HomeMy WebLinkAboutX2016-2863 - Permitsvq"°r City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
u.. Inspection Requests Phone (949)644-3255
o,�va Combination Type - MFP ELECT PLUM
*X2016-2863*
COMB Permit: X2016-2863
Project No: 1978-2016
Issued Date : 10/13/2016
Inspection Area : 8
- PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE(CARBON MONOXIDE DETECTORS (PLUMBING FIXTURES TO BE UPGRADED
Job Address: 2132 VISTA LAREDO NB
Description: MFR - ALT REMODEL KITCHEN/BATHROOMS 324 SF &
Legal Desc.: TR 5692 (L.L.84-214027) PAR F6-
Owner:
THORNTON RICHARD E -
BAILEY DAVID
Address:
2123 VISTA LAREDO
NEWPORT BEACH CA 92660
Phone.
Applicant:
BAILEY DAVID
Address:
23187 LA CADENA DR #101
LAGUNA HILLS CA 92653
Phone:
949-573-1060
Code Edit : 2013
Type of Construction: V-B
Occupancy Group: R21U
Added /New, sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units: 3
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
11 Construction Valuation: $&
Data:
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Addrets: t 57 SHEARWATER PL Address: l 8 7(V CAA'D64(biV110 : €.1l
Phon�a- r rIEWP¢RT BOAIxH C-/R926fi0 LAGUNA HILLS CA 92653
! 949 63 374• r ; Phone: 949-573-1050 State Lic:CO2
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(Con �terL -�J565'42 �.✓�' y.,;,;.:-,-y «:EigtneEr.-° tf`fi�17:
Lic Ex 03/32�17 Address:
Bus Lic: BT30037317
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e: -at ..(Nsu EK,'N�nPPeeMLOEPYTEkka,Ea SFZF: W � ; - e: State Lic
is C '-7 Debner:
Car"
ss:
PolicirPhone:
9UseZ0rA.-~L,
Idling Setbacks Rear / S a�C�di,}j�ns�,,, l""�. Rr�
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a Let 'I t+ rc� E ax'.5 R,3rNgrgi6PUes: 0 Frte'Haz2rd"Zo eS i-."c`s )
Building Permit Fee:
Plan Check Fee:
$737.00
i5E` S ax.
�i
$0.00
Plannin D art t
e epa ent'
Overtime Plan Ck:
$641.19
$0.00
.� al
Grading Bonds Fee:
$0.00
Plan check Fee :
Fair Share:
$37.� Fire In�A0ecti
O.dopsP• inFrce(I$I°ah°R
Investigation Fee:
$0.00
Grading PC Consult
ans :
$0.00 De�roo' - n
Record Management:
$12.00
rading Permit Fee:
- ,$O�Q
- Le .
-
Building Dept Adm
Energy Compliance:
$56.00
fai7m ee:
$0.00
Public Works Department-
General Service
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
Disabled Access:
$0.00
PAN Plan Check :
$0.00
Grading Bond:
Hazardous Mat
$0.00
Electrical W
$51.59
San Dist:
$0.00
Building Green Fee :
$3.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$66.33
TOTAL FEE: $1,604.61 Plan Check Fee : $1,604.61 Fee Due at Permit Issuance
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
0
PUBLIC WORKS APPROVAL
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
PLAN CHECK BY:
APPROVAL TO ISSUE: IV L
0 0
0 0
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a a
0 0
9Ji BY•
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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 Business and
Professions 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
not more than five hundred dollars ($500)..
1
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions ol
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, throug`1
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
improved for the purpose of sale).
❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 704,�,
Business and Professions Cade: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor
pursuant to the Contractors' Stale License Law).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
year prior to -comp a ion o a Improvements covered by this permit, I cannot legal)
By my signature below I Lek _. d_ ,. DFIBIWBi�Sch^hTnust have'T95r&#d'fa'F`9t'I'a`t one
sell a structure that I hav 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
Professions Code, is ava able Lg3on reqgu,�est when this application is submitted or at the following Web site:htt/f 2ffIeq(
4
Sn-caie�Wcalaw.html:
'1
Signature of Property0 er or t`�ori Ag_eut,
Date
LICENSED COf E OR'S DECLARATION
I hereby affirm under peR lty of e t h l am h unde__Rrovi s oFEh cor£r1r33enBln ith Se ti p
f L
f(}i i5ly�>h 3�L�tDe02w de arnd'PrQfessi s Code, and once
a Qei4eect�. Lice�aa E4a L5e �.� 1S Date
'� 7 Contractor Signature
ORIC�RS' CONPP@IN AT] N DEC RAT = N
Rrflr�Cy FAILURE TOSECU WO SATIO(I'S UN ` F[�L ARSHAEfi3EGJ53ANM�L03 C til
Ri7W]
T1E5 AN@GML-FINEBiiPT9-BRE11tlNDREO THOUSAND DOLLARS (§100,000), IN ADDITION TO THE
COST OF COMPENSA-9 N, Da GES OR IN SEC71ON 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
�.
1 hereby affirm uAde4optb ty of perjury one of the following declarations:
,,
I,I0ave and Vjilljmairtjin a a�IWicca es,: con `t�'dvse �In Fre i o kg;'-.- erjs fg�a Mn .- uea Dy�:the Director
f Industrial Relations as provided �r by Section 3700 of the Labor Code, for th
)erf arm a nce of tke work for, this pe t Is Is re Poll o -.�
F V
+
L L�avaand will riiaintai one Isah er, e'er rec` ilred b Sec, iO'r? OU_� 4fJJW &A�ode, for the
performance of the work for which tIfs permit is issued. My workers' compensatio
*ul"anc¢r carrier f1d.p�o�i nuIT
Policy Number
Expiration Date r
Of -Agent ""
Phone # rF
bec6�rt �sf) the worlters' compensation laws of California, and agre
� 3
I ce ify that, in the pert rman o e `A'c,3_r�CT �t er 90ed;H hall not emp- y any, per¢o Pia 119n
` �haUiPiA6kti�ei
I should be ject or , rs ii _ a to pr isro ls, gf4E1eo�'ion 3700 of Map CFtda ,
Signature of Applicant .-, ,n a
A; mpJ. wit ots obis ns.
t�_r4aril
ww v 7
i
DECLARATION REG D G CONSTRUCT] I GA _ Y°
I hereby affirm under ena y of perjury that there is a construction lending agency for the performance of the work for which
this permit is issued (Section 309 7t[ Civil Code).
Lender's Name Lender's Address
-
By my signature below, I cgi iU `fi'.i h of the follow g= -
I am the property owner or authorized to act on the property owner's behalf.
I have read this appliction and the information I have provided Is corLa^`:=3
('
Ot�SIB;
I agree to comply with 1 pplf5able cit and count ordinances and state laws re t D> oJ�.0 ldl,�g�gp u)o>a�—T.,,I„�-„�,...-.�..-m,•.,•-
I authorize representativeg5bti iss�ci orbounty to ntertRe above -identified property for inspection purposes.
,
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized
Agent's Name Date
ACTION
DATE
BY
RATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMITEXPIRED
/j
_
I SUBMITTED ASBESTOS NOTIFICATION TO
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place' priorto approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.
PERMITCANCELLED
EPA
PERMITEXTENDED
OMD
PERMITFINAL
BESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
OPOSED DEM
OCCUPANCY ISSUED
SIGNATURE•