HomeMy WebLinkAboutX2017-2046 - Permitswhnr City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
F 1 Permit Counter Phone (949)644-3288
ss Inspection Requests Phone (949)644-3255
rar,> Combination Type - SFP ELEC MECH PLUM
COMB Permit: X2017-2046
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
r Project No: 1427-2017.... e
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Issued Date: 07/2112017 °'O° m `m°•°•o
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Inspection Area : 5
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. : e • • • °
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 ° ° e •, • o
Job Address: 429 ISABELLA TER NB
Description: SFR - INTERIOR REMODEL 6887 SF r �� r °'t• e e e
Legal Desc.: N TR 1237 LOT 158 _ s ,; • S° . e °
aej e.ee
Owner. 429 ISABELLA LLC Contractor: MC MURRAY KEN CONSTR Architect: NICOL TIM 1
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Address: 429 ISABELLA TER Address: ' ' 600 DIAMOND STREET Address: 604 VISTA LN......
CORONA DEL MAR, CA 92625 LAGUNA BEACH CA 92651 LAGUNA BEACH CA 92651 e e • e °m ° e. • o °
Phone: 949-533-8023 Phone: 949-533-8023 Phone: 949/494-0026 State Lic:C002040 `O
Applicant: MCMURRAY KEN Con State Lic: 445746 Engineer: KHOURY NADER
Address: 429 ISABELLA TER Lie Expire: 09/30/2017 Address: 3406 LINDA VISTA TER
CORONA DEL MAR, CA 92625 Bus Lie: BT30059066 FALLBROOK CA 92028
Phone: 949-533.8023 Lie Exp Date: 0 5/3112 01 8 Phone: 949-637-8357 State Lic:C-061402
Code Edit: 2016 Worker's Compensation Insurance Designer:
Type of Construction: V -B -SPR Carrier: EVEREST NATL Address:
Occupancy Group: R3/U Policy No: 7600009958
Added /New sq.ft. Bldg: 0 Expire: 10/01/2017 Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2 Building Setbacks Rear: / Special Conditions: VHFHSZ
No of Units : 1 Front: I FUEL MODIFICATION AREA
Bldg Height: 0 Left: I
Bldg Sprinklers: Y Right: /
Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N
Construction Valuation: $750.000.00
Building Permit Fee: $4,354.00 Excise Tax: $0.00 Planning Department - Fire Department
Plan Check Fee: $3,787.98 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: $62.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $24.00
Energy Compliance: $268.00 Grading PC Fee: $0.00 Public Works Department- General Service $197.00
CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00
Disabled Access : $0.00 P/W Plan Check: $114.00 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %: $304.78 San Dist : - , $0.00
Building Green Fee : $30.00 Mechanical %: $174.16 NMUSD Fee: $0.00 $0.00
Plumbing %: $391.86 $0.00
TOTAL FEE : $10,309.28 Plan Check Fee : $4,093.48 Fee Due at Permit Issuance : $6,215.80
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
affircd 17ddef penalty ofperjury that I am exempt from the Contractors' State License Law for the reasons Indicated below b the checkmark s I have laced next to the applicable
Y Y P O� Y O P PP� O
)31.5, 15MIRess 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 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
s Cor% 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
ian five hundred dollars ($500).
U I,'as owner of.the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Qd9ineS,% and P14 %sSiors 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
impcovcd for the.puriii of sale).
Q 4,.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
apki.ty an owner o'f 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:exemp►frorA Iiaensure under the Contractors' State License Law for the following reason:
Ry rpIiI signature below iacknowledge 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 legalh
sty p+sirUcture tpa41'A to 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 Coda! is available upon request when this application is submitted or at the following Web site:http://v w .leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 00 `Divi�ioq 3 of the Business and Pr essio C nd ie a Is In full f
and effect. License Class License No Dat G 11 _( Contractor Signatur
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 HUNDRED THOUSAND DOLLARS ( ,0001, 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
29Armance 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
ie of Agent
certify that, in the performance of the work for which this
, if I should become subject to or r com e
lature of Applicant
Date
any person in any manner so as to become subject to the workers' compensation laws of California, and
Labor Code, I shall forthwith comply with those provisions. ^` 2 / t
nor •l
hereby affirm under penalt>,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
3y 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 ordinance and state laws relatin 'Iding construction.
I authorize representatives of this city or county a ve-id arty for' rection purposes.
Signature of Property Owner or Authorized Agent Print Pro ertOwner's or Authorized Agent's Nam
ACTION DATE BY DECLARATION OF COMPt7ANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMITEXPIRED LJISUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
PERMITFINAL /�. BESTLOS NOTIFI /jN'LS�NOT
OCCUPANCYISSUED S SI NATURE �/�
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