HomeMy WebLinkAboutX2019-2034 - Permits1yp
City of Newport Beach - Building Division
Construction Hours: Monday - Friday 7:00 a.m.
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone (949)644-3288
- ..
Inspection Requests Phone (949)644-3255
Combination Type - SFP MECH ELEC PLUM GRAD
II IIX I��II 0�I� 1������I� � �I�� 0� I 14 II
COMB Permit: X2019-2034
Project No: 1476-2019
Issued Date : 0712412019
Inspection Area : 8
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: 8 TURTLE BAY DR NB
Description: SFR ADD 310 SF BEDIBATH @ 2ND
FL, REMODEL 350 SF W/YARD DRAINAGE
Legal Desc.: N TR 15391 LOT 23
Owner: HARBOUR KATHLEEN E
Contractor:
M B CONSTRUCTION Architect:
Address: 8 TURTLE BAY DR
Address:
27161 CALLE
DELGADO Address:
NEWPORT BEACH, CA 92660
SAN JUAN CAPISTRANO CA 92675
Phone:
Phone:
949-378-9291
Phone: State Lie:
Applicant: HARBOUR KATHLEEN E
Con State Lie: 781252
Engineer: CHRISTIAN DALE
Address: 8 TURTLE BAY DR
Lie Expire:
07131/2020
Address: 1744 W KATELLA AVE #107
LU
NEWPORT BEACH, CA 92660
Bus Lie:
ST30051149
ORANGE CA 92667
A
Phone:
Lie Exp Date:
Phone: 714-997.1145 State Lic:S-002705
.05131/2020
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Code Edit: 2016
Type of Construction: V -B
Worker's Compensation Insurance
Carrier: STATE COMP
Designer: HUDGINS SCOTT
Address: 1107 S COAST HWY
Occupancy Group: R31U
Policy No:
9228890
LAGUNA BEACH CA 92651
0
Added ]New sq.ft. Bldg: 310
Expire:
03131/2020
Phone: 949-322-7922
Added INew sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: 10
Special Conditions:
No of Units: 1
Front: 5
Bldg Height: 0
Left: 5
..
Bldg Sprinklers: N
Right: 5
Flood Zone: X
Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $83.800.00
_
Building Permit Fee: $1,759.00
Excise Tax:
$0.00
Planning Department - Fire Department
Plan Check Fee: $1,349.48
Additional Fee:
$0.00
Plan check Fee : $160.00 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 : $62.00
Grading Permit Fee:
$312.00
In -lieu Housing Fee: $0.00 Building Dept Adm
$0.00
Energy Compliance: $58.66
Grading PC Fee:
$312.00
Public Works Department - General Service
$0.00
CA Seismic Safety: $10.89
WQ Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit
$0.00
Disabled Access : $0.00
PMI Plan Check: $82.50 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$123.13
San Dist: $874.00
Building Green Fee : $4.00
Mechanical %:
$70.36
NMUSD Fee: $0.00
$0.00
Plumbing %:
$158.31
$0.00
TOTAL FEE : $5,336.33
Plan Check Fee
: $1,168.25 Fee Due at Permit Issuance : $4,168.08
PROCESSED BY:
`�PUQLIC-WOIZA APPFOVAL W
ZONING APPROVAL:
PLAN Cl1EC9( BY.
GRADING APPROVAL:
APPROVAL TO ISSUE:
� c �m
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 iterr)(l .:..
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 �3usiness 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 fo a civil penalty of
of more than five hundred dollars ($500).
1, 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 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
nproved for the purpose of sale).
7 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
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).
7 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 legally
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 Section 70 0 f D'vi ion 3 of the Business and Prof e A, and A�sell force
not effect. License Class License No lei Contractor Signatur
UORKERS' COMPENSATION DECLARATION
1ARNING: 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:
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
'ormance of the work for which this permit is issued. Policy No.
have and 'klmaintain 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'
rance carrieXa(1.lpolicy num share: . A
Date
lame of Agents L r% -4.j 0 ()4v L.o rnone #
11 certify that, in the peAce of the rk for whi his 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
Sal, if I should become t e work s' comp provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -'-7
ignature of Applicant `
DECLARATION REGAO UCTION 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, Civil Code).
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 ave provided is corn
I agree to comply with all applicable city and Coun dinances nd st to aws relating to building construction.
1 authorize representatives of this city or coup t r ,Aib a -idle ro any for inspection purposes. �y/' p�
innafure of Pmnerf V Owner or Aufhnrized ADenf KA tint ProDertv Owner's or Authorized AOent's Name A MAiZV_ C71 Y41L1 __ to
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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