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HomeMy WebLinkAboutX2018-3778 - Permitsp,1v1�a City of Newport Beach Building Division 100 Civic Center Drive, Newport Beach, CA 92660 F Permit Counter Phone (949)644-3288 ' - Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM X 2 0 1 83 7 7 8�4Jl it COMB Permit: X2018-3778 Project No : 2087-2018 Issued Date : 12/14/2018 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 Addre3s: 1703 PLAZA DEL SUR N _ _ __ Description: SFR ADD 3RD STOj2Y 3 SF B REMODEL 8 7208-0 49 �' Legal Desc.:. N.TR 518 BLK K L T 31 / Owner: STONEWOOD HC Address: 22 LARCHWOOD Record Management : IRIVINE CA 92602 Phone: $0.00 Applicant: DITOLLA JODI Address: 22 LARCHWOOD Hazardous Mat IRVINE CA 92602 Phone: 714.904-8194. Code Edit: 2016 Type of Construction: VB Occupancy Group: R3/U 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 Building Permit Fee: $2,116.(10 Plan Check Fee: $0.00 j Overtime Plan Ck: $0.0 Investigation Fee: $2,116. 0 Record Management : $60.00 Energy Compliance: $0.00 CA Seismic Safety: $17.59 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $6.00 PROCESSED BY: ®ate: /4 2 / -- Alfh59pplicable: rc Address: DITOLLAJODI Address: w% ❑ a0% or ❑ 100% refund hone. Phone: State Lie: Lic Expire: A"°°" Aqd're O"fs OO QIAZO'BR NNGKHOtt'OW-DR-#45 Bus Lic: d� �'SSANTA ANA CA 92705 Xati Phone: 714-662-0510 State Lic:( Wo oa e : - Designer.Address: oIcy Expire: Phone: uilding Setbacks ear: 15' �Ergcan ptaLi D Rinht: 2' Note: ote: Excise Tax Additional Fee : Grading Bonds Fee: "— G-rading-PG-eonwt, 'a Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: TOTAL FEE: $4,986.29 ZONING APPROVAL: $0.00 $0.00 —$400 •n n $0.00 $0.00 $148.12 $84.64 $190.44 Plan Check Fee Special Conditions: C card Planning Department - Fair Share: :—SJU-Trans.' I " In -lieu Houmina Fee Public Works Department - Park Dedication : $0.00 PM Plan Check: $247.50 San Dist : $0.00 NMUSD Fee: $0.00 Fire Department —Fire-Inspectimr. - Fire Plan Rev Demolition Fee Buildin De tAl ueneral Eervlcg Refund Deposit. Grading Bond: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: _.. APPROVAL TO ISSUE: • oo•ee• e � go• emuoo m • o m o ° o m e moom "�j�m o Ay m mo b ooe o �oomoo mono �i oa000 e mmoeoo o c o 0 mcamcc v 0 mmmmo� $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $4,986.29 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) 1 have placed next to the applicable item(s) ction 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 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 fessions 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 more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, liness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not belt or - Moved for the purpose of sale). r , as owner of the property, am a; ppl o an owner of property VAtho'liu ❑ 1 am exempt from licensure unde By my signature below I acknoWledg( sell a structure that I have buikas an Professions Code, is available upon I Signature of Property Owner o Authi LICENSED CONTRACTOR'S DE I hereby affirm urI*l; ggrplty of perju. and effect. License Class .{ VVVRKEitS' CQMPPtSATICCON C NARNING_ FAILURE TD SECURE WORIrERS' Hereby affirm under periolty . . •..... 11hp%s? and will maintain erformance of the -work for v I,FIay; land will m'afhtdin v 1aL1r,Rge carrier and policy r pt,$gent if I of Applicant the State License La for the followi g reason: n s _ I res! ce in. L�urjb=y d.;d for at Ieasi�oneiygddpnoi tOiEompletion of the Improve as no n struct In s sed contractors. I understand that a co of thea Ilcable app ati bmitt -or t Web sitehttp./Iwww.legipfoicagpvlcVaw. Vgl{1„f� t,PP(yjli fo 7,000) of(pjvisign 3 of the Business and Profs; Li..' vt , , - I I s..--Sentraotor-Signature COmPENSATI N COVE GE S UNLAWFyUL, ANP SVALP,SUJLWCT AN E !I -PYFR TQ_,k INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED' 91/10EG FOR SECTI© da OP IfHEjLr!teOFxiCOt1 ;IN0•F:Raa`T A'N aTv�M,yRNEYs REES"h-�,� t`ry one of t,(j follow,jttf�aeclaratlons €.iJa rr ra sent to�self,tnsufe Tor Wgrkers' damRansation, HSsued HyatlSaDirector of Industrial Relations as provided for s -pert VS ssued. Policy No. compensation insurance, as requJred by Section 3700 of the Labor Code, for the performance of the work for which this d, I shall not employ any person in.any-jnen9gr so as('t`'o. become subject to the workers' Section 3700 of the Labor Code, I sha11 fokfti-tti'bonply'v�ith those provisions. hereby affirm underanal gerjury that there Isa construohon lending agency for the performance of the work for which this permit Is Issue (Section -ender's Name Lender's Address - ; "• y 3Y m signature below, I rti to each -of the followin •------------ -- -- — --' - ° -_ __.._..._- Y nature 9 fy-1 y:_. I am the property owner or authorized.to-act-Gmtheproperly=ownees behalf.:,; -- - - •- - - - '•r ' I have read this application and the information I a ve provided is correct. I agree to comply with all applicable city and cou ty Inanc tate s [sting to building construction. I authorize representatives of this city or county enter denta arty for inspection purposes. ii nature of Property Owner or Authorized Agent Print Pro ertOwner's or Authorized Agent's Name �( ACTION DATE 8Y I ECLARA ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG IONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED (. ✓y/ EPA PERMIT EXTENDED K VjAQMD CERTIFICATEOF OCCUPANCYISSUED Law). State License Law does not 17044 of the Business and 1/�- (Y -I Q� ..and my license is in full force DOLLARS ($100,000), IN ADDITION TO THE 3700 of the Labor Code, for is issued. My workers' laws of California, and