HomeMy WebLinkAboutX2018-1549 - Permitsno City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
H Permit Counter Phone (949)644-3288
I Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC PLUM -
IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIII�II� II COMB Permit: X2018-1549
x 2 0 1 6 1 5 4 9 Project No : 1191-2018
Issued Date : 0611812018
Inspection Area : 6
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: 10 WHARFSIDE DR NB
Descripon: SOLID ROOF PATIO Legal Desc.: N TR 1 850 LOT 25 COVER 255 SF, GAS & ELEC TO BBQ. & FIREPIT ^
Owner:
TAX DAVE & BRENDA
Contractor:
TUSCANY CONSTRUCTION CO
Address:
10 WHARFSIDE DR
Address:
1560 SUPERIOR AVE #B3
CA Seismic Safety:
NEWPORT COAST CA 92657
Disabled Access:
COSTA MESA CA 92627
Phone:
949.633.8299
Phone:
949-548-3355
Applicant:
KINNEY BRADFORD/
Con State Lic:
494601
Address:
1560 SUPERIOR #B3
Lie Expire:
07/31/2018
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COSTA MESA CA 92627
Bus Lie:
BT30051434
Phone:
949-690-7874
Lie Exp Date:
06/3012018
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:
Building Permit Fee: $337.00
Plan Check Fee: $244.50
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$12.00
Energy Compliance:
$0.00
CA Seismic Safety:
$7.15
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$390
FEE : $695.07
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation Insurance
Carrier: SOUTHERN INSURANCE
Policy No: OWC1006194
Expire: 1 012 0/2 01 8
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 11()-'
Front: I IV
Left: I
Right: I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$23.59
$0.00
$30.33
Plan Check Fee
Phone:
Special Conditions:
Planning Department -
Fire Department
Plan check Fee
Fire Inspection:
%�
Fire Plan Rev
SJH Trans
Architect:
GARCIAJOHN M
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
r�
Address:
PO BOX 9942
$0.00
....
$0.00..
NEWPORT BEACH CA 92658
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Phone:
949-683-8858
Lic:C016755
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.State
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Engineer:
LACHER TODD
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Address:
1201 N TUSTIN AVE
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0
ANAHEIM CA 92807
00
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Phone:
714-630-6100
State Lic:C-067656
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Designer:
eo m
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Address:
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0
Phone:
Special Conditions:
Planning Department -
Fire Department
Plan check Fee
Fire Inspection:
Fair Share
Fire Plan Rev
SJH Trans
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00..
$0.00
PUBLIC WORKS /
PLAN CHECK BY:
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0mommo
mo 0
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00 0
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $695.07
GRADING APPROVAL: / APPROVAL TO ISSUE:
coocoo
0
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000000
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Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
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0mommo
mo 0
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00 0
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $695.07
GRADING APPROVAL: / APPROVAL TO ISSUE:
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0
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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).
0 '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 Iegall
sell a structure t6atl lilue 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
Rrofessipns Code' lVAailable upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html.
91g11affir� of Property Owner or Authorized Agent
Date
LIPENSED CGNt CTOR'S DECLARATION
lilere�tiy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) OtDI islo 3 of the Business and Professi ,Y e, nd ieense is in full force
Ad MCI. License Class License No Date Contractor Signature
ARgriRS' dMPMSATION DECLARATION
WARNING: FAILURE Tp SE6URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
am? Gr CeOMPENS'ATPDNDAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I41ereby affirm under penalty of perjury one of the following declarations:
M � (isw 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 IN
pitrm2hce of f%W J for which this permit is issued. Policy No.
hr a and willeme*tain 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' compensatio
I sur 5 ce carne'? a&I @duty number are:
er Policy Number Expiration Date
Name of Agent Phone #
I certify that, in the perform ce pf thew rk 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 agre
that, if I should become subj tot a work rs' o etisation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. b
Signature of Applicant Date 5 0
DECLARATION REGA DIN NSTRUCTI LENDING AGENCY
I hereby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 ,Civil Code).
Lender's Name Lender's Address
By 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 rovided is correct.
I agree to comply with all applicable city and county o in nces and state laws relating to building construction.
I authorize representatives of this city or county t e b e'd ntified property for inspection purposes.
Signature of Property Owner or Authorized A en Print Property Owner's or Authorized Agent's Name
ACTION DATE BY DECLARATION OF MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 ANDA RULE
1403
PERMITEXPIRED -I U I SUBMITTED ASBESTOS NOTIFICATION TO
I PERMITEXTENDED L— I AT I L_IAOMD I
PERMIT FINAL /�� U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF 1 PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE: