HomeMy WebLinkAboutX2017-0511 - PermitsG9ty of Newport Beach - Building Division I� IIIIIIIIIIIIIIIII�IIIIIIIIIIIIII I IIIIIII I II
100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 7 0 5 1 1
t+ _ Permit Counter Phone (949)644-3288
Inspection Requests Phone (949 644-3
t x.
cOtgBi e - P If applicable:
J'ytR,,s,: �' I
Job Address:
647 IRVI
Description:
SFR Wit
Legal Desc.:
P BK 16
Owner:
COURSC
Address:
647 IRVH
Phone
Applicant: BUCKLIN
Address: 24310 MC
LAGUNA
Phone: 949.207-3
Code Edit:
Type of Construction:
Occupancy Group:
Added /New/TI sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
.Bldg Height: 0
Bldg Sprinklers:
COMB Permit: Xc V17-0511
e• . mm.mm�
issue a 02/15/2017
rea:3 m
e • e eee
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Ape 10
• e • e
-"- - PERMITS EXPIRE 180 DAYS AF NCE O$-UA.FWVALIOWSPECTION.
fiction Hours: Mond ride 00 6: at ay from 8:001a,.m. to 6:00 p.m. No work on Su
NB t® whom.
HA EF UNNEW I (•,
PAR
ON Xes
P E Architect:
2 - N _ N Address:
C 92663E I 3
0 72 Phone: Star
Con State Lic: 602331 Engineer:KWY s.�•
926 STE 0137 Lic Expire: BT3012016 � s k t `Q ' Stal
92637 Bus Lic: BT30/2018 1 ---
c Et/31/2017
gym° rRA C arl
mpensation Insurance (no wo flll`e£gta!t-ed)
works (� NEW HAMPSHIRE INS Address:
( isR"o� WCO23102424
Expire: 0310112018 Phone,
Note'. �-, .?��ilding-Setbac ear: / �R rp CgryGitt l5:�
Front: /
Fire Hazard Zone : N
Construction Valuation:
$15.218.00
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
Building Permit Fee:
$307.00
Excise Tax:
$0.00
Planning Department -
General Service
Plan Check Fee:
$0.00
Additional Fee :
$0.00
Plan check Fee
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans
Record Management:
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access :
$0.00
PAN Plan Check:
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee :
$1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
IITOTAL FEE: $3088.000 Plan Check Fee: $308.00 Fee Due at Permit Issuance
PROCESSED BY: D M. PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
GRADING APPROVAL:
PLAN CHECK BY:
• • o
Holidays"
APPROVAL TO ISSUE: 0b \ I �TTZ-
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ee••ee
0
••• e
• e
e•
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
ease
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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:
IITOTAL FEE: $3088.000 Plan Check Fee: $308.00 Fee Due at Permit Issuance
PROCESSED BY: D M. PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
GRADING APPROVAL:
PLAN CHECK BY:
• • o
Holidays"
APPROVAL TO ISSUE: 0b \ I �TTZ-
s e
ee••ee
0
••• e
• e
e•
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
ease
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• VYWYGR-OU
I�ucrt ucuufrtru w�.
•e e
e 1 �ie•raby afflan ucder 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 Items)
'Sectign 7031.5, Nsindss 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
repggAit 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
3rofessions Coda) 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
Ain&rs than ftiigUP.Jred dollars ($500).
IwnercSI
arty, or my employees with wages as t air so a compensa ion, will do a o or o n°' hz ffSiL{6fL`IS'fitif`ih'tiilltded or offered for sale (Section 7044,
and F(If
Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds improves the property, provided that the
gents areded o�' d for sale. If, however, the buildin or im rovement is sold within one LW of e Owner -Builder will have t e burden of proving that it was not built or
for the p SSale). —r _ _ g p ���'" ��'
A -1-am exempt 1
Iy my signature E
ell a structure thI
'rofessions Code
signature of Prop
.ICENSED COI
hereby affirm un
nd effect. Licen
VORKERS' CC
'ARNING: FAILURE T
OST OF COMPENSA
hereby affirm unl
I have and wi
rmance of the
ave and will
urance carrier 1
exclusive) contra tin with licensed Contractors to construct the ro act Sppssyyop,�.((11��yy, Busirr{�eess�� ��nnQ PrrRfgssion Code: T Contractors' State License Law does not
impr eon wh, ont t r itp license�dd �t'6r lStlrsliatit flb id V4 W`I$dte cense Law).
n ;. ontr ors' Statq;Ic e ' o h ollowing
le h exce r p e e ich -haver ed for at1east ne_ y�e�,ar prior to completion of the impr emfnts covered by this permit, I cannot legal
-builde a�Ffot be st ed nti c on�.lra'ct WltdAf6ta11U that a rnpy,�}h�ppahcare4qns
ection 7044 of the Business and
upon request when his lica o is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. qgeDa
DEC RAerjury t am d u pr o (c ci wit action 7000) of Division 3 of the Business and Pr Code, and my license is in full force
ate Contractor Signatur
NORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDI
3ES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
10CIE A
on the following declare ti ns:
1. ' atee,�,dxi;__EQQns�e�p�tt 'o s f -in u daogcl'sI cora ens ion, i ue� by�t� Iye�4c lal Oft rovided
w pel34wl'' IIsVBilierk cy e. 5rt 0 tl p f,.. ' @YAP 5,d' � yl
workers' compeI(Vtj ff$Qs9tart(!tI)iquired by Section 3700 of the Lablar;�d���p� of the work for which
number are:
Policy Number
Date
ne of Agent I HULU, vnones_
certify that, in t. ape ormance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to
, if I should bec ` e bje7,gyf„tp4 workers' compensation provisions of Section 3700 of the Labor Code I shall fjlnfW.c{pglWalta-those provisic
nature of Applicdht
CLARATION REGARDINU CONSTRUCTION LENDING AGENCY
:reby 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, 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 all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to Anter/ff)e above -identified property for inspection purposes.
PERMIT EXPIRED
PERMIT EMENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BYI REGULATIONS PART ECLARATION OF 0610 TRITE 40 AND AQMD RULECE WITH CODE OF RAL FOR OFFICE USE ONLY
I SUBMITTED ASBESTOS
DOLLARS ($100,000), IN ADDITION TO THE
3700 of the Labor Code, for
is issued. My workers'
laws of California, and
9-%l Sh 72m
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place priorto approval to fill pool/spa & shall remain in place & be maintained for the
NOTIFICATION IS NOTAPPLICABLE TO life of the pool.
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