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HomeMy WebLinkAboutX2016-2484 - Permitswac�p City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2016-2484 Q +?. 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 6 2 4 8 4 Project No : 1699-2016 Permit Counter Phone (949)644-3288 u Inspection Requests Phone (949)644-3255 'aq,y Combination Type - SFP ELEC MECH PLUM Issued Date : 10/0512016 • e oe•e•o , Inspection Area : 2 •e•e , eeee PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. • e • • e m® e INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Job Address: 401 CATALINA DR NB Description: SFR -ADDITION 348 SF, REMODEL 738 SF Legal Desc.: N TR 1136 LOT 62 Owner: BARKER HEATH & ROBIN Address: 401 CATALINA DR Occupancy Group: NEWPORT BEACH, CA 92663 Phone: 714-585-7118 Applicant: BARKER HEATH & ROBIN Address: 401 CATALINA DR 1 NEWPORT BEACH, CA 92663 Phone: 714-565-7118 Code Edit: 2013 Type of Construction: V - B Occupancy Group: R3 - U Added /New sq.ft. Bldg: 348 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 29 Bldg Sprinklers: N Flood Zone: X Contractor: O W N ER/B LDR Address: BARKER HEATH Left: O/B ATTACH Phone: 4 Con State Lic: 0/B Lic Expire: Additional Fee : Bus Lic: omeooe Lic Exp Date: State Lic: oeeeo Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Rear: 0 Front: 20 Left: 4 Right: 4 Use Zone: R-1 Parkina SDa 2 Special Conditions Construction Valuation: $120.531.60 e • e • • e e • o e I TO • e• Architect: Excise Tax: S8 ••• m'"•e•° Address: . , ..•••. $1,025.73 Additional Fee : $0.00 omeooe Phone: State Lic: oeeeo 0 0 $0.00 o • ee •••o Engineer: LOPEZ-ROSALES DAVID $275.77 Address: 2248 HUNTINGTON PT RD $48.00 Grading Permit Fee: CHULA VISTA CA 91914 In -lieu Housing Fee Phone: 619-410-7136 State Lic:C-065212 Grading PC Fee: Designer: VAZQUEZ SALVADOR CA Seismic Safety: Address: 2278 LAGO VENTANA $0.00 Park Dedication : $0.00 CHULA VISTA, CA 91914 $0.00 Phone: 619-726-1083 PAN Plan Check : $38.00 Special Conditions Construction Valuation: $120.531.60 Fire Department $37.50 Building Permit Fee: $1,179.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $1,025.73 Additional Fee : $0.00 Plan check Fee Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share Investigation Fee: $0.00 Grading PC Consultant: $275.77 SJH Trans Record Management: $48.00 Grading Permit Fee: $287.00 In -lieu Housing Fee Energy Compliance: $84.37 Grading PC Fee: $60.53 Public Works Department - CA Seismic Safety: $15.67 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access: $0.00 PAN Plan Check : $38.00 Hazardous Mat $0.00 Electrical %: $82.53 San Dist: $706.00 Building Green Fee : $5.00 Mechanical %: $47.16 NMUSD Fee: $640.32 Plumbing %: $106.11 TOTAL FEE: $4,638.69 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: and Zone : N Plan Check Fee : $2,419.71 Fee Due at Permit Issuance : $2,218.98 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Fire Department $37.50 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $2,419.71 Fee Due at Permit Issuance : $2,218.98 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affyrhury*r 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) {" (Sectio 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 to®porinit to file.asiyned 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 Professions C&W pt 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 rlbt rniie than five`hundred dollars ($500). Q 1,%s owner gf ti;%property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, igEf o);gsysbns Code: The Contraprovided that the re not Intended or offered forit was not built or p'urfSose of sale).f the property, am exclusivense Law does not r'of property who buildsor improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 12 1 am exempt:Yom licensure under the Contractors' State License Law for the following reason: RYJOX Signature belovf 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 legally S .Structure. t'It•I 119ve 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 Processions Code, is -available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date 42 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7_000) of Division 3 of the Business and Pre Sion and I a is in u11 force and effect. License Class License No Dat Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRETHOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST 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: 1 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 th Derformance of the work for which this permit is issued. Policy No. have 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' 'ance carrier and policy number are: of Agent zrtify that, in the performance if I should become subject Policy Number Date is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and t ::ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant / i�J//g. Date CLARATION REG/ G�IHE{� CO �E NG 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). 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 If. I have read this application and the information I have provided i me I agree to comply with all applicable city and county ordinan d s e la elating to building construction. I authorize representatives of this city or cougty to er I ied property for inspection purposes. ACTION PERMIT EXPIRED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE I BY FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO EPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall QVID be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the UETOS NOTIFICATION IS, *7.APPJHj%O life of the pool.