HomeMy WebLinkAboutX2018-0939 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
e ,.. Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP MECH ELEC PLUM
II11111111111111111111111111111111111911 COMB Permit: X2018-0939
Project No: 1195-2016
Issued Date : 0 4/0 31201 8
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: 4 CANYON FAIRWAY DR NB
Description: SFR ADD 168 SF TO LIVING ROOM *ADDITIONAL SCOPE OF WORK* REV18-0600
Legal Desc.: N TR 10814 LOT 15
Owner: PREMIER VISION HOLDING LTD Contractor: WESTERN PACIFIC DEV INC Architect: BAILEY DAVID CTOR
Address: 4 CANYON FAIRWAY DR Address: 18552 MACARTHUR BLVD #102, Address: 23187 LA CADENA OR #101 O
NEWPORT BEACH, CA 92660 IRVINE CA 92612 LAGUNA HILLS CA 92653
Phone: Phone: 949-278-8937 Phone: 949-573-1050 State Lic:CO27,404
Applicant:
BAILEY DAVID
Address:
23187 LA CADENA DR #101
Occupancy Group:
LAGUNA HILLS CA 92653
Phone:
949-573-1050
Code Edit:
-2016
Type of Construction:
VB
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
168
Added /New sq. ft. Garage: 0
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
X
Building Permit Fee:. $736.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$80.00
Energy Compliance:
$56.00
CA Seismic Safety:
$4.55
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
IITOTAL
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lie:
882643
Lie Expire:
08/31/2018
Bus Lie:
BT30038827
Lie Exp Date:
0 4/3 012 01 8
Worker's Compensation Insurance
Carrier: EXEMPTION ON FILE
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: I
Right: I
larking Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$51.52
$29.44
$66.24
Plan Check Fee
Engineer: HAKIM FADY
Address: 7545 IRVINE CENTER DR #200
IRVINE CA 92618
Phone:
Designer:
Address:
Phone:
310-422-1536 State Lic:C-075736 ....
0 O
010,9
Special Conditions: LANDSLIDE AREA
0 Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication: $0.00
PM Plan Check: $0.00
San Dist : $0.00
NMUSD Fee: $309.12
$0.00
PUBLIC WORKS /
PLAN CHECK BY:
APPROVAL TO IS'
0P00
0
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1$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $1,334.87
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:
0P00
0
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0900
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Dam*o
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1$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $1,334.87
OWNER -BUILDER 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)
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
ie 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
of more than five hundred dollars ($500).
I, 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,
lusiness 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
nprovements 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
n roved 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:
ly 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 Iegall
ell a structure that I have buil(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 '' a_" '
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Di Sion 3 of the Business and Professions Code iseDse,�sat¢wI force
nd effect. License Class License No Date Ll Contractor Signature )O
VORKERS' COFARENSATION DECLARATION
'ARNING: FAILURE TO 611017RE 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
ftT QF G'J)MPENSQTJQFI, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Marshy Affirm undejpgaalty of perjury one of the following declarations:
%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 the
forfh°ance of thgtyprk forwhich this permit is issued. Policy No.
1 h �v� •and will "rArrtain 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' compensation
urance carrierand policy number are:
mar :.�..� Policy Number Expiration Date
73�Agent Phone #
fp
gent
that, iq Fhapeiformance of the work for whit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
ouldpbbe�com�ubject to the wo e m ensation r Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �
411iMte of A I Sn �� - Date)a
�✓�, j `�
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
=reby 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).
)der'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 an- law eletil'I� to buildin construction.
I authorize representatives of this city or county to enter th �tifi nrooe„rin for�rreDannoO-purposes. j _ A L r I 1
Signature of Property Owner or AL
ACTION
DATE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMITFINAL
CERTIFICATE OF
t�
8
OCCUPANCY ISSUED
mer's or Authorized AG
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL II FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE Ny
1403
NOTIFICATION TO
C16,S Ia'IASBESTOS NOTIFICATION IS NO PPUQ TO
C1 PROPOSED DEMOIJTA