HomeMy WebLinkAboutX2018-1606 - Permits�xm� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-1606
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 1 6 0 6 Project No: 1231-2018
�' " Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
x xu ,r Combination Type - SFP ELEC MECH PLUM Issued Date: 05124/2018
9
Inspection Area : 4
.[ 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: 3506 CATAMARAN DR NB
Description: SFR -INTERIOR REMODEL OF KITCHEN/LIVING ROOM 1000 SF
Legal Desc.: N TR 6152 LOT 12 IN.FFIECTOR
Owner: MARTIN VALINDA JEAN Contractor: OWNERIBLDR Architect:
Address: 3506 CATAMARAN DR Address: Address:
CORONA DEL MAR, CA 92625
Phone: 949.433-6070 Phone: Phone: State Lic:
Applicant: MARTIN VALINDA JEAN
Con State Lic: O/B
Engineer:
HUSZCZ MARIAN JOHN
Address: 3506 CATAMARAN DR
Lic Expire:
Address:
8 CORNWALLIS
CORONA DEL MAR, CA 92625
Bus Lic:
IRVINE CA 92620
Phone: 949-433-6070
Lic Exp Date:
Phone:
949-651-3316 State Lic:S-003555
Code Edit : 2016
Worker's Compensation Insurance
Designer:
JAVERT DENNIS
...... O0°°°
Type of Construction: V -B
Carrier:
Address:
17504 WINDCREEK CIR
Occupancy Group: R31U
Policy No:
RIVERSIDE CA 92503
Added /New sq.ft. Bldg: 0
Expire:
Phone:
951.688-5421
Added /New sq. ft. Garage: 0
00 0
No of Stories: 1
Building Setbacks
Rear: I
Special Conditions: O/B AUTH FORM ATTACHED
No of Units : 1
Front: 1
° ° °
° °
° ° °
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: /
° ° °
......
Flood Zone:
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $80.000.00
Building Permit Fee: $926.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $805.62
Additional Fee :
$0.00
Plan check Fee:
$37.50 Fire Inspection:
.1116%
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
40.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $14.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00 Building Dept Adm
$0.00
Energy Compliance: $56.00
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: $0.00
P/W Plan Check: $0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$64.82
San Dist: $0.00
Building Green Fee : $4.00
Mechanical %:
$37.04
NMUSD Fee: $0.00
$0.00
Plumbing %:
$83.34
$0.00
TOTAL FEE : $2,028..332
Plan Check Fee
: $0.00 Fee Due at Permit Issuance :
$2,028.32
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL: `I
ILP
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
(S�
L 1.�--�
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)
ction 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
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
fessions 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
more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 71'
iness 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 tfrat the
ements 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
ved for the purpose of sale).
s owner of.the property, am 4xc1usive1y contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
jy 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).
LJ dam exempt from licensure under the :Contractors'St ate Licen Law for the following reason:
By my signature below I acknowledge tnaf, except for my person r sidence in which I must have resided for at least one year prior to completion of the improvements
sell a structure that I have built as an owner builder if it has of b constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, S
Professions Code, is available upon request when this ppl' atio submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized A
LICENSED CONTRACTOR'S DECLA N
I hereby affirm under penalty of perjury that am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions
and effect. License Class License No Date Contractor Signature
and my license is in full force
KERS' COMPENSATION DECLARATION
NG: FAILURE6-VAhIJRE 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
OF COMPENSAFWN,CAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
by effirm unlfor penalty of perjury one of the following declarations:
have and Mill rh9intain 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
mghce of the Work for which this permit is issued. Policy No.
and w9rmain1in 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'
carrier 91Td policy number are:
"': Policy Number Expiration Date
I(f@It V that, in jhe performance of the wo for ch this permit is issued, I shall not employ any person in any manner so as to become subject to the worker�mpenss laws of California, and agre
t, if I should become ubject to the work 'co nsation prov ions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. /
riaiure o Appl' Rt. Date
CCQRA 10 CARDING 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, Civil Code).
tder'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 havAin
ded is correct. _
I agree to comply with all applicable city and coun y ces and state laws relating to building construction.
I authorize representatives of this cit� rcounty toe above -identified property for inspection purposes. ��(j .(/tet ` y i/
nature of Prooertv Owner or Authorizi3a9},Denf Z_—_ Print Property Owners or Authorized Agen N e 1�FiL�/UVit /VFT'hY�I //A / da
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EMENDED
PERMITFINAL
CERTIFICATEOF
OCCUPANCYISSUED
DATE BY DECLARATION OF II REGULATIONS PART061 OF IT E 40 AND AQMD RULE E WITH CODE OF AL I FOR OFFICE USE ONLY
NOTIFICATION TO
IS NOT
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