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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 Dame m omom n a 0900 o v c • o mal.ac 1 c Dam*o a eo1.o a.woa o 0 a ceaemo 0o s c 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 Dame m omom n a 0900 o v c • o mal.ac 1 c Dam*o a eo1.o a.woa o 0 a ceaemo 0o s c 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