HomeMy WebLinkAboutX2015-2564 - Permits.' City of Newport Beach: B,tuiding Division - ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllll ��
100 Civic Center Drive, Newport Beach, CA 92660 X 2 9 1 5 2 5 6 4
., Permit Counter Phone (949)644-3288
'. Inspection Requests Phone (949)644-3255
�R✓wirnw F� Combination Type - SFP ELEC MECH PLUM
COMB Permit: X2015-2564
Project No: 1942-2015
Issued Date: 01/21/2016
Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.'
3
INSTALL
Job Address: 1527 ANTIGUA WAY NB
OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS 1PLUMBING FIXTURES TO BE UPGRADED
Description: SFR -ADD (N) ENTRY AREA 259
SF, REMODEL MSTR BEDROOM, LIVING ROOM & KITCHEN�^�
Legal Desc.: N TR 5287 LOT 1
Owner: WEBER JOHN&JAIME
Contractor:
JENKINS CONSTRUCTION Architect:
Address: 1527 ANTIGUA WAY
Address:
504 CANAL ST
Address: '-- "�'
......
NEWPORT BEACH, CA 92660
NEWPORT BEACH CA 92663
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Phone:
Phone:
714-345-9371
Phone: State Lie:
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Applicant: WEBERJAIME
Con State Lie: 901221
Engineer: XIAO QIANG
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Address: 1527 ANTIGUA WAY
Lie Expire:
07/31/2017
Address: 1520 BROOKHOLLOW DR 945
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NEWPORT BEACH, CA 92660
Bus Lie:
BT30035239
SANTA ANA CA 92705
Phone: 949.922-9079
Lie Exp Date:
04/30/2016
Phone: 714-662-0510 State Lic:S-005269
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Code Edit: 2013
Worker's Compensation Insurance
Designer:
Type of Construction: V -B
Carrier:
STATE FUND
Address:
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Occupancy Group: R3/U
Policy No:
9076367
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Added /New sq.ft. Bldg: 259
Expire:
10/20/2016
Phone:
Added/New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: 6
Special Conditions:
No of Units : 1
Front: 20
Bldg Height: 0
Left: 6
Bldg Sprinklers:
Right: 6
Flood Zone: X
Use Zone: R-1-6000 Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $300,000.00
Building Permit Fee: $2,111.00
Excise Tax:
$0.00
Planning Department - Fire Department
Plan Check Fee: $1,519.92
Additional Fee:
$0.00
Plan check Fee : $32.00 Fire Inspection:
$0.00
Overtime Plan Ck: $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: $40.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee : $0.00 Building Dept Adm
$0.00
Energy Compliance: $180.00
Grading PC Fee:
$0.00
Public Works Department - General Service
$0.00
CA Seismic Safety: $39.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check: $37.75
Hazardous Mat $0.00
Electrical %:
$147.77
San Dist: $0.00
Building Green Fee: $12.00
Mechanical %:
$105.55
NMUSD Fee: $0.00
$0.00
Plumbing %:
$211.10
$0.00
TOTAL FEE : $4,436.09
Plan Check Fee:
$1,769.67 Fee Due at Permit Issuance :
$2,666.42
PROCESSED BY:
yk�PUBLIC
WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
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)
Iction 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
siness 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
wovements 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
)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 i.ot
fly 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 exemgt'fW Ijcensure under the Contractors' State License Law for the following reason:
MY
Signaturebelow I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the imZons
y this permit, I cannot legall;
6a etsucture 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 appl4 of the Business and
ifesslons CoBt,'i ostilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
palup of Prop%rty Owner or Authorized Agent
SENSED CONTRACTOR'S DECLARATION
reh affirm undue penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) Divi i of the Business and license is in ful ce
I effect. Licence Class License No Dat l Contractor Signa
PRICERS' aWRINSATION DECLARATION
IMNG: 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
IT,(JF•COMPENSA'FiON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
!rebZ affir Y%�rpb natty of perjury one of the following declarations:
d•Nev 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 the
rEveanvoe
ce of ttl4 M6k for which this permit is issued. Policy No.
and will mceaintain workers' compensation insuranrep Ired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi
carrier and policy number are:
ie of Agent
certify that, in the p rfor nce o he wor a which this
if I should beco su j ct tcyf} a wor s' compensat'
Iatureof Applic t
;reby affirm under penalty of perjury tTat there is a construction
Ider's Name -
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property o,
I have read this application and the information I have prove
I agree to comply with all applicable city and ou rdin �c!e
1 authorize representatives of this city or cou o enter I
of Property Owner or Authorized
Date
is issued, I s employ any personAKany manner so as to become subject to the workers' compensatio laws of California, and agree
ions ction 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date f c
:Y
Indinq � cy for the performance of the work for which this permit is issued (Section 3097, Civil Code).
/ / Lender's Address
building construction.
inspection purposes. / /)
_ Print Property Owner's or Authorized Agent's NL-zy�vC=`J�G✓ Dat///
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