HomeMy WebLinkAboutX2018-3122 - Permitsrr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2018-3122
�4 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 3 1 2 2 - Project No: 2441-2018
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM Issued Date:
Inspection Arearea :2018
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: 58 BALBOA COVES NB
Description: SFR -ALTERATIONS TO KITCHEN, 3 BATHS. RIR WINDOWS WI SOME NEW OPENINGS 2830 SF
Legal Desc.: N TR 1011 LOT 58
Owner: HEARN SHANNON
Contractor:
JONES CHRIS GEN CONTRACTOR
Address: 58 BALBOA COVES
Address:
20362 SANTA ANA AVENUE #17
NEWPORT BEACH CA 92663
$105.00
NEWPORT BEACH, CA 92660
Phone:
Phone:
714-668-1190
Applicant: JONES CHRIS
Con State Lie:
909473
Address: 20362 SANTA ANA AV #17
Lie Expire:
01/31/2020
NEWPORT BEACH CA 92660
Bus Lic:
BT30064873
Phone: 714-668-1190
Lie Exp Date:
10/31/2019
Code Edit: 2016
Worker's Compensation Insurance
Type of Construction: V -B
Carrier:
EXEMPT
Occupancy Group: R3/U
Policy No:
$0.00
Added /New sq.ft. Bldg: 0
Expire:
eo
Added /New sq. ft. Garage: 0
Phone:
State Lie:
No of Stories: 2
Building Setbacks
Rear: /
No of Units : 1
o', *•
Front: /
Bldg Height: 0
151 KALEV S DRS
151 KALMUS DR STE D210
Left: /
Bldg Sprinklers:
PUBLIC WORKS APPROVAL:
Right: /
Flood Zone:
Use Zone: Parkinq Spaces: 0
Building Permit Fee: $1,468.00
Plan Check Fee: $1,277.16
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$36.00
Energy Compliance:
$105.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
_ $6.00
TOTAL FEE: $4,010.76
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
$0.00
Planning Department -
Fire Department
Architect:
Plan check Fee : $40.00
Fire Inspection:
$0.00
Address:
Fair Share: $0.00
o.':'-�-�-tom
$0.00
$0.00
SJH Trans : $0.00
K.161
'
Phone:
State Lie:
"I
$24.00
$0.00
Public Works Department-
,ma
o • • m o
Engineer:
Park Dedication : $0.00
-
$564.00
Address:
PM Plan Check : $0.00
Grading Bond:
$0.00
$102.76
San Dist: $0.00
eo
Phone:
State Lie:
° '
•
• o
o 0 0
Designer:
o', *•
o• o
Address:
151 KALEV S DRS
151 KALMUS DR STE D210
$2,693.60
0
PUBLIC WORKS APPROVAL:
COSTA MESA CA 92626
Phone:
714-486-3335
moo e
o 0
Special Conditions: FRANCHISED HAULER:
o, e ,
®• • ° o 0
ROBERTS WASTE
e o 0
00 0
ooeo
$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
$24.00
$0.00
Public Works Department-
General Service
$197.00
$0.00
Park Dedication : $0.00
Refund Deposit
$564.00
PM Plan Check : $0.00
Grading Bond:
$0.00
$102.76
San Dist: $0.00
$58.72
NMUSD Fee: $0.00 -
$0.00
$132.12
$0.00
Plan Check Fee:
$1,317.16 Fee Due at Permit Issuance :
$2,693.60
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION I I' -
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).
❑ 1, 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,
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 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
apply 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).
❑ 1 am exempt fromlicensure under the Contractors' State License Law for the following reason:
By 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)
sell a structurG,Qlat 14ve 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
Professions Code, is dVailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
$iggQdre of PropQky Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I ogre% affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00)fi �2M�18n 9 of the Business and P fessio 0 and my license is in full force
and effect. Licepse Mass License No Date O Contractor Signal a
PQR}(=RS' CQyP$NSATION DECLARATION
NARRIRG: FAILURE JQ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($'100,000), IN ADDITION TO THE
rggT,gF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
,4(VCVaffirm unrfer penalty of perjury one of the following declarations:
.71hale and III m*tain 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 thi
Vie ormance ofthe-work for which this permit is issued. Policy No.
• I•1110C and will6maintain 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
n9urence carrieT^ pGlicy number are:
;arrier Policy Number Expiration Date
4 me of Agent Phone #
certify that, in the perfo ance 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' ompensation laws of California, and agree
hat, should become su Iect to the k ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1,
signature of Applicant D _Lhollha
)ECLARATION REGA ING ON RUCTION LENDING AGENCY
hereby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30167, Civil Code).
-ender's Name Lender's Address
3y 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 ve provided is correct..
I agree to comply with all applicable city and cou ty ordinances and state laws relating to building construction.
I authorize representatives of this city or county o enter tWaJyoVOidentified property for inspection purposes.
FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
EXPIRED
PERMIT EXTENDED LJAQMD
PERMITFINAL ASBESTO OTIFICAT NI OT APPLICABLE TO
CERTIFICATE OF b'30-f�j R SED EMOLIT
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