HomeMy WebLinkAboutX2019-1029 - Permits1t r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-1029
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 0 2 9 Project No : 0712-2019
Es Permit Counter Phone (949)644-3288
"u by Inspection Requests Phone (949)644-3255
rrypr x�w* Combination Type - BLDG ELEC GRAD _ Issued Date: 04/04/2019
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: '3615 CATAMARAN DR NB
Description: BLOCK WALL 6'x 41 LF, (3) 6'H1 PILASTERS & ELEC OUTLET, DRAINAGE @ THE DRIVEWAY "CTY STD"
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Legal Desc.: N TR 6152 LOT 23 n;
Owner:
HALLADAY WILLIAM. P
Address:
3615 CATAMARAN DR
Overtime Plan Ck
CORONA DEL MAR CA 92625
Phone:
949-759-1527
Applicant:
CIOTTI-ROCO
Address:
3800 TOPSIDE
CA Seismic Safety:
CORONA DEL MAR CA 92625.
Phone:
714-679-2002
Code Edit:
2016
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Building Permit Fee:
$412.00
Plan Check Fee: $365.00
Overtime Plan Ck
$0.00
Investigation Fee:
$0.00
Record Management:
$12.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $1,170.84
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
TERRA PRIMA INC
Address:
3800 TOPSIDE LANE
`r,
CORONA DEL MAR CA 92625
Phone:
714-679-2002
Con State Lic:
982237
Lic Expire:
: 03/3112021
Bus Lic:
BT30046426
Lic Exp Date:.
.1113012019
Worker's Compensation Insurance
Carrier:
SOUTHERN INS CO
Policy No:
FLA122012
Expire:
03/01/2020
Building Setbacks
Rear:. I
714.630-6100 State Lic:C-074003 .e..
Front: 120,
General Service
Left: / (�'
Park Dedication :
Right: / (o'.
Use Zone: Parkin Soaces 0
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
$0.00
$0.00
$0.00
$0.00
$312.00
$0.00
$0.00
$28.84
$0.00
$0.00
Plan Check Fee
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone : N
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Planning Department -
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Architect:-
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Plan check Fee :
Address:-
$40.00
Fire Inspection:
.
Fair Share.:
.•e.
Phone:
State Lic:
$0.00
Engineer:
BIEDENBACH CHRISTOPHER
m°O'
Address:
1201 N TUSTIN
....
ANAHEIM CA 92807
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Phone:
714.630-6100 State Lic:C-074003 .e..
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone : N
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Planning Department -
Fire Department
Plan check Fee :
$40.00
Fire Inspection:
$0.00
Fair Share.:
$0.00
Fire Plan Rev
$0.00
SJH Trans :
$0.00
Demolition Fee
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Public Works Department -
General Service
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance :
$1,170.84
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: i® i
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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 U 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
improved 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
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 legall
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 Codd?,Isr available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
9ignaturg of ProptCTOR
wner or Authorized Agent Date
�IOBN�ED Ce'S DECLARATION
I herebyy affirm unnaltyofperjury thatIam licensed underprovisons ofChapter 9 (commencing with Sgold efact. licess License NoOdI�ERS'CNSATION DECLARATION s
NARiIING.FAILURE 7CMSE6URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ANO SXALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E700,000), IN ADDITION TO THE
DOST OP COMPENWIpYI, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Hefty. ffirm undo-pepalty of perjury one of the following declarations:
d'r Me 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
pg W*ce of the workfor which this permit is issued. Policy No. -
rhave and will mainlein 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 carrier and policy number are:
Ca*rAe*r' 0..:.* Policy Number Expiration Date
of Agent
certify that, in the performance 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
, if I should kecyme subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions„
of
compensation laws of California, and agrer
CLARATION REGARDING GUNS I KUG I IUN LCINUINU AOCNGT
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, Civil Code).
rder'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 allapplic a city and county ordinances and state laws relating to building construction.
I authorize representajiGe his city or county to entWJhe above-identifigd property for inspection purposes. 1
signature of Property OwhVr or Ai4horized Age
ACTION I DATE I BY
PERMITCANCELLED
CERTIFICATE OF
OCCUPANCYISSUED
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
NOTIFICATION TO
NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY
W