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HomeMy WebLinkAboutX2016-3453 - Permits (2)NDp City of Newport Beach - Building Division IliII�IIII�IIIIIIIIIIIIIIIIIIIIIIIIII Engineer: Lic Expire: 07/31/2017 Address: Bus Lic: BT30036239 Additional Fee : Lic Exp Date: IICOMB Permit: X2016-3453 Worker's Compensation 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 6 3 4 5 3 Project No : 1242-2019 .• •: m Address: Permit Counter Phone (949)644-3288 9076367 Grading PC Consultant : Expire: Inspection Requests Phone (949)644-3255 Phone: • • m m m"„0 $0.00 Grading Permit Fee: $0.00 Issued Date : ;' • ° • ° " $0.00 Combination Type - BLDG ELEC $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: 8016 Area InspecticnAea:8 WQ Insp. Fee: $0.00 Park Dedication : em " seem Disabled Access : PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. m • " Job Address: 2271 MESA DR NB P/W Plan Check: $0.00 Hazardous Mat $0.00 Description: SFRDET. HORSE CORAUBARN 1,577 SFLegalDesc.: San Dist: $0.00 t $3.00 TR706LOT164ALL-EXSELY82.5FT- $0.00 NMUSD Fee: O Plumbing %: • ° • " Owner: PRIMM GARY E Contractor: JENKINS CONSTRUCTION Architect: MORGAN JOHN T. JR ' Address: 7000 TOMIYASU LN Address: 504 CANAL ST Address: 18682 BEACHMONT AVE ••O®•m ®®®m"� LAS VEGAS NV 89120 NEWPORT BEACH CA 92663 N. TUSTIN CA 92705 • m ® m m o 0 Phone: Phone: 714.345-9371 Phone: 714-730-2723 State Lic:CO22567 Applicant: MORGAN JOHN Address: 18682 BEACHMONT AVE TUSTIN CA 92705 Phone: 714-730.2723 Code Edit : 2013 Type of Construction: Occupancy Group: U Added /New/TI sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 35 Bldg Sprinklers: Flood Zone: X Con State Lic: 901221 Engineer: Lic Expire: 07/31/2017 Address: Bus Lic: BT30036239 Additional Fee : Lic Exp Date: 04/30/2017 Phone: Worker's Compensation Insurance Designer: Carrier: STATE FUND Address: Policy No: 9076367 Grading PC Consultant : Expire: 10/2012017 Phone: Building Setbacks Rear: 25 Front: 20 Left: 5 Right: 5 Use Zone: SP -7 REQ Parkina F FORBES DALE L 1800 E 16TH ST #B SANTA ANA CA 92701 714-835-2800 State Lic:C-030407 Special Conditions: MAXIMUM OF 6 HORSES NONCOMMERCIAL USE ONLY NBMC 20.90.060(G) Fire Hazard Zone : N Building Permit Fee: $821.00 Excise Tax: $0.00 Planning Department - $0.00 Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans $0.00 Record Management : $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $0.50 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $57.47 San Dist: $0.00 Building Green Fee : $3.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 IITOTAL FEE: $881.97 Fire Department Fee Due at Permit Issuance: $0.00 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 IITOTAL FEE: $881.97 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $881.97 PROCESSED BY: lz�PUBLIC WORKS APPROVAL: U-) I ZONING APPROVAL: GRADING APPROVAL: PLAN CHECK BY: v v •v APPROVAL TO ISSUE: DECLARATION h,:eby affirpi 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 appfrcabIS itgm(s) {section 7031.5;°0Rslr:ess 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 ap licant for ttie pgrmit 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 Frefgplons Codel 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 not more than fjV4fdhljred dollars ($500). ©• 1.;8 owner otltfe 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, business and Prpfg;sli§ns 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 i IlAvements 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 "prMfed for the purpose of sale). E3 X Sr. owner of the7operty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to'an ownl?4 3Pprcperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). N 1'aNexempt from -licensure under the Contractors' State License Law for the following reason: B)F "%ignaturr;bLlpyl T 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 thi mit, I ca of legal sell 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 704 f t Busin and Professions 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 ate LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 iv's n 3 of the Business and Pro sio dnd my I' ais in �rce and effect. License Class _ License No Da Contractor Signatur VORKERS' COMPENSATION DECLARATION F I 111� ( IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ,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: id 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 of the work for which this permit is issued. Policy No. and will maintain workers' cor carrier and policy number are: ie of Agent certify that, in the pertorm cis f e work if I should become subj ct to workr IatureofApplicanI / hereby affirm under pen C Ender's Name ly my signature below, I certify to each of the following I am the property owner or authorized to act on the I have read this application and the information I agree to comply with all applicable city and cO q authorize representatives of this city or co t tc f ionature of PrODertv Owner or Authorized ADen as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Date k is issued, I shall ploy any person in any manner so as to become subject to the workers' compen ation laws of California, and agre ss�s of Sec370 of the Labor Code, I sh forthwith comply with those provisions. I Da lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ,-'I Lender's Address for building ACTION DATE BY / D RATION.41` COMM E h4+WIDDE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 6 TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION T All required alarms, latches gates and fences which Serve as part of a pool/spa barrier, shall be in place priorto approval to fill pool/spa & shall remain in place & be maintained forthe 1fE of th I. PERMITC4NCELLED UEPA PERMITEXTENDED QMD PERMIT FINAL SBESTO NOT ICATI IS APPLIC E O CERTIFICATEOF '2 �(��� rp"(��y� PROPOSED LITION OCCUPANCYISSUED J-�U SIGNATURE: