HomeMy WebLinkAboutX2018-3705 - Permits1 �A City of Newport Beach - BuiTdlncf Division' IIIIIIIIIII IIIIIIIIIIIIIIIIIIII IIIIIIIIIIIII� I)COMB Permit: X2018-3705
100 Civic Center Drive, Newport Beach, CA 92660 X 2 6 1 8 3 7 8 5 Project No : 0156-2018
4v Permit Counter Phone (949)644-3288
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'c. Inspection Requests Phone (949)644-3255
Combination Type - SFP Issued Date : Area
: 2018
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Inspection Area 2
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: 660 HARBOR ISLAND DR NB
Description: SFR TIO (E) 32 SQ, INSTALL METAL ROOFING & REMOVEIREPLACE 5 SQ OF B.U.R, CLASS 'B'
Legal Desc.: N TR 3867 LOT 20
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Owner: HALCOVICH FRANK & WENDY
Contractor:
OWNER/BLDR
Architect:
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Address: 81161 INDIO BLVD
Address:
AUTH AGENT:
Address:
INDIO CA 92201
BAYNE GRANT
Phone: .760-343-2704
Phone:
Phone:
State Lic:
Applicant: BAYNE GRANT
Con State Lie: OIB
Engineer:
Address: 70200 MIRAGE COVE
Lie Expire:
Address:
RANCHO MIRAGE CA 92270
Bus Lie:
Phone: 714-349-8362
Lie Exp Date:
Phone:
State Lie:
Code Edit: 2016
Worker's Compensation Insurance
Designer:
Type of Construction: VB
Carrier:
Address:
Occupancy Group: R31U
Policy No:
Added /New sq.ft. Bldg: 0
Expire:
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions:
LIQUEFACTION AREA
No of Units : 1
Front: I
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: I.
Flood Zone: 0.2
Use Zone:
Parking Spaces:
0 Fire Hazard Zone :
N
Construction Valuation: $46.000.00
Building Permit Fee: $324.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $0.00
Additional Fee:
$0.00
Plan check Fee: $0.00
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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: $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee: $0.00
Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access: $0.00
PAN Plan Check : $0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee : $2,00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $326.00
Plan Check Fee:
$0.00 Fee Due at
Permit Issuance :
$326.00
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PROCESSED BY:
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E PCIBL6;IORKS APPROVAL:
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ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
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APPROVAL TO ISSUE:
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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).
1, 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,
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
ri?vements 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
rd for the purpose of sale).
1, a� 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
ly;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).
lJTam exempt from licensure under the Contractors' Sla icense Law for the following reason:
By my signature below I acknowledge that, except for pe onal 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 structure that I have built as an owner -builder if It has t be clad in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request whe or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATI N
I hereby affirm under penalty of perjury that 1 am kens d un er provisio�o�fChapte'r"g •ommencing with Sectior ""0) of Division 3 of the Business and Pmr^-;IDns Cole. and my license is in full force
and effect. License Class icense No PContractor Signa'
WORKERS' COMPENSATION DECLARATION
NARNING: 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 ($700,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 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
Derformance of the work for which this permit is issued. Policy No.
:3I 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' compensatiol
nsurance carrier and policy number are:
'arrier Policy Number Expiration Date
Name of Agent Phone #
1 certify that, in the nce f 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 agm
if I should become sub to rkers' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant
�cn. nenr�nu een_ nu.n_ were i � ee�mun_ n_eunv
Ireby affirm under penalty/5f p�rjury th there is a cc
Ider's Name /
my signature below, I ceirtify th each of the following:
I am the property owner or authorized to act on the
I have read this application and the information I h
I agree to comply with all applicable city and cy
I authorize representatives of this city or coun
ACTION
DATE I BY
lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Address
owner's behalf.
led is correct.
Me to laws relating to building construction.
Qti�fied property for inspection purposes.
�''i'� Print Prooertv Owner's or Authorized
PLIANCE1fJITH CODE OF FEDERAL I FOR OFFICE USE ONLY
OF TITLE�40 AND AQMD RULE
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION•TO • +
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PERMITCANCELLED UEPA • • PERMIT EXTENDED c OMD
PERMITFINAL A A 0 PPLI•CABLE •TO
CERTIFICATE OF j j P POSED E TI • • • • • • .
OCCUPANCY ISSUED SIGNATURE: �• • • "•'