HomeMy WebLinkAboutX2018-3094 - Permits........ .......
City of Newport Beach -Building Division��(IIII�IIIIIIII�IIfDIIIIIIIIIIIIIIIII�IIIIIIII��J� COMB Permit: X2018-3094
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 3 0 9 4
Project No
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
..... ..... Combination Type - SFP ELEC PLUM Issued Date: 1011212018
Inspection Area : 5
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Constmcdon Hours:
Monday - Friday 7.00 a.m. to 6.30 p.m. and Saturday from &00 a.m. to 6:00 p.m. No
work on Sundays or Holidays
Job Address: 3014 BREAKERS DR NB
Description: SFR BATHROOM REMODEL 80
SF *CITY STANDARD*
Legal Desc.: PARCEL MAP 284-1,PAR I AND
CORONA DEL MAR BLK A36 LOT 28 POR OF LOT
Owner: CONTARO KATHLEEN
Contractor:
JONES CUSTOM BUILDERS Architect:
Address: 3014 BREAKERS DR
Address:
6747 EVERGLADE ST Address:
NEWPORT BEACH, CA 92625
EASTVALE CA 92880
Phone:
Phone:
714-928-6522
Phone:
State Lic:
Applicant: JONES RYAN
Con State Lic:
994767
Engineer:
Address: 6747 EVERGLADES DR
Lic Expire:
0713112020
Address:
EASTVALE, CA 92880
Bus Lic:
BT30062434
Phone: 714-928-6522
Lic Exp Date:
03/3112019
Phone:
State Lic:
4
Code Edit: 2016
Workers Compensation
Insurance
Designer:
00
o
Ag
Type of Construction: V_13
Occupancy Group: R31U
Carrier.
Policy No:
EXEMPT
Address:
Added /New sq.ft. Bldg: 0
Expire:
Phone:
Added lNew sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear. I
Special Conditions:
No of Units I
Front: I
Bldg Height: 0
Left: 1
00 .0
0000
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone: Parking Spaces:
0 Fire Hazard Zone: N
Construction Valuation: $12,000.00
Building Permit Fee: $264.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $229.68
Additional Fee:
$0.00
Plan check Fee: $40.00
Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share: $0.00
Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans: $0.00
Demolition Fee
Record Management: $2.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee: $0.00
Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication: $0.00
Refund Deposit
$0.00
Disabled Access: $0.00
P/W Plan Check: $0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$18.48
San Dist: $0.00
Building Green Fee: $1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$23.76
$0.00
TOTAL FEE : $578.92
Plan
Check Fee:
$0.00 Fee Due at Permit Issuance $578.92
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
OWNER -BUILDER DE
I hereby affirm under pen;
(Section 7031.5, Business ar
the permit to file a signed sta
Professions Code) or thai he
not more than five hundred d
❑ I, as owner of the proper)
Business and Professions C(
improvements are not intend
improved for the purpose! of
❑ I, as owner of the proper
apply to an owner of propert}
❑ I am exempt from license
By my signature below I acke
sell a structure that�l have be.
LARATION
y 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)
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
rent 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
`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
ars ($500).
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,
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
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
y; am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
re under the Contractors' State License Law for the following reason:
owledge 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 legs
ittlas 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
e',upon request when this application is submitted or at the following Web site:http://www.leginfo.Ga.gov/calaw.html.
>igrLature of Property Owner or Authorized Agent Date
rCENSEQ (", NTRACTORIS DECLARATION
hereby affirm'. bfi6er penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00) of Division 3 the Business and Prof s' o a y license is in full force
tna effect. Lic3nse Class: License No Dat Ab % %Zo %��Contractor Signature
N®RKERS, P_Q ENSATION DECLARATION
?ARN:�NG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI D/at
AND CIVIL FINES UP TO ONE HUNI RED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE
;O OF COMPE[SATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
,eras by affir6i under'penalty of perjury one of the following declarations:
1"hhave and Tvill 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 th
I�Ff6r�nance of -the wark for which this permit is issued. Policy No.
�. C C C C C C
31 have and will maintainworkers' 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' compensatiol
<C
nsuraace carrier<nzi�oolicy number are:
,aRier " Policy Number Expiration Date
of Agent
rtify that, in the p(
*should become
ance 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'
, .1 or co ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant
1ECLARATION REGA DIN NSTRUCTION LENDING AGENCY
hereby affirm under natty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3
ender's Name It I 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 owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and counh ordinances and state laws relating to building construction.
I authorize representatives of this city or county en ve= frfied property for inspection purposes.
signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's_ are
ACTION
II DATE
BY
ORATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1
PERMIT EXPIRED
1 SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
0EPA
PERMIT EXTENDEDQAQMD
PERMITFINAL
j�
UASBESTOS NO FICATION IS NOTAPPLICABLE TO
OtROPOSED
CERTIFICATE OF
t-
DE
OCCUPANCY ISSUED
SIGNATURE:
laws of California, and
iC 471 - 119.
Civil Code).
25
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