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Home My WebLink AboutX2016-0418 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIAIIIIIIIIIIIIIIIIIINIII�IIII P D OMBPermit: r 2016-0418 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 - Inspection Requests Phone (949)644-3255 Issued Date : 02108/2016 n, Combination Type - SFP MECH Inspection Area : 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE/CARBON. MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Job Address: 1406 S BAY FRONT NB Description: SFR R/R (E) CHIMNEY W/STEEL STUD *REPLACE EXPIRED X2013.1375' Legal Desc.: BALBOA ISLAND SEC 4 BLK 2 LOT 4 Owner: - SALMONSON RICHARD Contractor: OWNER/BLDR Address: 1406 BAY FRONT S Address: SALMONSON RICHARD NEWPORT BEACH, CA 92662 Phone: Phone: Applicant: SALMONSON RICHARD Con State Lic: O/B Address: 1406 BAY FRONT S - Lic Expire: NEWPORT BEACH, CA 92662 Bus Lic: Phone: Lic Exp Date: Code Edit: 2010 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Rear: I Front: / Left: / Right: / I % is rl� Architect: CTOR)k Address: Phone: State Lic: Engineer: KWEI PETER Address: 133 N ALTADENA #400 .... PASADENA CA 91107 °,„° Phone: 949-395-6954 State Lic:C-072100 °o ° o000 Designer: Address: Phone:. Special Conditions: O/B AUTH ATTACHED °�aoo Fire Hazard Zone : N Building Permit Fee: $278.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $0.00 Additional Fee: ($17.00) Plan check Fee Overtime Plan Ck: $0.00 Fair Share Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans Record Management: $17.00 Grading Permit Fee: $0.00 In -lieu Housing Fee Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access: $0.00 PAN Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee: $1.00 Mechanical %: $11.12 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $290.12 PROCESSED BY: ZONING APPROVAL: 0 0 0000 Fire Department $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 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $290.12 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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) I have placed next to the applicable item(s) (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 the 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 BL"S1nesS and Professions Code) or that he or she is exempt from liGensure 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 five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 witvovements 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 Panhe purpose of sale). er of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade: The Contractors' State License Law does not pp y o F �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 exempt from Iicensure under the Contractors' State License Law for the following reason: By 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 cover cl by this permit, I cannot legal[, sell a structure that I have built as an owner -builder if it has notzbe onstr in its entirety by licensed contractors. I understand that a copy of the applicable law, Sectio ( 7044 of the Business and Professions Code, is available upon request when is a n s It or at the followin ehttp//www leginfo ca gov/c Signature of Property Owner or Authorized ge ,/�,d LICENSED CONTRACTOR'S DECLA TIO hereby affirm under penalty of perjury that I a 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 and effect. Llc8QW..Qlass License No Date Contractor Signature &ORKItRS' COMMIVSATION DECLARATION 'OARNING?FAILURE T"SECYRE 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 ATTORNErS FEES. hereby affirm under penalty of perjury one of the following declarations: L heave and will.ma main 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 the Rrfoftftnce of the v"k for which this permit is issued. Policy No. DI have and will4mi4ain 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' compensatior TST11arribe carrier and policy number are: sea: .arger Policy Number fame of Agent Expiration Date .... Phone # ;"IS that, ip ilVi5erformance of the work for which this 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 agree hat, if I should Mcote subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. tignature of Applicant Date_ )ECLARATION 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 Lender's Address ly 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 I have provided is correct. I agree to comply with all applicable ci and county o man s and state laws relating to building construction. I authorize representatives of is c or county e r - entified property for inspection purposes. / ignature of Property Owner or Aut ¢ed Age Print Property Owners or Authorized A is Name ),�LcJiS ate Gc ArT"l D47F Mir 06ai /lTIONOFCOMPtfMICF_WTHCODEOF i[rftftvrtruust t FEDERAL RE&C . MNS PART61 OF TITLE40 AND PFRIaITWIRR) A0100ROLL74iF;X. 3 S[In MTTFI).dL4;WST()S Ni)1 FK'4TK)M 7D: PC17IuffTC.4PPr. LED ❑ EPA POWtTEYTENLIED ❑ AQMD PLWITTIN& ❑ ASBESTOS NORIC47MISNOT 16WLPCABLETO PROPOSEDDERIOUTI ON- CERTiACATECF OCC"UDANCYiSSUEB