HomeMy WebLinkAboutX2018-1046 - Permits�, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-1046
�$ 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 1 0 4 6 Project No: 0848-2018
N _ Permit Counter Phone (949)644-3288
'« Inspection Requests Phone (949)644-3255
``��r.rs ryuv,,b Combination Type - SFP Issued Date : 04/1212018
0
Inspection Area : 8
PROCESSED BY:
ZONING APPROVAL:
y PALIC WORKS APPROVAL:
0
PLAN CHECK BY:
GRADING APPROVAL: o c c c APPROVAL TO ISSUE:
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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: 900 SPRING TIDE DR NB
Description: SFR INSTALL BI -FOLDING DOOR @ LIVING ROOM
Legal Desc.: N TR 15243 LOT 29
_
All
Owner: LIM CHI HILIM AEMMY
Contractor:
HARKINS CONSTRUCTION
Architect: -
Address: 900 SPRING TIDE DR
Address:
34167 PCH #D
Address:
wrtim
NEWPORT BEACH, CA 92660
DANA POINT CA 92629
�a
Phone:
Phone:
949-245-9028
Phone: State Lie:
w�Ttsa�
Applicant: BENTINDT SEAN
Address:
Con State Lie:
935372
Engineer: BURKE LEO
34167 PCH -D
Lie Expire:
07/3112019
Address: 34167 PACIFIC COAST HWY #D
DANA POINT CA 92629
Bus Lie:
BT30054025
DANA POINT CA 92629
Phone: 949-415-9634
Lie Exp Date:
02/28/2018
Phone: 949-226-7130 State Lic:C-067404
V4 OF
Code Edit: 2016
Type of Construction: VB
Worker's Compensation Insurance
Carrier: NORGUARD INS CO
Designer:
Address:
Occupancy Group: R3/U
Policy No:
LEWC767124
Added /New sq.ft. Bldg: 0
Expire:
02/22/2018
Phone:
Added /New sq. ft. Garage: 0
V
No of Stories: 2
Building Setbacks
Rear: I
Special Conditions:
No of Units : 1
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers: N
Right: /
-
Flood Zone: X
Use Zone: Parkin S aces: 0
Fire Hazard Zone : N
Construction Valuation: $20,000.00
_
Building Permit Fee: $367.00
Excise Tax:
$0.00 Planning Department -
Fire Department
Plan Check Fee: $319.29
Additional Fee :
$0.00 Plan check Fee :
$37.50 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 : $10.00
Grading Permit Fee:
$0.00 In -lieu Housing Fee :
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00 Public Works Department - General Service
$0.00
CA Seismic Safety: $0.00
WO Insp. Fee:
$0.00 Park Dedication :
$0.00 Refund Deposit
$0.00
Disabled Access: $0.00
PAN Plan Check :
$0.00 Grading Bond:
$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
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $734.79
Plan
Check Fee : $0.00
Fee Due at Permit Issuance : $734.79
PROCESSED BY:
ZONING APPROVAL:
y PALIC WORKS APPROVAL:
0
PLAN CHECK BY:
GRADING APPROVAL: o c c c APPROVAL TO ISSUE:
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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)�
;Section 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
he 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 L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
improvements 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
i�m roved for the purpose of sale).
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
apply to: in 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).
® 1 am Exempt from licensure under the Contractors' State License Law for the following reason:
By 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
sell 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.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions pof Chapter 9 (cQ mmencing with Section 70 of Divisi n 3 of the Business and Professions C 9 a s s in full force
and effect. License Class License No ��`R S 3'7"L Date 2 / Contractor Signature
1NQRKERS' 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 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
❑ L..have aiad 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
oerfoi mence of the work for which this permit is issued. Policy No.
I have and wil ntain 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
Ins nce carrier nd olicy number afaN K_�
Date
of
❑1 certify that, in the performance of the work for which this per t -is -issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
hat, if I should becomes ect to the
/wo[cers' c�om/gsatio rov ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r
Signature of Applicant /�/ �� """�—��2A
)ECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby 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, 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 owners 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 enter t Ified property for inspection purposes.
3i nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na ✓1 I�CCJ D e T O
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403• •
PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION3D • • i
PERMIT CANCELLED EPA • i • • • • • • • •
PERMIT EXTENDED QMD •• •
PERMITFINAL ���'''ffI ') /- ry ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF /e lC^I'1 (��/J� PROPOSED DEMOLITION •• ••• • • • •••
OCCUPANCy1SSUE0 SIGNATURE:
s a ••