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HomeMy WebLinkAboutX2018-2846 - Permits�w1 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2018-2846 A 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 2 8 4 6 Project No: 2050-2018 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 ""crs,iw'Ps Combination Type - MFP ELEC MECH PLUM Issued Date : 09/24/2018 0 Inspection Area : 5 II TOTAL FEE: $489.40 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $489.40 r PROCESSED BY: ' . ¢ ` , „PUBLAQWORKS APPROVAL: ZONING APPROVAL: - PLAN CHECK BY: GRADING APPROVAL: ¢, o ea r e LArPP'IOVAL TO ISSUE: c¢ ` ay ec u can c¢ 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: 426 CARNATION AVE NB St: 1 FI: 1 Unit: B Description: MFR REMODEL MASTER BEDROOM & BATHROOM, MOVE NON-BEARING WALLS, INSTIL FOLDING DOOR (131 SF) Legal Desc.: P M 201-19 PAR 1 UNIT 1 OF PROJECT LOCATED ON AP 459-111-22 TOGETHER ...nom Owner: MEGAN GORMAN Contractor: LEWIS CARL CO Architect: GARCIA JOHN M,.� Address: 5455 HILLTOP CREST Address: 738 N JANSS ST Address: PO BOX 9942 T" OAKLAND CA 94618 ANAHEIM CA 92805 NEWPORT BEACH CA 92658 .� Phone: Phone: 714.774-3844 Phone: 949-683-8858 State Lic:C016755 Applicant: GARCIA JOHN M Con State Lic: 487135 Engineer: Address: PO BOX 9942 Lic Expire: 02/29/2020 Address: NEWPORT BEACH CA 92658 Bus Lic: BT30022339 Phone: 949-683-8858 Lic Exp Date: 0 313112 01 9 Phone: State Lic: Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: EVEREST NATL Address: Occupancy Group: R3/U Policy No: 7600012208171 Added /New sq.ft. Bldg: 0 Expire: 10/01/2018 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: No of Units : 2 Front: / 7 Bldg Height: 0 Left: I Bldg Sprinklers: N Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $19.650.00 Building Permit Fee: $392.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee: $0.00 Plan check Fee: $0.00 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 : $18.00 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 WQ 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 %: $27.44 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $15.68 NMUSD Fee: $0.00 $0.00 Plumbing %: $35.28 $0.00 II TOTAL FEE: $489.40 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $489.40 r PROCESSED BY: ' . ¢ ` , „PUBLAQWORKS APPROVAL: ZONING APPROVAL: - PLAN CHECK BY: GRADING APPROVAL: ¢, o ea r e LArPP'IOVAL TO ISSUE: c¢ ` ay ec u can c¢ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable iterq(,$) (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 Businesscano 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 completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). 11 -1; -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 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: Bymysignature 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:htlp://www.leginfo.ca.gov/calaw.html. 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 of Chapter 9 (commencing with Section ° Oa. f 'visi n of the Business and Pr sions Co d-myitcense is in full force and effect.- License Class License No Date Contractor Signature' WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR THOUSAND DOLLARS ($100,OOD(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I have 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 th pegormance of the work for which this permit is issued. Policy No. have and w' alntain 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' rance Carrie - an policy number are: Number of Date certify that, in the performance of the wor4 for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation I we of California, and agre I, if I should becomes fect to the worker ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 0 la nature of Applicant Date�) /� CLARATION REG DING CONSTRUCTIONLENDING AGENCY / " Ireby 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). Ider's Name Lender's Address my signature below, I certify to each of the following:- \I 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.lJ h1�� I agree to comply with all applicable city and county ordinances 4d state laws relating to building construction. I authorize representatives of this city or counly 10enter the abovA.identified property for inspection purposes. / % �,�-_1�'I nature of Prooertv Owner or Authorized Anent )L Print Prooertv Owner's or Authorized ADent's Nam3/ DateX J 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 U I SUBMITTED ASBESTOS NOTIFITTION'Ij) • • •�• .•• PERMITCANCELLED EPA • • o, - • . • • s+e PERMIT EXTENDED OMD - • o • - PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF�O I� P POSEDDE LITTON •• ••• OCCUPANCYISSUED ` SIGNATURE: • r e e o • • c°• •e•