HomeMy WebLinkAboutX2017-1844 - Permits,;6.rvno, City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
n Inspection Requests Phone (94-.,644-3255
Combination Type - MFP ELEC
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COMB Permit: X2017-1844
Project No: 0416-2017
Issued Date : 06/0812017
Inspection Area : 5
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: 608 POINSETTIA AVE NB
Description: MFR *CHANGE OF CONTRACTOR* EXTERIOR STAIRS, REMOVE BRICK REPLACE W/ STUCCO AND HARDSCAPE
Legal Desc.: PM 262-43 PAR. 1 OF PROJECT 938.01 LOCATED ON AP 459-231-22 TOGETHER ,
Owner:
DUTTON MICHAELIDUTTON JOHANNA
Address:
608 POINSETTIA AVE #A
CORONA DEL MAR, CA 92625
Phone:
Applicant:
DATTON JOHANNA
Address:
608 POINSETTIA AVE
CORONA DEL MAR, CA 92625
Phone:
949-244-5245
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 : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Contractor:
PARADISE DESIGNS INC
Architect:
Address:
1395 CALLE AVANZADO
Address:
SAN CLEMENTE CA 92673
Phone:
949-498-2156
Phone:
Con State Lie:
653430
Engineer:
Lie Expire:
09/30/2018
Address:
Bus Lie:
BT30058132_
Lie Exp Date:
02/2812018
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
FALLS LAKE FIRE
Address:
Policy No:
FLA00490800
Expire:
03128/2018
Phone:
Building Setbacks Rear: I
Front: I
Left: I
Right: I
Use Zone: Parkina Sea
State Lie:
ZHANG YAO
15375 BARRANCA PKWY, H106
IRVINE CA 92618
949-788-0424 State Lic:C-074572
Special Conditions: REPLACE PERMIT
X2017-0616
Construction Valuation:
$0.00
Building Permit Fee:
$0.00
Excise Tax:
$0.00
Planning Department -
Plan Check Fee: $0.00
Additional Fee :
$33.00
Plan check Fee:
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans
Record Management:
$0.00
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 :
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $33.00
PROCESSED BY:
ZONING APPROVAL:
Fire Department
$0.00
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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $33.00
° - PIJBLICd'NORKS APPROVAL:
0
PLAN CHECK BY:
GRADING APPROVAL: ° APPRQUAL TO ISSUE:
° o
0
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, Pryor to its issuance, also requires the applicant for
to 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
Irofessions Code) or that he or she is exempt from Iicensure 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).
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
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
nproved 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).
I am exempt from Iicensure under the Contractors' State License Law for the following reason:
�y 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 legalll
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://w .leginfo.ca.gov/calaw.htmi.
ignature of Property Owner or Authorized Agent 4e,
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 D' on he Business and a ' en a is in full force
nd effect. License Class License No Dat Contractor Signal
VORKERS' 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
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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
ormance of the work for which this permit is issued. Policy No.
have and will n(aintain %Norkers' 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 an olicy Aumber are: e-n
Date
of Agent
A certify that, in the pe rma ce of the w for which this permit is issued I shall not employ any person in any manner so as to become subject to the workers' compensatio aws of California, and agre,
lot, if I should become b' wor s' om ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions
i
ignature of Applicant to
DECLARATION RE RD ST THDWIEftbING AGENCY
hereby affirm under pen 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
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 I have proved I correct.
I agree to comply with all applicable city and county ordina es nd �t�rte lawpTelating to building construction. / r
I authorize representatives of this city or county to gnte/ th ab itifie�/,prgpqrtldfg�,nspection purposes. e f
Signature of Property Owner or Authorized Agent '
=;' Print Property Owners or Authorized Agent's Nam v 6vzr -gat
ACTION
DATE BY
ECLA ION MPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATION ART 610E TITLE 40 AND AOMD RULE
1403
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