HomeMy WebLinkAboutX2018-2585 - Permits1 tp City of Newport Beach - Building Division "X20182585"`
100 Civic Center Drive, Newport Beach, CA 92660
�, Permit Counter Phone (949)644-3288
--:- Inspection Requests Phone (949)644-3255
`vasrou�*�` Combination Type - SFP ELEC MECH PLUM
0
COMB Permit: X2018-2585
Project No
Issued Date : 0812912018
Inspection Area : 3
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: 214 COLTON ST NB
Description: SFR KITCHEN AND BATHROOM (2) REMODEL 500 SF *CITY STANDARD*
Legal Desc.: TR 772 LOT 27 BILK 6 POR OF LOT AS PER LEASE ((L6669/276 OR) SURFACE
Owner: MAGNUM PROPERTY INVS LLC Contractor:
ANA/SACHI DEVELOPMENT
Architect:
r�
Address: PO BOX 517 Address:
137571ROQUIIOS PL
Address:
AGUORA HILLS, CA 91752
CHINO, CA 91710`
Phone: 760-222-4637 Phone:
(888) 635-6653
Phone:
State Lie:
m"�-�!:��
• ...
Applicant: SACHI DEVELOPMENT Con State Lie:
821150
Engineer:
°
Address: 13757 IROQUIIOS PL Lie Expire:
06/3012018
Address:
• °
. • ° ° ° ° °
CHINO, CA 91710 Bus Lic:
BT30060203
Phone: (888) 635.6653 Lie Exp Date:
0813112018
Phone:
State Lie:
°
Code Edit: 2016 Worker's Compensation Insurance
Designer:
° • ° °
Type of Construction: V-B Carrier:
EMP SERV GROUP
Address:
Occupancy Group: R31U Policy No:
WLRC64316710
°
m
Added /New sq.ft. Bldg: 0 Expire:
03/01/2019
Phone:
° °
cp
Added /New sq. ft. Garage: 0
.....
No of Stories: 2 Building Setbacks
Rear: /
Special Conditions:
No of Units : 1
Front: I
00000 0 0
°
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
Flood Zone: Use Zone: Parking Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $40.000.00
Building Permit Fee: $592.00 Excise Tax:
$0.00 Planning Department -
Fire Department
Plan Check Fee: $515.04 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 : $2.00 Grading Permit Fee:
$0.00 In-lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
Energy Compliance: $0.00 Grading PC Fee:
$0.00 Public Works Department-
General Service
$0.00
CA Seismic Safety: $0.00 WQ Insp. Fee:
$0.00 Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access: $0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00 Electrical %:
$41.44 San Dist:
$0.00
Building Green Fee : $2.00 Mechanical %:
$23.68 NMUSD Fee:
$0.00
$0.00
Plumbing %:
$53.28
$0.00
TOTAL FEE: $1,266.94 Plan Check Fee:
PROCESSED BY: ))
ZONING APPROVAL:
GRADING APPROVAL:
$0.00 Fee Due at Permit Issuance : $1,266.94
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:.
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
the 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
Professions 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
not 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
improvements 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
im roved for the purpose of sale).
I, as owner of the property, am exclusively contractingwith licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not
apply 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:
By 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 legally
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.Jeginfo.ca.gov/caJaw.html.
Signature of P"arly�Owner or Authorized Agent Date
LICENSEDboNTRACTOR'S DECLARATION
I herpdy affirm undarpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section) of Di ision 3 of the Business and Profe ions Cod and my license is in full force
and effect. 121c;p s0 Class License No Date70 Contractor Signature
MORKERS' COMPENSATION DECLARATION
NATIMNG: $AILURG To 8SCURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI NAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
GOSTQF COMPENS ATIO +DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Ifeiaby affirm under penalty of perjury one of the following declarations:
f A�v� and wiripaintain 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
WonnaTrse-of ft work for which this permit is issued. Policy No.
Kfible and wil 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' compensatiol
sur Ce carrisfddd'policy number are:
Policy Number
Agent'
Date
certify that, in the pert rmance 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 agree
I, if I should become bject t the wo kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. v
nature of ApplicantN Dat _ o �
CLARATION REG RDIN S CTION LENDING AGENCY
Ireby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 , 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 owners behalf.
I haveread this application and the information I Pave provided is correct.
I agree to comply with all applicable city and co my ordinances and state laws relating to building construction.
I authorize representatives of this city or coun to Ent r the ove-identified property for inspection purposes.
nature of Prooertv Owner or Authorized Acen Print Property Owner's or Authorized Agent's Name lAno5a IA l% Do/eVLZ4 j
ACTION DATE I BY/ I DECLARAirON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED 1 1 6 LJISUBMITTED
PERMITCANCELLED Ep;
PERMITFINAL BE CER FIC4TE OF /f—zO--I Y 'J>A4 -- SIGOP
NATURE; E OL TION ION ISN BL\ TO
OCCUPANCVISSUED