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Home My WebLink AboutX2016-4089 - Permits�wrU a City of Newport Beach - Building Division *X2016-4089* L A. COMB Permit: X2016-4089 p� 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 1195-201,6 , Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 ® e m tw4w�' Combination Type- SFP MECH ELEC PLUM Issued Date :12/13/20160.0 Inspection Area : 4 e e e • e °e• PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. ...... o e e Job Address: 4 CANYON FAIRWAY DR NB Description: SFR ADD 1438 SF & REMOVE 5198 SF (REPLACE X2016-0022) N ` • • • eLegal Desc.: N TR 10814 LOT 15 Sil ° m mome e • o m o Owner: PREMIER VISION HOLDING LTD Contractor: WESTERN PACIFIC DEV INC Architect: BAILEY DAVID ° • • ° • ° m o m Address: 4 CANYON FAIRWAY DR Address: 18552 MACARTHUR BLVD #102 Address: 23187 LA CADENA DR #101 a .mom o NEWPORT BEACH, CA 92660 IRVINE CA 92612 LAGUNA HILLS CA 92653 a°O°e°m 'oemo° Phone: Phone: 949-278-8937 Phone: 949-573-1050 State Lic:CO27404 °O ° Applicant: BAILEY DAVID Con State Lie: 882643 Engineer: HAKIM FADY Address: 23187 LA CADENA DR #101 Lie Expire: 08/31/2018 Address: 7545 IRVINE CENTER DR #200 LAGUNA HILLS CA 92653 Bus Lie: BT30038827 IRVINE CA 92618 Phone: 949.573-1050 Lie Exp Date: 04/30/2017 Phone: 310-422-1536 State Lic:C-075736 Code Edit : 2013 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: TRUCK INS EXCHANGE Address: Occupancy Group: R31U Policy No: A09471071 Added /NewlTl sq.ft. Bldg: 1195 Expire: 04/21/2017 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: LANDSLIDE AREA No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: N Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $1,600,000.00 Building Permit Fee: $6,723.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $37.50 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 : $80.00 Grading Permit Fee: $820.00 In-lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $268.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $208.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN Plan Check: $152.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $470.61 San Dist: $0.00 Building Green Fee : $64.00 Mechanical %: $268.92 NMUSD Fee: $2,415.92 $0.00 Plumbing %: $605.07 $0.00 TOTAL FEE : $12,113.02 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $12,113.02 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: [�W/ _ PLAN CHECK BY: GRADING APPROVAL: G $ APPROVAL TO ISSUE: OWNER-6kJ144ER 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) Faol14a 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 ie perronit to fit€.n,slg4cl 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 'r ofes'sions Codelor 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 of more than five hundred dollars ($500). I, a: owner'bf I M'1operty, 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, lusim s 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 ryprg,4ements are not otended 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 IRrgvdd for thill pufpbse of sale). ,I, gs 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 town owrg j gf grpperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1,%nexempt from Itcensure under the Contractors' State License Law for the following reason: IY � y. tgnatur%DP�ICJ41 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 legally ell a structure that Fhave 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. signature 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 70 0) qf Divyision 3 of the Business and Professions nd IT II force nd effect. License Class License No Dat tContractor Signature X VORKERS' COMPENSATION DECLARATION 1 'ARNING: 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 OST 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: 7 I have and will 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 IN arformance of the work for which this permit is issued. Policy No. and will maintain 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' carrier and policy number are: Policy Number of Agent certify that, in the performance of the work for which this if I should become subject to the_Workers' compaRe_q= Date Led, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and of Section 3700 the Labor Code, I shall forthwith comply with those provisions. naron lZ `l31 1(0 IECLARATION REGARDING COIQSTRUCTION.GXbRNG AGENCY hereby affirm under penalty 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). Ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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 sta aws relating to building construction. L� ,, I authorize representatives of this city or cou0tyto enter ove-id N' roperty for i 11 nspection purposes. pr(ims U,� lionature of Property Owner or Authorized Alien Print Propertv Owner's or Authorized Agent's Na ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCVISSUED DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDEI REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE S tD \8 GS I SUBMITTED ASBESTOS NOTIFICATION TO NOTIFICATION IS NOT FOR OFFICE USE ONLY All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the life of the pool.