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HomeMy WebLinkAboutX2018-2099 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIilllllllllllllllll� II COMB Permit :X2018-2099 Per a Civic Center Drive, Newport Beach, CA 9zsso x 2 0 1 8 2 0 9 9Permit Counter Phone (949)644-3288 Project No: 1234-2017 Inspection Requests Phone (949)644-3255 Combination Type - SFP Issued Date: 07119/2018 Inspection Area : 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: 1533 MIRAMAR DR NB Description: SFR DELTA 3,4 &5, INCREASE SCOPE OF WORK, ADD 17 SF TO LIVABLE & REDUCE GARAGE BY 17 SF Legal Desc.: N TR 518 BLK I LOT 38 Owner: PENCE PEGGY Address: 1533 MIRAMAR DR Occupancy Group: NEWPORT BEACH, CA 92661 Phone: 805-405-1567 Applicant: TORREY CHRIS Address: P.O. BOX 1701 1 NEWPORT BEACH CA 92659 Phone: 714-906-0559 Code Edit: 2016 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: 17 Added /New sq. ft. Garage: -17 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: 0.2 Construction Building Permit Fee: $172.00 Plan Check Fee: $149.64 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $22.00 Energy Compliance: $56.00 CA Seismic Safety: $0.88 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $477.02 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: TERRA BELLA DEVELOP INC Address: 27001 LA PAZ RD #354 P.O. BOX 1701 MISSION VIEJO CA 92691 Phone: 949.916-6747 Con State Lic: 807405 Lic Expire: 04/3012020 Bus Lic: BT30061388 Lic Exp Date: 11/3012018 Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire: Building Setbacks Use Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant: Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: 0' Front: 9' Left: 3' Right: 3' Architect: TORREY CHRIS mpmw� Address: P.O. BOX 1701 cl_#> Plan check Fee: NEWPORT BEACH CA 92659 Fire Inspection: Phone: 714-906-0559 State Lic:C017881 �' l Engineer: ROSS SCOTT WILLIAM FNS Address: 1800 E 16TH STREET #B $0.00 Demolition Fee SANTA ANA CA 92701 $0.00 Phone: 714-835-2800 State Lic:C-045309 Building Dept Adm Designer: $0.00 Public Works Department - Address: General Service $0.00 Phone: Park Dedication : $0.00 Special Conditions: LIQUEFACTION AREA PAN Plan Check : $38.00 REV18-1237 Grading Bond: $0.00 Planning Department - Fire Department $0.00 Plan check Fee: $37.50 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 $0.00 $0.00 Public Works Department - General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check : $38.00 Grading Bond: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $205.64 Fee Due at Permit Issuance : $271.38 PUBLIC WORKS APPROVAL: i - 7 e _ PLAN CHECK BY: 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 penally 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, ;iness 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 movements 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 moved for the purpose of sale). 1, 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 )1y 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 Iega111 I 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 Ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent Date TENSED CONTRACTOR'S DECLARATION ;reby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 O) of DIIAS100,3 of the Business and Ptofsions Cod my license is in full force I effect. License Class License No Date Contractor Signatu� )F�(ERS',POMPENSATION DECLARATION 3NING: 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 ;T 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 {lave aril 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 formance of the work for which this permit is issued. Policy No. I have 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 urance carrier and policy number are: mer Policy Number Expiration Date ne 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' compensation laws of California, and agre lrif I should become subject to the w rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applican�_/ rte- Dafy� CLARATION REG,�R G CONSTRUCTION LENDING AGENCY retry 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). 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. 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 count to enter thea o -I ified property for inspection purposes. , nature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's Name G/P/�� i 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 LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED nEPA PERMIT EXTENDEDQMD PERMITFINAL ��J...• ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF ^Z-Zo +�' PROPOSED DE OLITION OCCUPANCYISSUED SIGNATURE.