HomeMy WebLinkAboutX2018-1653 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�III COMB Permit: X2018-1653
too Civic Center Drive, Newport Beach, CA 92660 Project No: 1278-2018
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 Issued Date : 0513112018
Combination Type - BLDG PLUM Inspection Area : 4
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: 3 ROCKY POINT RD NB
Description: DEMO SFR WIATT GARAGE 66571660 SF (6 BEORM), INCLDS SEWER CAP
Legal Desc.: P BK 95 PG 30 PAR 1 7
Owner: FIRST ROCKY PROP LLC
Address: 2530 S BIRCH ST
SANTA ANA, CA 92707
Phone:
Applicant:
CHAMBRONE RICHARD
Address:
335 E BLUERIDGE
ORANGE CA 92865
Phone:
9449-391-8200
Code Edit : 2016
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:
Valuation: $27 000.00
Building Permit Fee: $103.00
Plan Check Fee: $189.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.0c
Hazardous Mat
$0.0c
Building Green Fee :
$2.0(
TOTAL FEE: $2,306.27
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: OWNER/BLDR Architect:
Address: AUTH AGNT:CHAMBRONE, RICHARD Address:
Phone:
949.391-8200
Phone:
State Lic:
Con State Lic:
O/B
Engineer:
BACH GEORGE
Lic Expire:
Address:
2961 MCINTOSH DR
LONGMONT CO 80503
Bus Lic:
Phone:
215-313.6626 State Lic:C-011092
Lic Exp Date:
Worker's Compensation Insurance
Designer:
'
Carrier.
Address:
Policy No:
Expire:
phone:
Special Conditions: JD DEMO TO HAUL
> .
Building Setbacks
Rear: I
a1tt:,-
Front: 1
Left: I
Right: /
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department
-
Fire Department
$0.00 Fire Inspection:
$0.00
Additional Fee :
$0.00
Plan check Fee :
$0.00 Fire Plan Rev
$0.00
Grading Bonds Fee:
$0.00
$0.00
Fair Share :
SJH Trans :
$0.00 Demolition Fee
Grading PC Consultant:
$0.00
In -lieu Housing Fee
:
$0.00 Building Dept Adm
$24.00
Grading Permit Fee:
$0.00
Public Works Department -
General Service
$197.00
Grading PC Fee:
$0.00
$0.00
Refund
92.00
$1'6$
WO Insp. Fee :
PAN Plancation
PlaCheck :
$0.00
Grading Bond:
0.00
Electrical %:
$0.00
San Dist:
$0.00
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$9.27
Plan Check Fee
$0.00 Fee Due at Permit Issuance : $2,306.27
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
_ `77
DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indic
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dery
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License I
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Sect]
Eyrre than five hundred dollars ($500).
as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of t
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through t
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp
improved for the purpose of sale).
❑ ,t; as owne'f'df tfie property, am excrusively contracting with licensed Contractors to construct the project (Section 7044,
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor
am exempt from licensure under the Contractors' S License Law for the following reason:
By Ay signaturb below I acknowledge ti5 A' except f y p sonal residence in which I must have resided for at least one y
sell a structure that I have built as an owner -bull if it h not con cted in its entirety by licensed contractors. I un1
Professions Code, is available upon request n hi plicati n is ylb ted or meowing Web site:hftp://www.legini
Signature of Property Owner or Authorized A
LICENSED CONTRACTOR'S DECLA ION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of
and effect. Lipense Class License No Date _
4VORKERS' COMPENSATION DECLARATION
NARNINC: FAILURE 7) SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT
COST OF COMPENSATIOI., 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 I have and' will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of
ier,ormance of dIe wurk for which this permit is issued. Policy No.
11 Frve and vT' T.a:r.tain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pal
nsl,rgnce carrier and policy number are:
o• Agent
Policy Number
ice of the work f hich this permit is issued, I shall not employ any person in any manner E
tot workers' r ipensation provisions of Section 3700 of the Labor Code, I shall forthwith
signature of ca `./
IECLARATION A DING ION LENDING AGENCY
hereby affirm under p y of perjury that there is a construction lending agency for the performance of the work for which
Ender's Name Lender's Address
y my signature Wlow, I certify to each of the following:
I am the property owner or authorized to act on the ro arty is behalf.
I have read this application and the infor have pr Ided is tract.
I agree to comply with all applicable cand co my o I nces a tate laws relating to b construction.
I authorize representatives of this ci or co tynter t e abov Identified prope Inspection purposes.
ignature of Property Owner or Authori d Print Prooertv Owner's or Autl
DATE I �OCE WITH CODE OF FEDEI
NS PART 10 TON OF IITLE 40 AND ACMD RULE
NOTIFICATION TO
PERMITEXTENDED OMD
PERMITFINAL ASBEST S TI Q, NOTAPPLICABLE TO
CERTIFICATE OF ��'%�!`I a, PROP E c EN]OLIT IN \ )
OCCUPANCYISSUED i cm..-r
.d below by the checkmark(s) I have placed next to the applicable item i)
:h, or repair any structure, prior to its issuance, also requires the applicar'.for
(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
work, and the structure is not intended or offered for sale (Section 7044,
ployees' or personal effort, builds or improves the property, provided that the
on, the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
to completion of the improvemen
that a copy of the applicable law,
E
3 of the Business and Professions Code, and my
Contractor Signature
and
is in full force
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
as to become subject to the work s' compensation laws of California, and agre
rmply with those provisions.
a
is permit is issued (Section 3097, Civil Code).
FOR OFFICE LOSE ONLY