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HomeMy WebLinkAboutX2017-0422 - Permits (2)r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIII�III�IIIIIIIIIIIIIIIIIIIII� II `. 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 7 0 4 2 2 Permit Counter Phone (949)644-3288 -0Y Inspection Requests Phone (949)644-3255 t l r t A l 2___7 Combination Type - CIP ELEC U L A I V I7-7_1 \/� (-00A ITO COMB Permit: X2017-0422 Project No : 0291-2017 Issued Date : 05/0812017 Inspection Area : 7 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 Job Address: 1221 W COAST HWY NB Investigation Fee: $0.00 Description: POOL DECK & RESTROOMS WI ELECTRICAL "BALBOA BAY CLUB" Legal Desc.: IRVINE SUB BILK 54 LOT 171 POR OF LOT $0.00 Disabled Access : Owner: BALBOA BAY CLUB VENTURES LLC Contractor: R D OLSON CONSTRUCTION Address: 2532 DUPONT DR Address: 2955 MAIN ST, 3RD FL IRVINE CA 92612 IRVINE CA 92614 Phone: 949-861-4700 Phone: 949-474-2001 Applicant: MARTIN JR WILLIAM Address: 1350 CORONADO AVE LONG BEACH CA 90804 Phone: 562-597-8760 Code Edit: 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $353.000.00 Building Permit Fee: $2,360.00 Plan Check Fee: $2,053.20 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $15.00 TOTAL FEE: $5,581.10 PROCESSED BY: ZONING APPROVAL: Con State Lie: 953845 Lie Expire: 10131/2018 Bus Lie: ST30009757 Lie Exp Date: 05/31/2018 Worker's Compensation Insurance Carrier: STARR INS Policy No: 100001219 Expire: Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: 07/01/2018 Rear: / Front: I Left: I Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $330.40 $0.00 $0.00 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone KOLLIN MICHAEL 1350 CORONADO AVE LONG BEACH CA 90804 562-597-8760 State Lic:c021173 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 State Lie: $0.00 $0.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 Plan Check Fee : $5,581.10 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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 : $5,581.10 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER 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 to the applicable items) lection 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). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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). 1 am exemot"ffom 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:/Auww.leginfo.ca.gov/calaw.html. signature of ProggWy 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 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class _ License No Date Contractor Signature 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 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5705 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 th( erformance of the work for which this permit is issued. Policy No. have and will maintain 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 carrier and policy number are: Policy Number Date is of Agent rnone s certify that, in the performance of the work for which this permit is issued, 1 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 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Date_ iECLARATION REGARDING 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, Civil Code). ender's Name Lenders Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information 1 have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. innahlre of Pmnerty Owner or Authorized Aaent Print Prooertv Owners or Authorized Agent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AC MD RULE 1403 PERMIT EXPIRED I Ul SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED UASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION Date