HomeMy WebLinkAboutX2018-3161 - Permits'tr City of Newport Beach - Building Division,
COMB Permit: X2018-3161
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660
X 2 0 1 8 3 1 6 1
Project No: 2463-2018
1: Permit Counter Phone (949)644-3288
'"u.
9
° inspection Requests Phone
(949)644-3255
`�1rnv`g ". Combination Type - CIP ELEC MECH PLUM
Issued Date : 03/2512019
_
Inspection Area : 7
'
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: 229 A MARINE AVENB
Description:. COMM TI "JUICY 7" (1,111 SF)
Legal Desc.:. BALBOA ISLAND SEC 4 BLK 12
LOT 15
Owner: JANET RONALD HOLDER
Contractor: NS CONSTRUCTION Architect:
Address: 229 MARINE AVE
Address: 11464 DELPHINIUM
AVE Address:
'-
NEWPORT BEACH, CA 92662:
FOUNTAIN VALLEY CA 92708
Phone:
Phone: 714-548-0670
Phone:
State Lia
Applicant: TAO ALEX
Con State Lie: 1004046
Engineer.
,
Address: 6148 IVAR -
Lie Expire: 07/3112019
Address:.
TEMPLE CITY CA 91780
Phone: 626.632-3377
Bus Lic - BT30066613
Lie Exp Date: 03/31/2020
Phone:
State Lie:
Code Edit.: 2016
Worker's Compensation Insurance
Designer: TAO ALEX
Type of Construction: V-B
Carrier: NO EMPLOYEES
Address: 6148 [VAR
Occupancy Group: B
Policy No:
TEMPLE CITY
CA 91780%..
Added /New sq.ft. Bldg:. 1111
Expire:
'. Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks Rear: /
Special Conditions:
No of Units: 0
Front:
Bldg Height: 0 -
Left: I
-
Bldg Sprinklers:. N
Right:
Flood Zone: X
Use Zone: Parkin S aces:
0 Fire Hazard Zone : N
-Construction Valuation: 9135.000.00
Building Permit Feer $1,378.00
Excise Tax: $0.00
Planning Department -
Fire Department
Plan Check Fee: $1,198.86
Additional Fee : $0.00
Plan check Fee : $40.00
Fire Inspection:
$0.00
Overtime Plan Ck $0.00
Grading Bonds Fee: $0.00
Fair Share : $0.00
Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant: $0.00
SJH Trans : $0.00
Demolition Fee
Record Management: $28.00
Grading Permit Fee: $0.00
In-lieu Housing Fee : $0.00
.Building Dept Adm
$0.00
Energy Compliance: $94.50
Grading PC Fee: $0.00
Public Works Department-
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee: $0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access : $135.00
PM Plan Check: $0.00
Grading Bond:
$0.00
Hazardous Mat. $0.00
Electrical %: $360.76
San Dist: $0.00
-
Building Green Fee :. $6.00
Mechanical %: $283.45
NMUSD Fee: $0.00
$0.00
Plumbing %: $231.92
$0.00
TOTAL FEE : $3,756.49
Plan Check Fee:
$1,560.23 Fee Due at Permit Issuance : $2,196.26
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PROCESSED BY;
10
Fa BLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
P
GRADING APPROVAL:-
PROVAL TO ISSUE:
,APPROVAL
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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)
iection 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.
is 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 End
'rofessions 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
of 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,
lusiness 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
nprovements 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
nproved 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
pply 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:
ly 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 legalh
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and
rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisionf)Cjtapter (co encing with Section 700 ) of Isi f the Business and Pro �` i ns Code nd my -license is in full force
nd effect. License Class License No Gam/ 000f� Date �` 3 Contractor Signa
VORKERS' COMPENSATION DECLARATION
DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE H OR HOUSAND DOLLARS 15100,0001, IN ADDITION TO THE
OST 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:
I 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.
]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' compensatio
Isurance carrier and policy number are:
Tire of Agent
ire
that, in the performance of
Hat, if I should becomes iect to t
'signature of Applicant
IECLARATION REG D G C
hereby affirm under p Ity rjul
ender's Name
Policy Number
Date
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
npensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
2 ION LENDING AGENCY I
that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Address
my signature below, ify to each of the following:
I am the property o ner or authorized to act on the property
I have read this application and the information I have pr5mk
I agree to comply with all applicable city and county o rfianl
I authorize representatives of this city or count ter the,
DATE I BY
EXPIRED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
laws relating to building construction. lVal j
�dpwperty for inspection purposes.
Print ProDertv Owner's or Authorized AGenl's
OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
NOTIFHINOTABLE TO•• ••e • • • •••