HomeMy WebLinkAboutX2018-0535 - Permitsewno& City of Newport Beach - Building, Division
100 Civic Center Drive, Newport Beach, CA 92660
F Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
c"'crmuvx' Combination Type - SFP -
111111111111111111111p11111111111111111111111111111 11COMB Permit: X2018-0535
X 2 0 1 8 0 5 3 5 Project No: 0741-2017
Issued Date : 02/2712018
Inspection Area : 3
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: 2024 NAUTILUS LN NB
Description: SFR ADD 40 SF TO BATHROOM AND NEW DECK 65 SF *ADDITIONAL SCOPE TO NEW SFR*
Legal Desc.: N TR 3763 LOT 75 i
Owner: BRILES RICHARD & KEANNA E..CON TRS G -W ^�ahifeet;�.a.,ys®yBB®A,R
Address: 19 N SEA qqqq Address: 675 MASTERS CIRCLE Address: 180 N.BENSON AVE #D
LONG BEACHCA803n ��s BREA CA 92621 UPLAND CA 91786
Phone: 562-434-4362 Date: �' Phone 714-336-2555 if aippliCctbi(%9-519-8670 State ic:C
ApplAddrlcant: JACKSON GARY ess:: 675 M ST RS CIR L cn State Lic: 50 301. 0 JQ sor ❑ 100% refund
BREA CA 92621 u 3 731
Phone: 714.336-2555 to 3 018 P n State ic:
EL to whim:
Code Edit: 20.16 r e s Compensa ion nsurance Designer: '
Type of Construction V -.B -S Carrier: WIC EXEMPT : Address:
Occupancy Group: R3/U 'cy o ( E
E D
Added /New sq.ft. Bldg 4 E Phone:
Added /New sq. ft. Garage 0 ` ;,
No of Stories: 2e Re Special Conditions: REV18-0326
No of Units : 1 - - Front: /
Bldg Height: 0'', Left: /
Bldg Sprinklers: Y Right: I
Flood Zone: Use Zone: liParking Spaces: a Fire Hazard Z ne
Construction Valuation: 1 2 000.0 Scan 11 [JR:Illual
Immig
Building Permit Fee: $1,073.0 E cise T a $8.40 Planning Depp,,��rr�tpprr�pt } Fire Department
Plan Check Fee: $569.00 A1$ftfQd6�Estc`arted) $0.00 Plan checl�C. brk St4} Fire Inspection
Overtime Plan Ck: x$0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev s
Investigation Fee: 40.0 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Feed
Record Management $2,4.00 Gradin Permit Fee: $0.00 In_re i Hnnc'n a
9 �O$@; � 9 g.Ee $0.0 -B apt Adm
Energy Compliance $56.00 Grading PC Fee: $0.00 Public Works Department - n�reeral Service
CA Seismic Safety , 1.60 WQ Insp. Fee: $0.00 Park Dedication : in iti4ls: 5und_Doposit
Disabled Access $0..00 a-PT7PF� Check $38.06 rading Bond.;
Hazardous Mat
Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $73.60
Plumbing %: $0.00
TOTAL FEE : $2,033.10 Plan Check Fee : $0.00 Fee Due at Permit Issuance
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
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PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
eco=sem
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$2,033.10
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
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 penalty 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 L) all of or L) 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
improved for the purpose of sale).
❑ I, as owner of thep ilveeRER3eFi 'EaRt"Maet6r5 ttf-eUfishdYR4PY�'f7Rij@CPq�@1Rdiie'The :Contractors' . State License Law does not
apply to an owner of pr ' arty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' StateLicense Law).
Law for the following
I am exempt from ii ensuContractors' State License reason:
By my signature below acon obrf� sided for a ea t lne year poor to completion of the improvements covered by this permit, I cannot legal[)
sell a structure that I ha a buopy of Te applicable law, Section 7044 of the Business and
is fo site:htt� nf�¢algdv% �.�fmlreTU i.
Professions Code, is a ilable st whe plic n mit o ,,
Date
Signature of Property 0 ner o ¢ Age , -
LICENSED CONT TO S RA N
I hereby affirm under pe allyo r'u I am wn�C (c i ell'iP (41A7Di nt fhP RLcinPea-and Profe ions , and my license is in full force
and effect. License CI s - License No Z Date-2 C Contractor Signature
WORKERS,', COMPE SATION DECLARATION
L ; E P CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION,O AGES SPROVID FORT' B E, 70 'S
WARNING: FAILLRE TOSECU E WO NSATEX
I hereby affirm under pe Ity o equry o of th10
- 's Industrial Relations for by Section 3700 of the Labor Code, for th
I have SO will-main in a f coor work comppeensa Ion, Issue by the Director of as provided
performance Of -then rk rwhich this permit is issued. Policy No. -
I have and will main t 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' compensatio
insurance carrier and poll y nu e: 6� Ii7�.s • rP �s �.
Carrier s ` � N � ! N D�I 6 d AE f 9D
9
8 E
ame of Agent E 'W¢�,�� Phone #
certify that, in the, pe rmanc a wo f¢tyy't{fpl{31lj%Iji�f-[ d It issued, I shall not employ any per�Q IG W�kn ra�-D�come subject to the workers' compensation laws of California, and agre
that, if I should becomes ject to t rkerrcompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �/
Date Z-1
Signature of Applicant _
DECLARATION REG i E-N 9t i
I hereby affirm under pen 'ty of perjury that there is a construction lending agency for the performance of the work for which this�pgrmit,I issued (Section 3097, Civil Code).
It�9
Lender's Name ilk' Leadgls Insp. ifF, :_._�.._.....
By my signature beldw, I rtl o each o the following:
�e
I am the property �T'SP"�'CPi'Sr z`�ed"fo abs o°�n �i'e prop_' ye`�3o�w�nibehalf.
a
I have read this application and the information I have pr ed is correct.
I agree to comply with all applicable city and county d:, es and state laws relating to building construction.
I authorize representatives of this city or coun t nt_r th ova-identified property for inspection purposes. `\ 1 '� 7.l°�
Signature of Property Owner or Authorized Agent Print Property Owner'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
PERMITEXPIRED71
SUBMITTED ASBESTOS NOTIFICATION TO
°
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PERMITCANCELLED
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EPA • •
PERMITEXTENDED
EFAQMD ••.
PERMITFINAL
0 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO•
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCYISSUED
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