HomeMy WebLinkAboutX2018-0974 - Permits=rwwr„� City of Newport Beach - Building Division IIIIIIIIIIiIIIIIIIIIIIullllllllllllllllllllllllllll II COMB Permit: X2018-0974
of r 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0788-2018
H " Permit Counter Phone (949)644-3288
is 5 Inspection Requests Phone (949)644-3255
Issued Date: 05114/2018
LJLIYUY��a Combination Type - MFP ELEC PLUM 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: 422 MARGUERITE AVE NB
Description: MFR -REPLACE (4) WINDOWS AND REMODEL 2ND FLR BATHROOM 40 SF
Legal Desc.: CORONA DEL MAR BILK 439 LOT 16 OF PROJECT 938-01 LOCATED ON AP wwww_�
Owner:
LEDKINS WILLIAM
Address:
422 MARGUERITE AVE
CORONA DEL MAR CA 92626
Phone:
714-906-3555
Applicant:
SADOWSKI GREG
Address:
515 POINSETTIA AVE
CORONA DEL MAR CA 92626
Phone:
949-278-1145
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Contractor:
ALA CONSTRUCTION
Address:
34441 CALLE PORTOLA
CAPISTRANO BEACH CA 92626
Phone:
949-492-5576
Con State Lic:
707597
Lic Expire:
06130/2019
Bus Lic:
BT30063184
Lic Exp Date:
0513112019
2016 Workers Compensation Insurance
VB Carrier:
STATE COMP. INS
R21U Policy No:
9117679
0 Expire:
1111112018
0
Building Setbacks
Rear: I
Front: I
Left: /
Right: I
Construction Valuation: $35,000.00
Building Permit Fee: $542.00
Plan Check Fee: $471.54
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,143.76
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Architect:
Address:
' �„A
Phone: State Lic:'-
Engineer.
Address:
Phone: State Lic:
Designer: SADOWSKI GREG
Address: 515 POINSETTIA AVE
CORONA DEL MAR CA 92625
Phone:
Special Conditions:
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee : $37.50
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00
Fire Plan Rev
$0.00
Grading PC Consultant :
$0.00
SJH Trans : $0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee: $0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PAN Plan Check : $0.00
Grading Bond:
$0.00
Electrical %:
$37.94
San Dist: $0.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$48.78
$0.00
Plan Check Fee :
$509.04 Fee Due at Permit Issuance :
$634.72
- PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVALTOISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable itam(a)
(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, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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
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).
❑ 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
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' State License Law).
❑ 1 am exempt from licensure 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 covered by this permit, I cannot legall)
sell a stmcture.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
Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of p r'ury $hat I am licensed under provisions of Chapter ing with Section 7 00 of Di s' 3 o the Business and Professia s Co and my IG�I se is in full force
and effect. License Class f h (' License No '�%/7 % / Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 have and will Abintain 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
)erF94ance of the work for which this permit is issued. Policy No.
and will aintai\ workers' compeninsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carrier anUo[icA number are: r ) r\
Date
of Agent
JI certify that, in the peIf a' ce of th rk 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 agre
tat, if I should become sub' ct to t rkers' compe tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. l
ignature of Applicant a\Yi / DECLARATION REGA CO U I ING AGENCY
hereby affirm under enal of p Jury t there is struction 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 ckifyrlto each of the following:
I am the property owner or authorized to act on the property ow rs behalf.
I have read this application and the information I have provid Is comet
I agree to comply with all applicable City and county ordina as and st a laws relating to building construction. I i��i�L
I authorize representatives of this city or coun t me ove-id If' d property for inspection purposes. -
ignature of Property Owner or Authorized Agent � Print Prooertv Owner's or Authorized ADent's Name � �,W/ `�% Y /
ACTION DATE BY �rqFECRATIt OFG6MPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
ATIO PART61 OF TITLE 40 ANDAQMD RULE
PEI LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED LJAQMD
PERMIT FINAL _ 8rt,h- ASBESTOS NOTIFICA IS NO ABLE TO
CERTIFICATE OF 2f. / PR OSED DE70.1
�OLITI
OCCUPANCY ISSUED 'f CIrNATIIRIX / .. 7 I