HomeMy WebLinkAboutX2018-0549 - Permitsawtoe City of Newport Beach - Building Division
c+ ". 100 Civic Center Drive, Newport Beach, CA 92660
N Permit Counter Phone (949)644-3288
v n Inspection Requests Phone (949)644-3255
wUsnc•� Combination Type - SFP
COMB Permit: X2018-0549
IIIIIIIIIIIIIIII�II�IIIIIIIIIIIIIIII�III II
Project No : 0454-2018
Issued Date: 02/2712018
Inspection Area : 8 ,
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: 2854 CAROB ST NB
Description: SFR -ATTACHED SOLID ROOF PATIO COVER 310 ST
Legal Desc.: N TR 5018 LOT 117 ,
Owner: ACOSTA JONATHAN
Contractor:
GUENTHNER VON CONSTRUCTION
Architect:
MORGAN JOHN T. JR
Address: 2854 CAROB ST
Address:
30367 PASEO
DEL VALLE
Address:
18682 BEACHMONT AVE
NEWPORT BEACH, CA 92660
LAGUNA NIGUEL CA 92677
N. TUSTIN CA 92705
Phone: 949.677-7786
Phone:
714-632.8565
Phone:
714-730-2723 State Lic:CO22567
Applicant: MORGAN JOHN T. JR
Con State Lic: 566158
Engineer:
FORBES DALE L
¢
Address: 18682 BEACHMONT AVE
Lie Expire:
09130/2018
Address:
1800 E 16TH ST #B
N. TUSTIN CA 92705
Bus Lie:
BT00012684
SANTA ANA CA 92701
Phone: 714-730-2723
Lie Exp Date:
11/30/2018
Phone:
714.835.2800 State Lic:C-030407
Code Edit: 2016
Worker's Compensation Insurance
Designer.
�
Type of Construction: VB
Carrier:
EXEMPT
Address:
Occupancy Group: R3/U
- Policy No:
NO EMPLOYEES
Added /New sq.ft. Bldg: 0
Expire:
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: I
Special Conditions:
No of Units : 0
Front: I
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: /
Flood Zone: X
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $35.000.00
Building Permit Fee: $337.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $244.50
Additional Fee :
$0.00
Plan check Fee :
$0.00 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: $10.00
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: $4.55
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 %:
$0.00
San Dist:
$0.00
Building Green Fee : $2.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $635.55
Plan Check Fee:
$282.00
Fee
Due at Permit Issuance : $353.55
PROCESSED BY:
PUQ,UC WORKS APPROVAL:
ZONING APPROVAL:
^
y ^ ®
PLAN CHECK BY:
GRADING APPROVAL:
®
e °" �PIFROVAL 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
is 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 L) 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
nproved 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).
1 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 legally
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 of Divis n 3' the Business and Profes 1 I de, y ' e full force
nd effect. License Class License No Date ll Y Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: 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 ($100,088), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjuryoneof 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,
arformance of the work for which this permit is issued. Policy No.
]I 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' compensation
Isurance carrier and policy number are:
arrier Policy Number Expiration Date
ame of Agent Phone #
�
nl certify that, in the performance of the work for which is 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 agre
le
I L if I should become subject tWtWworkers' comp nsa on Obvisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Date JO
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
areby 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
ider's Name Lender's Address
my signature below, 1 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 and st r lating to building construction. 5 J 1 rj
I authorize representatives of this city or count e e above -id r erty for inspection purposes.//(�"
mature of Prooertv Owner or Authorized ADent ✓vE _ Print Property Owner's or Authorized Agent's Name'[_,_
Civil Code).
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATIONtO
e
PERMIT CANCELLED
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PERMITEXTENDEDQMD
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PERMITFINAL
CERTIFICATEOF
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A ESTOS NOTIFICATION IS NOT !CABLE TO
P OSEDEM •�', •• •
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• •••
OCCUPANCYISSUED
SIGNATURE: