HomeMy WebLinkAboutX2018-1064 - PermitsCity -of
N,�w�ort Beach -Building Division
QO C�lc,Csnter Drive, Newport Beach, CA 92660
° Pelni�'CQurJer Phone (949)644-3288
i'nepection Rt; aes4SPhone (949)644-3255
p,ax$ Combination Type - BLDG
02
• n •
c•• ,m Cohs1ruct1c6H;urs:Monday
Job Address: 304 POPPY AVE NB
Description: SFR SITE WALLS APPROX. 18OLF
Legal Desc.: N TR 673 BLK A LOT 16
Owner:
GREENWOOD BRUCE
Address:
19605 MAYFIELD CIR
Bus Lie:
HUNTINGTON BEACH CA 92648
Phone:
06/30/2019
Applicant:
BRANDON CHRISTOPHER
Address:
151 KALMUS DR #G-1
Front: I to
COSTA MESA CA 92626
Phone:
714.754-4040
Cade Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
III IXIIII2IIII0IIIIVIII6II IIIIII1III0III6III4 II
COMB Permit: X2018-1064
Project No : 0865-2018
Issued Date: 08113/2018
Inspection Area : 5
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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
IOR
Contractor: PINNACLE CUSTOM HOMES INC Architect: BRANDON CHRISTOP
Address: 151 KALMUS DR STE D-210 Address: 151 KALMUS DR #G-1
COSTA MESA CA 92626 COSTA MESA CA 92626
Phone: 714-327-0225 Phone: 714-754.4040 State Lic:C031637
Con State Lie:
782202
Lie Expire:
07/31/2020
Bus Lie:
BT30051368
Lie Exp Date:
06/30/2019
2016 Worker's Compensation Insurance
Carrier:
STATE COMP INS FUND
U Policy No:
9030335
0 Expire:
12101/2018
0
CA Seismic Safety:
Building Setbacks
Rear: I i
$0.00
Front: I to
$0.00
Left: I S
$1.00
Right: 11j
Building Permit Fee: $386.00
Plan Check Fee:- $342.50
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$1.00
TOTAL FEE: $767.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL: sq -61
Engineer:
BURKE THOMAS
Address:
312 OCEAN AVE
LAGUNA BEACH CA 92651
Phone:
949-494-0776 State Lic:S-005088
Designer:
Plan check Fee :
Address:
$37.50
Phone:
Special Conditions:
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$37.50
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share:
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$767.00
PUBLIC WORKS APPROVAL: iRr Q -
PLAN CHECK BY: -CC I , v im
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION ' ' " •• ••°
' ated below b the checkmark s I have total ne t th licable ite s
1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License. Law for the reason(s) iodic y () p >� d E aPP r� )
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 %%*npg,:al9 �mqui res t1e applit'ant 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 thg BuSiAess and
'rofessions 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
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 (_) portions of the work, and the structure is not intended or olered fotsale (y4Acti n-7044,°
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds oramprovls the pjopertyfprovidadrWaCthQ
nprovements 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 bfirdefl Ot proving that Llyvas nbt Uuilt or-
nproved for the purpose of sale). ..
1 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
pply�toan 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).
7 I am exempt'from licensure"under the Pontractors' State License Law for the following reason:
ly 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 legal)
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectiop 7p00) o Di 'sion 3 of the Business and Prof lions Code, and my licens in full force
nd effect. License Class License No D to s' Contractor SignatLuey / t -� 7 r�
VORKERS' COMPENSATION DECLARATION V
DARNING: 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
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
3J 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 the
Kormance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance of the work far 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
I, if I should become subject the work' compensation p isionns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dat
nature of Applicant C.Aouyz ?J:71
CLARATION REGARDING CONSTRUCTION LEN NG AGENCY T
:reby 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 coun(y,to enter t e above -i entifie operty for inspection purposes. I '�
nature of Prooertv Owner or Authorized ADent X /dile. Print Prooertv Owner's or Authorized Avent's Name /� _ Vw Date
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCY ISSUED
DS NOTIFICATION IS NOTAPPLICABLE TO
DEMOLITION