HomeMy WebLinkAboutX2018-2926 - Permitsy City of Newport Beach - Building Division
cry 100 Civic Center Drive, Newport Beach, CA 92660
E * Permit Counter Phone (949)644-3288
$ Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
��IIIIIIIINIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII �� COMB Permit: X2018-2926
x 2 9 1 8 2 9 2 6 Project No :
Issued Date : 09128/2018
Inspection Area : 1
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: 21 BAY ISLAND NB
Description: SFR REMODEL KITCHEN & (3) BATHROOMS (1108 SF)
Legal Desc.: S TWP 6 RGE 10 SEC 34
�• as Rr1
Owner: BAY ISLAND CLUB Contractor: SHEAR CONSTRUCTION Architect:
Address: 18 BAY ISLAND Address: 31 BLAKEMORE DR Address:�'
NEWPORT BEACH, CA 92661 LADERA RANCH CA 92694 6g+ 1
Phone: Phone: 714-615-6108 Phone: State Lic:
Applicant:
SHEAR CONSTRUCTION
Con State Lic:
760853
Engineer:
Address:
31 BLAKEMORE DR -
Lic Expire:
0713112020
Address:
Disabled Access:
LADERA RANCH CA 92694
Bus Lic.
BT30049686
° m m m m °
Phone:
714-615-6108
Lic Exp Date:
01/31/2019
Phone: State Lic:
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 3
No of Units: 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
2016 Worker's Compensation Insurance
Designer:
......
$0.00
VB^m-(:�(_ Carrier: STATE FUND
Address:
•moo
$0.00
R3/U Policy No: 9095806
$0.00
Disabled Access:
$0.00
0 Expire: 04/11/2019
Phone:
° m m m m °
• �.
0
$0.00
In -lieu Housing Fee:
General Service
Building Setbacks Rear: I
Special Conditions:
Public Works Department -
WQ Insp. Fee:
Front: I
._ Park Dedication:
$0.00
Left: I
P/W Plan Check:
$0.00
0 0
Right: I
San Dist:
°oo°m•
00 0
Use Zone: Parkina Snaces: 0
Fire Hazard Zone : N
m o 0
0 0 0 0 o m
Building Permit Fee: $1,036.00
Plan Check Fee: $901.32
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$4.00
TOTAL FEE: $2,190.52
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee
Fire Inspection:
Grading Bonds Fee:
$0.00
Fair Share:
me
•joied 0 m m m m
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
General Service
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
._ Park Dedication:
$0.00
P/W Plan Check:
$0.00
Electrical %:
$72.52
San Dist:
$0.00
Mechanical %:
$41.44
NMUSD Fee:
$0.00
Plumbing %:
$93.24
Plan Check Fee :
$0.00 Fee Due at Permit Issuance : $2,190.52
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
° o 0000c
Fire Department
ommoo °
o °
$40.00
Fire Inspection:
s.0.00 m m m m
$0.00
Fire Plan Rev
me
•joied 0 m m m m
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $2,190.52
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
1 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)
lection 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 and
'rofessions Code) or that he or sheds 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' StateLicenseLaw 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: -
iy'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 Iega11,,
elfa 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi---
ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec,NSnn 00) of Div ion -3 of the Bus' essions 5 y license is in full force
nd effect. License Class License No Date \�^ t Co acto Signa ( /
COMPENSATION DECLARATION
1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINF§IIFTO ONE HUNDRED THOUSAND DOLLARS ($700,000(, IN ADDITION TO THE
:OST OF COMPENSAIIQN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirMdrf&r penalty of perjury one of the following declarations:
It Nave Sari uwill 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,
rfprmance of [hie work for which this permit is issued. Policy No.
ave and will rpgintain 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' comps
isujan a carsier an&policy number are:
?ayjpF Policy Number Expiration Date
BGte of Ag(
11-dbrti fy th
BA 4f-0 shot
0.
gnat a of
is 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
peconile subject tollle/Workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pry
u ..• /1 // U
afeby a Ir . ay of perjury that there is a construction lending agency for the performance of the work for which this permit is
Ider's Name Lenders 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 representative` county to enter above -identified property for inspection purposes.
nature of Pronertv Owner o�t �oriF dze Aaent � Print Progertv Owner's or Authorized A. ent
ACTION I DATE— I BY--" � REGULATIONS PART M O TTITLE CE ITH AND DE OF RULE AL I FOR OFFICE USE ONLY
PERMITEXPIRED V I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED OEPA
PERMITEXTENDED OMD
PERMITFINAL ^ b ASBESTOS NOTIFICATION/I}j TAPPLICABLE TO
OCERTIF
CCUPICATEOF N" DEMOLITG�//�
OCCUPANCY ISSUED IGNATU
for
compensation laws of California, and
3097, Civil Code).
Qf