HomeMy WebLinkAboutX2018-1624 - PermitsI
City of Newport beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
v } Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC PLUM
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II COMB Permit: X2018-1624
Project No: 1252-2018
Issued Date : 1 112 012 01 8
Inspection Area : 1
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: 128 VIA ITHACA NB
Description: SFR - ENCL 6 SF OF DECK & REMODEL 237 SFT
Legal Desc.: TR 907 LOT 741 SWLY 30 FT THEREOF(AND NELY112 LOT 742
Owner: KRIZ EDWARD & NANCY Contractor: MC MILLEN BUILDERS INC Architect: SWIERS DONALD INSTEO'k
01
Address: 128 VIA ITHACA Address: 22392 CANAVAERAS Address: 1930 PURDUE VE #2
NEWPORT BEACH, CA 92663 MISSION VIEJO CA 92691 LOS ANGELES CA 90025
Phone: 949-675-7655 Phone: 949-586-5055 Phone: 310-478-2517 State Lic:C011141 • o
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Applicant: SWIERS DONALD
Con State Lie:
496908
Address: 1930 PURDUE VE #2
Lie Expire:
0913012020
LOS ANGELES CA 90025
Bus Lic:
BT30056640
Phone: 310478-2517
Lie Exp Date:
09130/2019
Code Edit : 2016
Worker's Compensation Insurance
Type of Construction: VB
Carrier:
BENCHMARK
Occupancy Group: R3/U
Policy No:
CST5013392
Added /New sq.ft. Bldg: 6
Expire:
08/01/2019
Added /New sq. ft. Garage: 0
$28.00
Grading Permit Fee:
No of Stories: 2
Building Setbacks
Rear: /
No of Units : 1
$56.00
Front: /
Bldg Height: 0
Public Works Department -
Left: /
Bldg Sprinklers:
WQ Insp. Fee:
Right: I
Flood Zone:
Use Zone: Parkina Spaces:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone :
Building Permit Fee:
$652.00
Excise Tax:
$0.00
Planning Department -
Fire Plan Rev
Plan Check Fee: $567.24
Additional Fee :
$0.00
Plan check Fee:
o
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share
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moo
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans
doom
Record Management:
$28.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Energy Compliance:
$56.00
Grading PC Fee:
$0.00
Public Works Department -
CA Seismic Safety:
$5.98
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled. Access :
$0.00
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pomp•
PAN Plan Check :
$0.00
Hazardous Mat
$0.00
Electrical %:
$45.64
San Dist:
$0.00
Building Green Fee :
$2.00^
Mechanical %:
$0.00
NMUSD Fee:
$0.00
/
\ Plumbing %:
$58.68
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Slate Lie:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $623.24 Fee Due at Permit Issuance : $829.80
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
o
General Service
Refund Deposit
oa e
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $623.24 Fee Due at Permit Issuance : $829.80
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $623.24 Fee Due at Permit Issuance : $829.80
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)
Iction 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
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
)fessions 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
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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
siness 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
)rovemenls 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
)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
)1y 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 License Law for the following reason:
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 legally
I 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
Ifessions Code. is avgilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
mature of PropeltyOwner or Authorized Agent Date
TENSED CONTRACTOR'S DECLARATION
Bret; affirm uJar penalty of perjury that I am licensed under provisions of hapter 9 (commencing with Section 7 0 of Di ision 3 of the Business and Professons gde, and my lice sin full force
7 �aff��li,c.rt. License CId%s a License No �G%S (13 C� Da / 2 Contractor Signatur �� )^�_�
)KW)=RS' COMPENSATION DECLARATION
6NIN0: 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
31-OFOOMPENSAINSN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
jre;Yaffirm undarpenally of perjury one of the following declarations:
.I.haue and will'rrMdintain 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 IN
ce of the tvork for which this permit is issued. Policy No.
uhavand willZlairtain 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' compensatior
carrier and policy number are:
.�.��. Policy,Number Expiration Date
of Agent
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 workers' compensation laws of California, and agree
, if I should become subject tc he workers'comp Ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
lature of Applicant T�r"Y .�J� D �iZ-0,44
., A .. . r,..., ern Awn r,nu , w nIhl _ Ar_vury
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code)
Enders Name Lender's Address
ly 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.
1 have read this application and the information I have provided is correct.
1 agree to comply with all applicable city and county ordinances and state laws relating
to building construction.
I authorize representatives of this city or county to enter a above -identified any for inspection purposes. C
signature of Property Owner or Authorized Agent
Print Pro ertOwner's or Authorized Agent's Name
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
EXPIRED 1 SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED QMD
PERMITFINAL I h ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF -�O�I �% PROPOSED DEMO ON dO
OCCUPANCYISSUED SIGNATURE: C/VJZ---