CODE OF I REGULATIONS PART CLARATION OF O610 TITLE 40 AND AQMD RULERAL I FOR OFFICE USE ONLY
PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA _
PERMITEXTENDED I )UAQMD
PERMFIC4TEL I I {�/X//�I ��� OPOSED DASBESTOSE OLIFIC N IS NOTAPPLICABLE TO
CERTIOCCUPANCYIOSSUED ( /Q/'// SIGNATOR ��
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