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HomeMy WebLinkAboutX2018-3220 - Permitsa w.a�r City of Newport Beach - Building Division b 100 Civic Center Drive, Newport Beach, CA 92660 1 �^ Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM III������������4III COMB No:rm it: a018-3220 3-2 Issued Date : 1012412018 Inspection Area : 3 PERMITS EXP/RE 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: 1628 SKYLARK LN NB Description: SFR- ENCLOSE PORTION OF CVRD PORCH 106 SF, REM KITCHEN, BATHS, BDRM & REM EXTG PATIO COVER Leaal Desc.: N TR 3082 LOT 61 Owner: Address: Phone: Applicant: Address: Phone: COPPOLA CLAUDE & DONNt� '-;� - 1628 SKYLARK LN -�1 NEWPORT BEACH, CA 92660 Date: » , - COPPOLA CLAUDE & t 1628 SKYLARK LN NEWPORT BEACH, CA Code Edit : 2016 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: 106 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Construction Building Permit Fee: $1,827.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $32.00 Energy Compliance: $0.00 CA Seismic Safety: $12.74 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $4.00 TOTAL FEE: $2,323.64 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: 13930 SAN ALISO CT CORONA CA 92880 on Lic 839Q'q ; r iYf Lic p0 �/31(21,9l @, 6, Bu is R 30QG ti t �Y`fi�` " C Lic a t1%01� aw in 3n.^ orker's Compensation Insurance CarrierVRL' DISfg, �, y PolEx ing Front: 20 Left: 6 Right: 6 Excise Tax: (work sta- 10M . Additional Fe A . $0.0 Grading Bonds Fee: $0.00 CKadigg PC Consultant: $0.00 PC Fee: Mechanical %: $73.08 Plumbing %: $164.43 Address: !f applicable: Phone: State Lic: EnginQ 8QSk9JtisQH1QNi% refund Address: 6011 E BRIGHTON LANE ANAHEIM CA 92807 I goftnetO W 191Q1"t-22011 State_Lu::C.036969 Designer: COBOS FERNANDO QDecess: 4571 DELANCY DR YORBA LINDA CA 92886 e: 714-932.3397 ial Conditions: Planning Department -(no Work $ta rtedr Department Plan check Fee : $0.00 Fire Inspection: Fair Share : $0.00 Fire Plan Rev SJH Trans: $0.00 Demolition ie ousing ee: $0.00 '411Department- Building De I ie�t sr'l? it.itMgeralSild Ret`und-Deposi San Dist: $0.00 _ NMUSD Fee: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $2,323.64 . E PUBLIC�WORKS4APPROVAL: C 6 6 U PLAN CHECK BY: . °4PPftnV�tL` TOISSU% o . c Lc Z o c c oc� cc eo 4 .. coo 1 oo DECLARATION T. 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 the 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 ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completioq,.the.A.wner•Build6r will have the burden of proving that it was not built or E for the purpose of sale). `_ ❑ I, as owner of the property, am exclusively contracting ,wit�; IjggDsed ContraEtor` s`% bonstruct the project (Section 7044 Business and Professions Code: The Contractors' Stale License Law does not apply to an owner of pro art and who contracts for the projects with a licensed on rgctbr pursuant to the Contractors' State License Law). ,tp ❑ I am exempt from licensure under the Contractors' State License Law for the followi�ngy reason:--�- By my signature below I acknowledge„thpt, except for my persogaLresidence-irr'wllloli must have resided for atrleast.one,gar prior 40"¢oli{ptetlbd oft he'Improvements covered by this permit, I cannot legall) sell a structure that I have$uilt as an.owher-builder'if"it fia5 not been constructed In its entirety by, licensed contractors., ur(denlian`d-that a copy of the applicable law, Section 7044 of the Business and Professions Code, is availIIble upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent I`• „t �. . ,__ .-- Date LICENSED CONTRACTOR SyDECLAi TION � o � 1') �hll � � " `� 1 hereby affirm under penalty of perjury that I am hcegsed under pfowslons ot: Cfiaptar 9 (commencing wi(ti` Section 0 O) f Division 3 of the Business and Pr s�Code and my 164nse is in full force and'effect. License Class t. r^ Lldense No ' Date L Contractor Signatur� ARNING: FAILURE TO SECURE N DST OF COMPENSATION, DAMAC hereby affirm under penalty 71 have and will maintain 7e7erfoo ante of the work for, dF have and will maintain 1e of Agent 1_I certify that, in the pi , if I should become iature of Applicant - KERS' COMPENSATION AS P,RQYIOED'F.OR IN S Dedury one df the f compensation workers' LENDING :reby affirm under ¢enally of perjurythat there ise-cc Iders Name my signature below, I certify to each of the following:,, 1 am the property owner or authorized to act on the,I I have read this application and the -inf0fM6t1-6WI,ha, I agree to comply with all applicable city and county I authorize representatives of this city or county to/e nature of Prooertv Owner or Authorized Aoent�.<- No. as required by Section 3700 of AMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000), IN ADDITION TO THE issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for for the performance-* the Wo for s a Expiration Date which this permit is issued. My workers' :d, I shall not employ any person in'any manner soas to become subject to the workers' compensation laws of California, and agre Section 3700 of the Labor Code, I shall forthwith comply with those proviS"ions.- "� - f0 t? S agency for the performance of the work fof_which thls'pe�mlt is issued tS@Gttprr,3097, Civil provided is correct. diwces and state laws relating to building construction. .r the abovsL identified -property for inspection purposes. ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIREDISUBMITTE:ASBES10SNO1jF�:ATIQIfTO • • • Y — t `��{ PERMIT CANCELLED b EPA • • • . • • • . • ' . . . I PERMIT EXTENDED QMD PERMITFINAL ASBESTOS NOT C.ION IS OTAPPLICABLE TO CERTIFICATEOF PR POSED M •• • • \• ••• OCCUPANCYISSUED SIGNATURE• • • • • e r�