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HomeMy WebLinkAboutX2016-4340 - Permitstv/rry City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 H Permit Counter Phone (949)644-3288 a Inspection Requests Phone (949)644-3255 �"rrrr�rH Combination Type - MFP ELEC GRAD MECH PLUM IIIIX2 0 IIT6III�IIII43 4 0 II FM SPFUNKMS P 1 rw 1 I f4W COMB Permit: X2016-4340 Project No: 2986-2016 Issued Date :03/07/2018 Inspection Area : 1 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: 2805 W BALBOA BLVD NB Description: NEW DUPLEX W/ATT GARAGE 2903 SF & 865 SF - - ,� •„ Legal Desc.: Owner: GOLD Address: 2805 E Phone: Applicant: MELILLO Address: 2901 W. C Phone: 949-375-1 Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Gars No of Stories: No of Units : Bldg Height: Bldg Sprinklers: Construction Building Permit Fee: Plan Check Fee: $2,! Overtime Plan Ck: Investigation Fee: Record Management Energy Compliance: CA Seismic Safety: Disabled Access Hazardous Mat Building Green Fee DA BBLQLHVDC Address: WALKERTUMY BE Lr;=r�'d�: Lit V -B -SPR R3 903 65 $24.00 (workd� r4bfiT31 " . $791.28 $57.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $827.30 - ornding-Pefnlif-Fee:--'--$826:66' Grading PC Fee: $181.60 WO Iran. Fee, 50.00 TOTAL FEE: $13,619.52 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Electrical %: $638.82 Mechanical %: $501.93 Plumbing %: $410.67 Plan Check Fee Address: If applici�Wq: 80%5! 00.7��'c; Special Conditions: PIAtre E chACIT'F �tarted) $0.00 FlFire Fair Share : $0.00 Fire F SJH Trans : $0.00 Demc --irt-lieWionsing-Fee-:--0-00 -Bui Public Works Qepartmept ; Iei Par_ k DPdSatPd�Sp. 1$DIQOa Is:Ret P/W Plan Check: $304.00 Grad San Dist: 12,0.00 NMUSD Fee: $759.92 REDONDO BEA ,�p to VVho E1, hone: 310-849-2044 Designer: MELILLO DAN Address: 2901 W. COAST Band: NEWPORT BEA Phone: 949-375.8310 Special Conditions: PIAtre E chACIT'F �tarted) $0.00 FlFire Fair Share : $0.00 Fire F SJH Trans : $0.00 Demc --irt-lieWionsing-Fee-:--0-00 -Bui Public Works Qepartmept ; Iei Par_ k DPdSatPd�Sp. 1$DIQOa Is:Ret P/W Plan Check: $304.00 Grad San Dist: 12,0.00 NMUSD Fee: $759.92 ATTACHED $0.00 $0.00 in Fee I Dept Adm $0.00 --''•x' � o emmeee Deposit $0.00 Band: ee State Lic: • e e CA 90277 e°e�,+.a.SVmeem State Lic:C-054914 • m^" ' o ®•••me tY omm•o CA 92663 ATTACHED $0.00 $0.00 in Fee I Dept Adm $0.00 1 Service $0.00 Deposit $0.00 Band: $0.00 $0.00 $0.00 $3,574.40 Fee Due at Permit Issuance : $10,045.12 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: .e. e OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Con(p ' t �(p e, fszr t Mrs s) indicated below by the checkmark(s) I have placed next to the applicable item(s) f�ft r e, demolish, or repair any structure, prior to its issuance, also requires thB applicant for Business Professions Code: Any city or county thatg i I (Section 7031.5, and r4 �a`t,�'aIf the to file a signed statement that he or she is licensed pursuant to The provisions oft L O L ense Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ' permit Professions Code) or that he or she is exempt from licensure and the basis for thiolation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of '1 not more than five hundred dollars ($500). a ss1. ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 im ed for the purpose of sale). •�. .... (Section 7044, Business and Professions Code: The Contractors' State I:icense Law does not to construct the as owner of eproperty, am exclusively (cense ontractors project app y to.an owner oiproperty.who builds or imp ves thereon, and who contracts for the projects with a licensed Contractor pursuant to thegl�Jr�c�to�tate License Law). f' Ll dF°I•� f 0 *1 aneexemplifrom litensure under the Cont ctorsDgd�i�ense Law for the y g By myeignature 6e18w I acknowledge that, exc t for my ersona residence in which I must have resided for at least one year prior pm lejign of th�j�'�g(q�(¢�ppts ccQ�g( is permit, I cannot le all y ell'�,StlUcture that I have built as an owner-bui er if it snot been constructed in i entire by f nse tra rstand of jfGilf eplilicl3bl�da443 �Set3814 5f the Business and Professions Coda, IS, available upon request wh n thl is su at follo b ! . e in ca.gov/calaw.html. D �1 �„•� ' '( X Signature of Prope4Owner or Authorized Age CICENSED CONTRACTOR'S DECLARA - t0 W OITI: 3 the Business and Professions Code, and 4 license is in full force er 9 io o n of lelVdItly affirm *talar penalty of perjury that I a can ovisio en wi ctIVISIO araA�ct. License Class se No Date Contractor Signature F: 1Q/q KERS' CQMPENSATION DEC LARA ION VLARNING!FAILURE?fC&P&tj)RE WORKERS' COMPENSATI N CO RAGE IS AW'EANZDkSIAJE AN I I '' L S A CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$;0,000), IN ADDITION TO THE GQBW 06 COMPENSATION, DAMAGES AS PROVIDED FOR I SECT N 3]06 O ELAYI iiabiraffirm Undarpenalty of perjury one of th follo ing decl tion . . I have and will maintain a certificate of co ant - for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 o the Labor Code, for th performance of the work for which this permit is i sued. Policy No. - - I have and will maintain workers' compensat In insurance, as required by Section 370 of the Labor Code, fo tt+e-ppFrfo cee o he wor��c f uy��h t ' 1rlp� i& ' sued. M workers' compensatiD insurance carrier and policy number are: p !'Ii) ` *q �9 E�1 6rsis n ''I Carrier olicy u e pl to as .I III e Name of Agent nr G I certify that, in the perr rmance of the work fc which this permit i �ssvB , I Sh em loy any person in any manner so as to become subject to the workers' co nsation law of California, and ogre that, if I should become bliect the rkoors' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^g' Signatureof Api an a — DECLARATION RE ARD( G NST CTION G A t�i f�Nil6ode}--- I hereby affirm and penalty of perjury that there a construction lending agency for the performance of the work for which thislast Lender's Name ^ s By my signature below, I certify to each of the foil win 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 vided is correct. I agree to comply with all applicable city and county finances and state laws relating to building construction. I authorize representatives of this city or county t e above -i ntifi property for inspection purposes. I�/� ' Date Si nature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Na r 1 W ACTION DATE BY DECLARATION OF -COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLEDEPA PERMITEXTENDED QMD PERMITFINAL ASBESTOSNOTIFICATION I. NOT APPLICABLE TO CERTIFICATEOF PROPOSED N OCCUPANCY ISSUED SIGNATURE• .ii