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HomeMy WebLinkAboutX2018-0659 - PermitsCity of Newport Beach - Building Division o 100 Civic Center Drive, Newport Beach, CA 92660 H Permit Counter Phone (949)644-3288 ' s n Inspection Requests Phone (949)644-3255 #r Combination Type- SFP ELEC MECH PLUM Construction Hours: Monday Job Address: 4645 CAMDEN DR NB Description: SFR - ADD 96 SF/REMODEL 776 SF Legal Desc.: N TR 3357 LOT 127 Owner: MAI MICHAEL THANG & CHAULINH Address: 4645 CAMDEN DR CORONA DEL MAR, CA 92625 Phone: Applicant: RICHARDS CHRIS Address: 1250 COAST VILLAGE RD, STE J SANTA BARBARA CA 93108 Phone: 805-969-5074 Code Edit : 2016 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 84 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 24 Bldg Sprinklers: Construction Building Permit Fee: $1,802.00 Plan Check Fee: $1,496.42 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $56.00 Energy Compliance: $84.00 CA Seismic Safety: $15.60 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $5.00 TOTAL FEE: $4,007,42 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: COMB Permit: X2018 Project No : 0540-2018 Issued Date: 04/2712018 Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VAUD INSPECTION. Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Contractor: MILO CONSTRUCTION Address: 101 VIA MONTE PICAYO SAN CLEMENTE CA 92673 Phone: 949-290-6429 Con State Lie: 871429 Lie Expire: 03/3112020 Bus Lie: BT30038762 Lie Exp Date: 03/3112019 Worker's Compensation Insurance Carrier: EXEMPTION Policy No: Expire: Building Setbacks Use Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: Rear: 30 Front: 6 Left: 6 Right: 6 D Parkina .$DaceE $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $126.14 $72.08 $162.18 Plan Check Fee N Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: CUNG THIEP HOANG 1250 COAST VILLAGE RD, STE J SANTA BARBARA CA 93108 805-969-5074 State Lic:C018995 VAN SANDE GREGORY KEITH 2920 DE LA VINA ST SANTA BARBARA A 93105 805.963-6901 State Lic:C-030964 ' .... Special Conditions: Fire Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PNV Plan Check: $38.00 San Dist: $0.00 NMUSD Fee: $0.00 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 $1,618.42 Fee Due at Permit Issuance : $2,389.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: (� APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION [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 le 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 rofessions 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 Dt more than five hundred dollars ($500). ] I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 1provements 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 iproved 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 licensure 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 legall, all 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://www.leginfo.ca.gov/calaw.html. ignature of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 of Division 3 of the Business and Cod@, and my lice is in full force nd effect. License !ass License No Date 'Z t E Contractor Signature/ 'i- fORKERS' COiMFENSATION DECLARATION Nr10,C. PAILURELTO DLCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNND DOLLARS ($100,000(, IN ADDITION TO THE DST 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: I have and wil' Tizrtain 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 ettQrrriance of the wbrk for which this permit is issued. Policy No. have and wi.; ma;r.Wn workers' 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, and policy number are: Policy Number of ,.Agent ___ Date cert'f;• that, in the perfo 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' compensation laws of California, and agre I, if I, snould b?oome su ect to the workers' coml1pensati provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant dI DatI CLARATION FEEL DING CONSTRUCTION LENDINGAGENCY 2�- L // areby affirm under nalty 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). Ider's Name Lender's Address 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or count o enter the above-identif' property for inspection purposes. nature of Prooertv Owner or Authorized Aoent�Z .L Print ProDertv Owner's or Authorized ADent's Narsr� l�lCl�A. Gf%. L(�5/� e�F.-Z a, ACTION DATE BY� RDECLARATION I EGULATIONS OF CO 1 UANCE WIT40 H DE OFQMD FED ERAL I FOR OFFICE USE ONLY PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED 0EPA PERMIT EXTENDED qM D PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED sf//r V f (Zv 1vP ASBESTOS TIFICATION IS NOT APPLICABLE TO POSED MOLITION� I SIr,NATu e iSLlwilCv..r� H CN CN O Nu N m A m � j O �y MO U F�M� Ap�w d G � H Uo } U S u 'D _o w n. V1 N