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HomeMy WebLinkAboutX2018-1680 - PermitsCity of Newport Beach - Building Division $0.00 Investigation Fee: $0.00 Record Management: $22.00 Energy Compliance: $92.67 CA Seismic Safety: $0.00 Disabled Access : $0.00 COMB Permit: X2018-1680 $0.00 Building Green Fee : IIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII $0.00 NMUSD Fee: $0.00 Refund Deposit $0.00 Grading Bond: $0.00 II $0.00 ©' 100 Civic Center Drive, Newport Beach, CA 92660 p X 2 0 1 8 1 6 8 0 Project No: 1301-2018 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 .... Combination Type - MFP ELEC MECH PLUM Issued Date : 07/2412018 • • Inspection Area : 3 . m ° m 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 Holiday • ° ° • • ° Job Address: 6700 W OCEAN FRONT NB . . • m Description: MFR WINDOW REPLACEMENT AND INTERIOR REMODEL (BEDRMS AND BATHS) 985 SF Legal Desc.: SEASHORE COLONY TR LOT 1 BILK G ALL -INC POR ST ADJ- -EX NELY 15 FT- m.mm m Owner: WESTOF LLC Contractor: R D M S INC Architect: mmmoe Address: 6700 OCEAN FRONT W Address: 250 E BAKER ST # 300 Address: • • : ° m • ° o NEWPORT BEACH, CA 92663 COSTA MESA CA 92626 • m m ° • m o Phone: Phone: 714.448.9835 Phone: State Lie: Applicant: WOLF DEREK Con State Lie: 815872 Engineer: e m e FORBES DALE L einem Address: 3001 RED HILL AVE Lie Expire: 12/31/2018 Address: 1800 E 16TH ST #B COSTA MESA, CA 92626. Bus Lie: BT30008726 SANTA ANA CA 92701 Phone: 949-375-2811 Lie Exp Date: 01/3112019 Phone: 714-835-2800 State Lic:C-030407 Code Edit: 2016 Type of Construction: V -B Occupancy Group: R31U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $1,260.00 Plan Check Fee: $1,096.20 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $22.00 Energy Compliance: $92.67 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $6.00 TOTAL FEE: $2,766.37 PROCESSED BY: ZONING APPROVAL: T=RADING APPROVAL: Worker's Compensation Insurance Carrier: EVERST NATIONAL INS Policy No: 7600015443 Expire: 09/01/2018 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: / Right: I Parkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $88.20 $50.40 $113.40 Plan Check Fee : Designer: WOLF DEREK Plan check Fee Address: 3001 RED HILL SJH Trans COSTA MESA, 2626 Phone: 949-375-2811 R e IV $0.00 P/W Plan Check: d Special Conditions: $0.00 NMUSD Fee: Planning Department - Fire Department Plan check Fee $37.50 Fair Share $0.00 SJH Trans Fire Plan Rev In -lieu Housing Fee: $0.00 Public Works Department - Park Dedication: $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $1,133.70 Fee Due at Permit Issuance : $1,632.67 PUBLIC WORKS APPROVAL: /'/ PLAN CHECK BY: (2h V 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 $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $1,133.70 Fee Due at Permit Issuance : $1,632.67 PUBLIC WORKS APPROVAL: /'/ PLAN CHECK BY: (2h V APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for She reason(s) indicated below by the checkmark(s) I have placed next to the applicable„'Itern(s) Section 7031.5, �jsjrless 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 is 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 {rofessions Codef 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 pt rfibnthan fide 4LMled dollars ($500). I, as owner df1he property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, PslhprgS 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 nerovements are-notirrtended 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 Rprovedfor the purpose of sale). • • I, as owner oftNoproperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does no N6 13 an owner Qf�vaperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). T tam exempt from licensure under the Contractors' State License Law for the following reason: d'rty ftnature bglow (,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 BII a strIlcture thdt9119ge built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 4ofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. grature of Properly 6wner or Authorized Agent Date .ICENSED COIIITRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 Of IV sio of the Business and Profes fi 6~ and i' s is in full force nd effect. License Class License No D� Contractor Signat r iz YORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST 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: 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 thi Ko' mance of the work for which this permit is issued. Policy No. ave 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' compensatior once carrier and policy number are: Policy Number is of Agent Date ]I certify that, in the perfWtkers' work for which th' ermit 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 tat, if I should become su com i provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.lignatureofApplica Da)ECLARATION RE qCTION LENDING AGENCY hereby affirm under enaat 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 ly 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 count and state laws rel g to building construction. , I authorize representatives of this city or county to a ve-identiff y for inspection purposes. 1/ �r s7 f7`,f�j .,...,.,#, ,w o.,...va„ n,.,., , r A„IH..rloeri Ancn1 N / /1i�%�13c''I/ Print Prooertv Owner's or Authorized Agent's Nam e/C %A,11 Date DATE BY V j` l/ECLARKrrION OF COMPLIANCE�WITH CODE OF FEDERAL I FOR OFFICE USE ONLY f REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED PERMIT EXTENDED LIAQMD PERMITFINAL ( '26gD ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: Z O , F- U w a� z� .-aur r CO C DoUU ao c� wC(1) =3 r N co M N LO z N rn �0 W Na) M M V O z Z(,) (D0 as r -a x U M �Ad(D Sac rrT' A .5 ; a a a) U U U o N N Q Y C Q Z O O u :t u u E n a N N 0 Z p s m m �i Z N � •`c A 4 N