HomeMy WebLinkAboutX2018-1215 - PermitsCity o Newport Beach Building'Division
r3 100 Civic enter Drive, Newporeq&cb SGA.911660
Parm
itC unter Phone(949)644-3 88
u..- Inspectio Requests Phone(949)Cj4-5255
+rrr ung°' Combin tion Type - SFP ELEC MECH PLUM
IIIIIXIIII IIII0IIIIILIIIIII�IIIIIIIT IIII1IIIIIIIIIII
COMB Permit: X2018-1215
Project No : 0964-2018
Issued Date : 05/24/2018
Inspection Area : 8
m o . .PERMIT'F.1:XFIRE;1801JAaYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Const uction Hours. fobdey., Frit ftv 7:00 a.m..M.&ItQ p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundaysor HoIid
SFR
Job Address: SFR - BAY VIE AVE NB
Description: 820 SF D EMOIREBUILD ENCL PATIO (HABITABLE SPACE), PARTIAL ROOF AREA, NEW ATTIC
Legal Desc.: N TR 1507 LOT 7
Owner: CROCKETT GAI 1Y W & SYLVIE Contractor: N I V CONSTRUCTION Architect:
Address: 20141 BAY VIEV I AVE Address: 150 N AVENIDA SEGOVIA Address:
NEWPORT BE H, CA 92660 ANAHEIM CA 92808
Phone: Phone: 949.606-6895 Phone: State Lic:
Applicant: COPE BILL Con State Lic: 929624 Engineer: VAHDAT SIAMAK
Address: 20142 BAY VIEV I AV Lic Expire: 03131/2019 Address: 4000 BARRANCA PKWY #250
NEWPORT BEA,H CA 92660 Bus Lic: BT30044187 IRVINE CA 92504
Phone: 949-5144066 Lic Exp Date: 10/31/2018 Phone: 949-654.0858 State Lic:C-065255
Code Edit: 20 6
Type of Construction: V -
Occupancy Group: R3 U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee: $1,t
Plan Check Fee: $1,387.65
Overtime Plan Ck:
Investigation Fee:
Record Management: I
Energy Compliance:
CA Seismic Safety:
Disabled Access:
Hazardous Mat
Building Green Fee
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
0 Expire:
0
11 TOTAL FIE : $4,332.15
PROCESSED BY:
ZONING APPROVAL:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 25
Front: 20
Left: 5
Right: 5
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$111.65
$63.80
$143.55
Designer:
Address:
Phone:
Special Conditions:.
Fire Hazard Zone :
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication : $0.00
P/W Plan Check: $152.00
San Dist: $0.00
NMUSD Fee: $0.00
Plan Check Fee: $4,332.15
Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: I APPROVAL TO ISSUE:
Fire Department
$37.50
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$24.00
General Service
$197.00
Refund Deposit
$564.00
Grading Bond:
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: I APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION •�• • .�.
below by the I have next to
the applicable
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) ln(pc[pad cheoRmarkS) placed
Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dernolisit,.or repair ft%tr%tOre, prior to its issuance, als
requires the applicant for
pplica
(Section 7031.5,
the permit to file a signed statement that he of she is licensed nursllant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Di
Section 7031.5 by any applicant for a permit subjects the
isioh 3 of the Business and
pplicant to a civil penalty of
Professions Code) or that he or she is exempt from'icensure and the basis to- the alleged exemption. Any violation of
not more than five hundred dollars ($500). 1.'. :. • . ... •
do (_,) )pork"arid the ctrlictwre it, Cot}ntpnded or offered f
r sale (Section 7044,
❑ I, as owner of the property, or my employees with wages as tl,eil sole ccmpensation, will (_) all of or portions,dithe
Business apd-Professions Code: The Contractors' State License Law does not apply to an owner of property who, throdgtl•employees'Or perstgal effprt�blids or improves the
roperty, 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 DWneP-Bdilder wiN havetile burden of provi
g that it was not built or
im 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'. Sti
contracts for the with a licensed Contractor pursuant to the Contractors' State License Law).
to License Law does not
apply tb an owner of property who builds or improves thereon, and who projects
❑ I am exempt from licensure under the Contractors' State License Law for the following reason:
in which I must have resided for at least one year prior to completion of the improvements covered I
ry this permit, I cannot Iegall
By my signature below I acknowledge that, except for my personal residence
sell 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 7014
of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:hltp://www.leginfo.ca.gov/calaw.html.
Date
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) o D'visio 3 of the Business and Profes ions o e, an
my license Is in full force
and effect. License Class License No Date, Contractor Signatur
WORKERS' COMPENSATION DECLARATION
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
WARNING: FAILURE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
13 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 37CO
of the Labor Code, for th
�terformance of the work for which this permit is issued. Policy No.
❑1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit Is issued.
My workers' compensatio
insurance carrier and policy number are:
Expiration Date
C,arr(er Policy Number
#
ZPhone
me`,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' compensatioil
laws of California, and agre
that, if,i should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Si`gnature of Applicant Dat
DECLARATION REG- $N CON TRUCTION LENDING AGENCY
1 Code).
1 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, Civ
Lender's Name Lender's Address
By 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 county tq enter a above -identified property for inspection purposes.
'�
Date
Signature of Property Owner or Authorized A ent Print PropertyOwner'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
PERMIT EXPIRED
0 1 SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMIT
P
QMD
PERMITFINAL
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCY ISSUED
2'
SIGNATURE:
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