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HomeMy WebLinkAboutX2018-1401 - Permits�w10 amity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB permit: X2018-1401 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 1 4 0 1 Project No: 1105-2018 H Permit Counter Phone (949)644-3288 v ' Inspectnp{iquests Phone (949)644-3255 rxy,nx� Combination Type - SFP ELEC MECH PLUM Issued Date : 05/14/2018 Inspection Area : 8 TOTAL FEE: $1,992.32 PROCESSED BY: ZONING APPROVAL: Plan Check Fee: $843.12 Fee Due at Permit Issuance : $1,149.20 PUBLIC WORKS APPROVAL: ` PLAN CHECK BY: GRADING APPROVAL: ° c o APPROVAL TO ISSUE: 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: 2401 MESA DR NB Description: SFR- INTERIOR REMODEL 1100 SF & RE -ROOF Legal Desc.: N TR 6407 LOT 38 0��'' 7d77.0 Owner: MCALLISTER ANDREW Contractor: OWNER/BLDR Architect: DOANJOHN Address: 2820 NEWPORT BLVD UNIT B Address: MCALLISTER ANDREW Address: 539 W ROSSLYN AV NEWPORT BEACH, CA 92663 FULLERTON CA 92832 Phone: 925-683-9203 Phone: Phone: State Lic:C034398 Applicant: MCALLISTER ANDREW Con State Lia O/B Engineer: RAVENKAMP PETER RICHARD Address: 2820 NEWPORT BLVD UNIT B Lie Expire: Address: 14417 QUARRY CREEK CT NEWPORT BEACH, CA 92663 Bus Lie: CORONA CA 92880 Phone: 925.683-9203 Lie Exp Date: Phone: State Lic:S-006474 Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: V -B Carrier: Address: Occupancy Group: R3IU Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: N Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $80.000.00 Building Permit Fee: $926.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $805.62 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: $0.00 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 ElectricdO%: $64.82 San Dist: $0.00 Building Green Fee : $4.00 Mechanical %: $37.04 NMUSD Fee: $0.00 $0.00 Plumbing %: $83.34 $0.00 TOTAL FEE: $1,992.32 PROCESSED BY: ZONING APPROVAL: Plan Check Fee: $843.12 Fee Due at Permit Issuance : $1,149.20 PUBLIC WORKS APPROVAL: ` PLAN CHECK BY: GRADING APPROVAL: ° c o APPROVAL TO ISSUE: 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 applicagt for is 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) LztSi :an 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 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, 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 np%ve ts 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 nr the purpose of sale). �0 Iner of the.. property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, BusinessandProfessions Code: The Contractors' State License Law does not pply.Ltfan 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). 7 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 legally ell a structure that I have built as an owner -builder if it has en constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 oft a Busiriess and 'rofessions Code, is available upon request when this,�epp ical�orYed or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Y / Date J .ICENSED CONTRACTOR'S DECLARATI hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature IIORKERS COMPENSATION DECLARATION 'ARNING: FA14URE 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 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: 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 the erformance of the work for which this permit is issued. Policy No. 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' rance carrier and policy number are: Policy Number Date ame of Agent Nnone rF certify that, in the performance of the work for ich 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 agre I sat, if I should s bject to t rk, m nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant D DECLARATION REGA DING CONSTFiIJff1Of4 LNDING AGENCY 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). antler's Name Lender's Address y 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 ordinances and state laws relating to building construction. I authorize representatives of this city or counVo e b -identified property for inspection purposes. ® //v�// innahrre of Prnnnrty Owner nr AllthnriZed Anent X Print Prooertv Owner's or Authorized ADent's Nam6AJ/7r_4, 7 / "G14/1� �Data ACTION DATE BY DEHARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO.' • • ••• PERMIT CANCELLED OEPA + • °°O • ••• ••• PERMITEXTENDED qMD • • : �• •e PERMITFINAL CERTIFICATE OF®P C ASBESTOS NOTIFICATION IUOTAiPPLICABLE TO PRO OSED D_EN • N�rD-. ••• •+• OCCUPANCYISSUED Iml� SIGNATURE:e °• a°. _• + .�_ —_. s••