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HomeMy WebLinkAboutX2018-1812 - Permitsa City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2018-1812 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 1 8 1 2 Project No : 1409-2018 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM Issued Date: 07/31/2018 Inspection Area : 8 PERMITS EXP/RE 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: 2854 ALTA VISTA DR NB Description: SFR -INTERIOR ALTERATION 1100 SF. WINDOWS, DORMER, RE -ROOF, SLIDER Legal Desc.: N TR 5018 LOT 15 - Owner: LOUCKS MATTHEW Address: 2007 YACHT VIGILANT Record Management: NEWPORT BEACH, CA 92660 Phone: 949-459-1681 Applicant: LOUCKS MATTHEW Address: 2007 YACHT VIGILANT Hazardous Mat NEWPORT BEACH, CA 92660 Phone: 949-459.1681 Code Edit : 2016 Type of Construction: V -B Occupancy Group: R3/1.1 Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Construction Valuation: $175.000.00 Building Permit Fee: $1,470.00 Plan Check Fee: $1,278.90 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $36.00 Energy Compliance: $122.50 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $7.00 TOTAL FEE: $4,030.90 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: H D R CONSTRUCTION Architect: Address: 21800 VERNE AVENUE Address: Grading PC Consultant: HAWAIIAN GARDENS CA 90716 Grading Permit Fee: Phone: 562-233-5671 Phone: Con State Lie: 923536 Engineer: Lie Expire: 10/31/2018 Address: Bus Lic: BT30064002 Lie Exp Date: 07/31/2019 Phone: Worker's Compensation Insurance Carrier: NATIONAL LIABILITY FIRE Policy No: A9WC960063 Expire: 02103/2019 Building Setbacks Rear: / Front: / Left: I Right: I Use Zone: Parkina Sea Excise Tax: $0.00 Additional Fee : $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $102.90 Mechanical %: $58.80 Plumbing %: $132.30 Designer: Address: Phone: State Lie KARIMI MOHSSEN 8502 E CHAPMAN, STE 177 ORANGE CA 92869 7141932-0775 State Lic:C-057364 Special Conditions: Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share : Fire Plan Rev SJH Trans : Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication: $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 Plan Check Fee : $782.22 Fee Due at Permit Issuance : $3,248.68 OYG Y E 6 G Y POBLIC WORKS APPROVAL: PLAN CHECK BY: o e APPROVAL TO ISSUE: ce oow e�. om d ,weo ecc Fire Department $37.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 Plan Check Fee : $782.22 Fee Due at Permit Issuance : $3,248.68 OYG Y E 6 G Y POBLIC WORKS APPROVAL: PLAN CHECK BY: o e APPROVAL TO ISSUE: ce oow e�. om d ,weo ecc 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 10 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 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 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 U portions of the work, and the structure is not intended or offered for sale (Section 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 or improves the property, provided that the 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 burden of proving that it was not built or n 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 pply 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: 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 legall, 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.html. 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 Section 7 OZ of Divisiorl.,3 of the Business and Pro s ions Code�and mvjic@nse is in full force nd effect. License Class License No -i1J.S-2 C� Date -�� t Y Contractor Signature �� YORKERS' COMPENSATION DECLARATION 'ARNING:.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 QOMPENSATION, 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: ] 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 erjormance of tlfer work for which this permit is issued. Policy No. have and wilryrlQlntain worloq' 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' rance carrier.a d�olicy nu be are: `._ /7 Ser %✓L F L �.., %%I 1 P li,y Number � �/wC � aC! � 3 Expiration Date a' is of Ane V Phone # 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 , if I should become suoject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Of D;< ;�/--/ DECLARATION REGAIJDIAG 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 ender's Name Lender's Address y 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. 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