HomeMy WebLinkAboutX2018-1257 - Permitstoy _ City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
E = Permit Counter Phone (949)644-3288
v $ Inspection Requests Phone (949)644-3255
�wa�wx' Combination Type - BLDG PLUM
IIIIIII�IIIIIIIIIIII'IIIIIIIIIII�lllllll II COMB Permit: X2018-1257
x 2 0 1 8 1 2 5 7 Project No: 0997-2018
Issued Date : 0412712018
Inspection Area : 5
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:
1906 SEADRIFT DR NB
Investigation Fee:
$0.00
Record Management:
Description:
DEMO (E) SFR W1ATT GARAGE 2,502 SF (4 BEDRMS)
$0.00
CA Seismic Safety:
Legal Desc.:
N TR 2813 LOT 9
$0.00
Hazardous Mat
$0.00
Owner:
STONEWOOD LUXURY HOMES LLC
Contractor:
OWNERIBLDR
Architect:
Address:
22 LARCHWOOD
Address:
JODI DITOLLA
Address:
IRVINE CA 92602
Phone:
Phone:
714-904-8994
Phone: State Lie:
Applicant:
DITOLLA JODI
Con State Lie:
0113
Engineer:
Address:
22 LORCHWOOD
Lie Expire:
Address:
IRVINE CA 92602
Bus Lia
Phone:
714-904-8994
Lie Exp Date:
Phone: State Lie:
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Valuation: $12,500.00
Building Permit Fee: $103.00
Plan Check Fee: $189.00
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: $2,305.27
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks Rear: I
Front: I
Left: I
Right: I
Excise Tax:
$0.00
Additional Fee :
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant:
$0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee:
$0.00
Electrical %:
$0.00
Mechanical %:
$0.00
Plumbing %:
$9.27
Designer:
Address:
Phone:
Special Conditions: HAULER: TIGH Q
NO CITY TREES ON SITE
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
N
$0.00
$0.00
$24.00
$197.00
$1,692.00
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $2,305.27
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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:
$0.00
$0.00
$24.00
$197.00
$1,692.00
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $2,305.27
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER
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, priorto 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
4�Isl ss 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
(nfprov ments 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.
im rov for the purpose of sale).
I, s 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
a 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 Lic se Law for the following reason:
By my signature below I acknowledge that, except for my p one'
sidence in which I must ve resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegall)
sell a structure that I have built as an owner -builder if it s not bee co truct it ti t by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request whe th pplicati su mute r e f to in Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARA O
I hereby affirm under penalty of perjury that I am licensed n provisions of Chapter 9 (commencing with Section "^^ -`. Division 3 of the Business and PrrreP-' de, and my license is in full force
and effect. License Class License No Date Contractor Signst
NORKERS' 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 ($100,000), 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
)erformance of the work for which this permit is issued. Policy No.
—1I 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' compensatiol
nsurance carrier and policy number are:
;arrier Policy Number Expiration Date
Vame of Agent Phone #
I certify that, in the performan the work for hich this permitAI3 issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and agre
if I should become subje to th work rs' cn ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
3ignature of Applican Gam/
Datrr�_ f 2-7 ( 0
)ECLARATION REG IN O TRUCTION nNDIM AGENCY
hereby affirm under penalty of jury 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 pr 'ded is correct.
I agree to comply with all applicable city and county inanc and tate laws rela g o building construction.
I authorize representatives of this city or coun t nterthe de t •pro or inspection purposes.
�L
3ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam I e/ "
11
ACTION DATE BY DE LARATI N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
R GU ONS PART 61 OF TITLE 40 AND AOMD RULE
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
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