HomeMy WebLinkAboutX2018-2441 - PermitsCity of Newport Beach - Building Division *X2018-2441* COMB Permit: X2018-2441
0 ' 100 Civic Center Drive, Newport Beach, CA 92660
rte+ 'y Permit Counter Phone (949)644-3288 Project No : 0176-2018
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC PLUM Issued Date: 0 811 5/2 01 8
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: 63 CAPE ANDOVER NB
Description: SFR "ADDITIONAL SCOPE' REMODEL MASTER BATHROOM 180 SF A- ,Sf F'LYL- '3RbWk--" - F Uro
Legal Desc.: N TR 15012 LOT 38
Owner: GLOBAL CDA
Contractor:
SALVINI MICHAEL CO GEN CONTRACTORS THE Architect:
Address: 63 CAPE ANDOVER
Address:
836 EAST WASHINGTON
Address:
NEWPORT BEACH, CA 92660
CA Seismic Safety:
SANTA ANA CA 92701
Disabled Access :
Phone:
Phone:
714-852-3844
Phone: State Lic:
Applicant: SALVINI MICHAEL CO GEN CONTRACTORS THECon State Lic:
637735
In -lieu Housing Fee : $0.00
Address: 836 EAST WASHINGTON
Lic Expire:
02/29/2020
Engineer:
Address:
SANTA ANA CA 92701
Bus Lic:
BT30059818
Phone: 714.852-3844
Lic Exp Date:
07/31/2018
Phone: _ State Lic:
Code Edit : 2016
Type of Construction: VB
Workers Compensation Insurance
Designer: SANSOVICH MIKE
Occupancy Group: R3IU
Carrier:
Policy No:
WIC EXEMPT
`2Address: 836 EAST WASHINGTON
Added /New sq.ft. Bldg: 0
Expire:
. SANTA ANA ANA CA 92701
Added /New sq. ft. Garage: 0
NMUSD Fee: $0.00
Phone: 714-852-3844
No of Stories: 2
No of Units : 1
Building Setbacks
Rear: I
Special Conditions: REV18-1457
Bldg Height: 0
Front: /
Bldg Sprinklers:
Flood Zone:
nee 7,,.,e.
Left: I
Right: /
Plan Check Fee:
Building Permit Fee: $292.00
Plan Check Fee: $254.04
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$1.00
TOTAL FEE: $631.26
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
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Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee:
Grading Bonds Fee:
$0.00
$0.00
Plan check Fee : $37.50
Fire Inspection:
$0.00
Grading PC Consultant :
$0.00
Fair Share: $0.00
SJH Trans : $0.00
Fire Plan Rev
Demolition Fee
$0.00
Grading Permit Fee:
Grading PC Fee:
$0.00
$0.00
In -lieu Housing Fee : $0.00
Building Dept Adm
$0.00
WO Insp. Fee:
$0.00
Public Works Department-
Park Dedication : $0.00
General Service
$0.00
Refund Deposit
$0.00
P/W Plan Check: $0.00
Grading Bond:
$0.00
Electrical %:
$20.44
San Dist: $0.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$26,28.
$0.00
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$631.26
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
v
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)
action 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
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
ofessions 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
t 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,
Isiness 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
iprovements 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
(proved for the purpose of sale)._ -
1 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
)ply to an p)yrlar 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 I am exarapt-from licensure under the Contractors' State License Law for the following reason:
I my signaturs. 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 legal)
?Ily structunflrgf,.,l 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
:gfessions "Dode, is available upon request when this application is submitted or at the following Web site:http:/Iwww.leginfo.ca.gov/calaw.html. Date
gnsture of Property Owner or Authorized Agent
�6
ENSEqr�3NtRACTOR'S DECLARATIONP essions license is in full force
79raby affirm�und& penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec Date7
tContractor Signal a , a y
1d'effect. iicen99,Class License No
ICJRKERS` COMPENSATION DECLARATION
RIAING: FAILURPfO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUMECT AN EMPLOYER TO CRIM NAL PENALTIES AND CIVIL FINES UP TO ONE HU DRED THOUSAND 0 LLARS (Et00,000I, IN ADDITION TO THE
,1611 COMPEVATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
iereby affirm?Ade*rpenalty of perjury one of the following declarations:
II*H've and wjlT 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
srfofmance 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' compensatior
isurance carrier and policy number are: Expiration Date
arrier Policy Number
Phone #
ame of Agent
I.rartify that, in the perfo ante he w to hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co pensation laws of California, and agree
tat, if I should becomes 'act t ers' c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Pr �[
Date Bmf
signature of Applicant
IECLARATION REGA DING CON N L NG AGENCY
hereby affirm under p nalty of perjury that there is a construction lending agency fo Lenders Armance ddress of the work for which this permit is issued (Section 309 ,Civil Code).
.ender's Name
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property ow 's be elf.
I have read this application and the information I have ov' ed is rr I. SAW-"
�' _l
I agree to comply with all applicable city and county di d s to laws relating to building construction. 11. 1w. to 2
I authorize representatives of this city 0r coun a ova-id tified property for inspection purposes. UCS c.ir
signature of Property Owner or Authorized A ant Print Property Owner's or Authorized A ant's ame
ACTION DATE BY DECLAR C MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PAR 61 OF TITLE 40 AND AQMD RULE
3
�conmrrvo)Rcn 1 SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
TO