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HomeMy WebLinkAboutX2018-3262 - PermitsIP*44'; City of Newpoirt Beach - Building Division II IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIII III COMB Permit: X2018-3262 a5 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 8 3 2 6 2 p �. Permit Counter Phone (949)644-3288 Project No : 2538-2018 Inspection Requests Phone (949)644-3255 F'�txrna�*b': Combination Type - SFPELEC MECH PLUM - Issued Date : 02/07/2019 Inspection Area : 8 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: 2201 ALTA VISTA DR NB Description: SFR ADDITION 346 SF, INTERIOR REMODEL 1820 SF AND NEW TRELLIS 258 SF Legal Desc.: N TR 4705 LOT 79 Owner WEBB CHRIS Contractor: UNITED CONTRACTORS Architect: Address: :2201 ALTA VISTA DR Address: - 10725 ELLIS AVE #D Address: NEWPORT BEACH,. CA 92660 - FOUNTAIN VALLEY CA 92708 Phone: 858.735.3207: Phone: .801-792-7417 Phone: State Lie: pp scant.. T JASON Con State Lic: 949005 Engineer: JAMIL BASHAR S . Address: 1041 W. 18TH ST (A106) : Lie Expire: 06130/2020 Address: 751 SHASTA DR -COSTA MESA, CA 92627 Bus Lie. ` BT30053869 CORONA CA 92881 Excise Tax: Phone: 949.422-9191:. Lie Exp Date: 02129/2020 Phone: -" 714-883-4124 State Lic:C-083129 Code Edit: .2016 Workers Compensation Insurance - Designer: $294.00 Plan: check Fee: Type of Construction: -. V -B -SPR Carrier: - STATE FUND Address: Overtime Plan Ck ....$0.00 : ,. Grading Bonds Fee Occupancy Group: R31U .Policy No: ` 911946218 Fire Plan Rev - Added /New sq.ft. Bldg. 346 Expire: 12106/2019 Phone: $0,00 Demolition Fee Added/New sq. ft. Garage: 0: Record Management: $48.00 Grading Permit Fee: $0.00 In -lieu Housing .Fee: - No of Stories: : 0 Building Setbacks Rear / i. - Special Conditions: ROBERT'S WASTE Grading PC Fee: No of Units : - 1 - Front: I b.- . General Service TO HAUL DEBRIS Bldg. Height: 0 1. WQ Insp. Feer Left: / b. Park Dedication) :$0.00 Refund Deposit Bldg Sprinklers: YRight Flood Zone: :. / Use Zone: b I00b Parkin "S aces: 0 Fire Hazard Zone : N y� r , a rl � ? r Bylldmg Green Fee'., $16.00 Mechanical %: $151.40 NMUSD Fee: $0.00 $0.00 Plumbing %: , $340.65 $0.00 ° c c7OTAL FEE: $9,399.53 Plan Check Fee : $3,834.10 Fee Due at Permit Issuance $5,565.43 ` PRdCESSED 3Y: : PUBLIC WORKS APPROVAL:NW c °Zl9�JING AP$�Rt OVAL: PLAN CHECK BY: GRADING° 0AQVAL: APPROVAL TO ISSUE: Construction Valuation: $389.880.00 - d a < m s, X44 1 Building Permit Fee' $3,785.00 Excise Tax: -$0.00 Planning Department- Fire Department Plan Check Fee: $3,112.10 Additional Fee : $294.00 Plan: check Fee: $160.00 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: $48.00 Grading Permit Fee: $0.00 In -lieu Housing .Fee: $0.00. Building Dept Adm $24.00 Energy Complirnpge:'$268.00 Grading PC Fee: $0.00 Public Works Department -. General Service $197.00 - 44 Seismic Safety : o ' $50.68 WQ Insp. Feer $0.00 Park Dedication) :$0.00 Refund Deposit :. $564.00 <I Disabled Access: $0.00 :. P/W Plan Check, $123.75 Grading Bond. $0.00 o c Elazadous Nl&t- o o $0.00 Electrical %: .$264.95 San Dist: $0.00 r Bylldmg Green Fee'., $16.00 Mechanical %: $151.40 NMUSD Fee: $0.00 $0.00 Plumbing %: , $340.65 $0.00 ° c c7OTAL FEE: $9,399.53 Plan Check Fee : $3,834.10 Fee Due at Permit Issuance $5,565.43 ` PRdCESSED 3Y: : PUBLIC WORKS APPROVAL:NW c °Zl9�JING AP$�Rt OVAL: PLAN CHECK BY: GRADING° 0AQVAL: 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) ction 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 (_) portions of thework, and the structure is not intended or offered for sale (Section 7044, liness 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 ,rovements 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). 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 dy 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 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 fessions Code, is availableupon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw,htmi. nature of Property Owner or Authorized. Agent Date SENSED CONTRACTOR'S DECLARATION Ireby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of ivisio 3 of the. Business and P fessio ode, my license Is in full force I effect. License Class CJ License No at �-(1 0o S D e &%. o Contractor Signathr§./� �7 )RKERS' COMPENSATION DECLARATION IV/�t INING: 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 iT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :reby 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 th F ance of the work for which this permit is issued. Policy No. h ve 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' compensatio Ir ce carrier and policy number are: T' r-t^AT'� Expiration Date (7- (o � III ne of AOent fitT-wr 1" f3 ib�+►'^) Phone # �1 l 4 Z2 1 — l/baL� certify that, in the performance of the work for which this permit is issued; I ahaltnot employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre L if I should becomes bject to a workers' compensation provisions of Section.3700 of the Labor Code, 1 shall forthwith comply with those provisions. nature of Applicant Da' CLARATION RE CONSTRUCTION LENDING GENCY Ireby affirm under enalty of perjury that there is a construction lending agency. for the performance of the work for which this permit is issued (Section 3097, I I Code).. Ider'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. ..... 1 have read this application and the information I have provided is correct. ILA : • •' ° • ° ° ° o 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 count to a ter the above-identified property for inspection purposes. , • ° ° ° nature of Property Owner or Authorized Ag n Print Property Owner's or Authorized Agent's Na Date QL° °.° TION DATE B DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY V•• �. ° ° o REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE - .•• 1403 • ° o RMIT EXPIRED UBMITTED ASBESTOS NOTIFICATION TO - • • • • • ° ° ° PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED LCKQMD 7 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMO I SIGNATURE: