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HomeMy WebLinkAboutX2018-3197 - Permits1 City of Newport Beach - Building Division IIIIIII�IIIIIIIIIII�II�I�IIIIIIIIIIIIIIIIIII II COMB Permit: X2018-3197 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 3 1 9 7 Project No : 1234-2017 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date :1013012018 urrfa+� Combination Type - SFP Inspection Area: 1 PERMITS EXPIRE 980 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: 1533 MIRAMAR DR NS Description: SFR ROOF DECK 155 SF, DELTA 3 Ak6 Legal Desc.: N TR 518 BLK I LOT 38 Owner: PENCE PEGGY Contractor: TERRA BELLA DEVELOP INC Architect:4ORREY CHRIS iI ° Address: 1533 MIRAMAR DR Address: 27001 LA PAZ RD #354 Address: 1¢.O. BOX 1701 NEWPORT BEACH, CA 92661 PjE Phone: 805.405-1567 Applicant: TORREY CHRIS Address: P.O. BOX 1701 Occupancy Group: NEWPORT BEACH CA 92659 Phone: 714-906-0559 Code Edit: 2016 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: $0.00 Added /New sq. ft. Garage: $0.00 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: 0.2 Building Permit Fee: $359.00 Plan Check Fee: $261.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $18.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL Fly : $679.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: MISSION VIEJO CA 92691 Phone: 949.916-6747 Con State Lie: 807405 Lie Expire: 04/3012020 Bus Lie: BT30061388 Lie Exp Date: 1113012018 Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ tnsp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I 'arkino Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee WPORT BEACH CA 92659 Fire Department Plan check Fee Phone: 714-906-0559 State Lic:C017881 Fair Share : $0.00 SJH Trans : Fire Plan Rev In -lieu Housing Fee: Engineer: ROSS SCOTT WILLIAM °,°° Park Dedication : Address: 1800 E 16TH STREET #B PM Plan Check: $0.00 SANTA ANA CA 92701 eom° . n Phone: 714-835-2800 State Lic:C-045309 Refund Deposit $0.00 Designer: ®o o ® o o Address: $0.00 . • aca co ucom o Phone: h acas.c Special Conditions: LIQUEFACTION AREA REV18.1925 oon.c _% OOOf tO OOf FO Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee $40.00 Fair Share : $0.00 SJH Trans : Fire Plan Rev In -lieu Housing Fee: $0.00 Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $261.00 PUBLIC WOM PLAN CHECK APPROVALTC Fee Due at Permit Issuance : $418.00 Fire Department $40.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $418.00 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 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' 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 from licensure under the Contractors' State License Law for the following reason: By my signature below I Ariowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalll 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 7044 of the Business and Professions CoQe, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of P"tftj Qwner or Authorized Agent Date LICENSED CQUIEtACTOR'S DECLARATION j tarety affirm-under natty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 D' isio 3 of the Business and Professions Ccj�6 m license is in full force apd effect. License Blass License No Dat /8 Contractor Signature \ /) 6--�---� WOR&RS' COMPENSATION DECLARATION NARNING: FAILURE TO SEOURE 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 COLT OF-COMPENSATIdrf, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. • here•by affirm flltdel'pgnalty of perjury one of the following declarations: . �J.haLe 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 24%plrpance of thework for which this permit is issued. Policy No. 131*have and vril+rnE4. ain 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 DSLLraOGe carrier and policy number are: - !haal'" . Policy Number Expiration Date t, e of A ant Phone # certif hat, 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' compensation laws of California, and agree if I lould become(su�bject to the workers' ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. — ature of Applicant K)Z�0© )ECLARATION REG DING CONSTRUCTION LENDING 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). -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 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 coun to nter ove-identified property for inspection purposes. 3i nature of Property Owner or Authorized Agent Print Property Owner's or Authorized A ent's Name Date ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED LJEPA PERMITEXTENDED LJAQMD PERMITFINAL ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF _Z-20 ®ti%l PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATNRF-