HomeMy WebLinkAboutX2018-3423 - Permitse111n City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III III I COMB Permit :X2018-3423
X
100 Civic Center Drive, Newport Beach, CA 92660 2. 0 1 8 3 4 3
Permit Counter Phone (949)644-3288 LIC /t`&��p, roject No
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM ssued Date: 11/13/2018
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: 3408 OCEAN BLVD NB
Description: SFR - KITCHEN & BATH (6) REMODEL 1100 SF PER CITY STANDARDS "LIKE FOR LIKE"
Legal Desc.: RESUB OF CORONA DEL MAR LOT 6 BLK 140(AND E 12 FT LOT 7 BLK 140
Owner: ` KIRBY MICHAEL -
Address:.. 3408 OCEAN BLVD
.CORONA DEL MAR CA 92625
Phone:. 949.6933-9095
Applicant: CROCKER MARK
Address: 4447 OLD NEWPORT BLVD
NEWPORT BEACH CA 92663
Phone: 949-520-2024
Code Edit : - 2016
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Contractor:.
JADON DESIGNS
Architect:
Address:
260 E DYER RD #N
Address:.
SANTA ANA CA 92707
Phone:
714-496-8802
Phone: State Lic:
Con State Lic:
911837
Engineer:
Lic Expire:
03/31/2020
Address:
Bus Lic:
BT30044825
Lic Exp Date:
09/30/2019 :
Phone: State Lic:
Workers Compensation Insurance
Designer:
Carrier:
NORGUARD INS
Address:
Policy No:
JKWC990198
Fair Share :
SJH Trans :
Expire:
03/25/2019
Phone:
Building Setbacks
Rear: /
Special Conditions:
In -lieu Housing Fee:
Front: /
Demolition Fee
Building Dept Adm
$24.00
Left: I
Grading PC Fee:
WO Insp. Fee:
$0.00
$0.00
Gink+-
General Service
Flood Zone:.
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
nstruction Valuation: X5200.000.00
lding Permit Fee:. $1,768.00
Check Fee: $1,538.16
Excise Tax:
$0.00
Planning Department -
-
Fire Department
ertime Plan Ck: $0.00
[[Plan
Additional Fee :
Grading Bonds Fee:
$0.00
$0.00
Plan check Fee:
$40.00
Fire Inspection:
$0.00
estigation Fee: $0.00
Grading PC Consultant :.
$0.00
Fair Share :
SJH Trans :
$0.00
$0.00
Fire Plan Rev
$0.00
cord Management : $2.00
rgy Compliance: $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Demolition Fee
Building Dept Adm
$24.00
Seismic Safety : $0.00
Grading PC Fee:
WO Insp. Fee:
$0.00
$0.00
Public Works Department -
General Service
$197.00
Disabled Access : $0.00
Park Dedication :
.$0.00
Refund Deposit
$564.00
Hazardous Mat $0.00
Electrical %:
$123.76
PAN Plan Check :
San Dist:
$0.00
$0.00
Grading Bond:
$0.00
Building Green Fee : $8.00
Mechanical %:
$70.72
NMUSO Fee:
$0.00
$0.00
Plumbing %:
$169.12
$0.00
TOTAL FEE : $4,494.76
Plan Check Fee
: $4,494.76
Fee Due at Permit Issuance :
$0.00
rmuLmaStu H7:
ZONING APPROVAL:
GRADING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DEOL.ARAI IUn
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
ractors' State
cense Law
ro essiolns file a signed Code) or that heto she Is exempt from licensu ehat he or she is dpursuant to the and the basis for he lsions allegedfthe exemption.tAny violationlof Section 7031.5ter 9 by any applicant ong rf a permit subjeith Section cts th0) ofe applicant toivision 3 the Business a civil penalty of
it more than five hundred dollars ($500).
] I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section h employees' or personal effort, builds or improves the property, providedd that the
usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, througha
1provements 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
n raved for the purpose of sale).
1, 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:
y 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 legally
ell a structure that I 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
professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Date
ignature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
!OSTARNIOF COMPENSATION,ILUREORE WOB AS S' COMPD FOR IN SECTION AGE IS UNLAWFUL,
AND CODE, LL SUBJECT
BT, AND ATTORNEY'S EMPLOYER
TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E10a,00a), IN ADDITION TO THE
THE
S.
hereby affirm under penalty of perjury one of the following declarations:
on, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
1 have and will maintain a certificate of consent to self -insure for workers' compensati
erformance of the work for which this permit is issued. Policy No.
71 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:
:arrier Policy Number Expiration Date
re of Agent
certify that, in the performance of the work 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
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _
signature of Applicant
)ECLARATION REGARDING CONSTRUCTION LENDING AGENCY
Lender's Address of the work for which this permit is issued (Section 3097, Civil Code).
hereby affirm under penalty of perjury that there is a construction lending agency for
.ender's Name
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 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 enter the above -identified property for inspection purposes.
3i nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
EPA
PERMIT EXTENDED
0ACMD
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
1 7tif
1 1
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: