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HomeMy WebLinkAboutX2018-3834 - Permitsn10 City of Newport Beach - Building Division IIIIIIIIIIII���IIIIIIIIIIIIIIIIIIII COMB Permit: X2018-3834 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0. 8 3 8 3 4 Project No: 2050-2018 h Permit Counter Phone (949)644-3288 z�.1•,.. Inspection Requests Phone (949)644-3255 Combination Type - MFP MECH ELEC PLUM Issued Date : 12018 Inspection Arearea : 5 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 DELTA 1, REMOVE/REPLACE 2ND FLR BATH & RELOCATE IST FLR BATH FIXTURES (REV18-2269) Legal Desc.: P M 201-19 PAR 1 UNIT 1 OF PROJECT LOCATED ON AP 459-111-22 TOGETHER Owner: GORMANGORMAN MEGAN Address: 5455 HILLTOP CRES .OAKLAND CA 94618 Phone: Applicant:. GARCIA JOHN Address: PO BOX 9942. NEWPORT BEACH CA 92658 Phone:949-683-8858 Code Edit: 2016 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Building Permit Fee: $392.00 Plan Check Fee: $341.04 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $6.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat - $0.00 Building Green Fee : $1.00 TOTAL FEE $899.69 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: LEWIS CARL CO Architect: GARCIA JOHN M Address: 738 N JANSS ST Address: PO BOX 9942 ANAHEIM CA 92805 NEWPORT BEACH CA 92658 Phone: 714-774-3844 Phone: 949-683-8858 State Lic:C01675 .� Con State Lie: 487136 Engineer: % Lie Expire: 0212912020 Address:. Bus Lic: BT30022339 • o e e e ° ° o © o Lie Exp Date: 03131/2019 Phone: State Lie: Worker's Compensation Insurance Designer. � o° eoo 00 0 Carrier: EVEREST NATL Address: ° • • 0 0 Policy No: 7600012208171 Phone:'fi Expire: 10101/2019 • ° a ° ° Building Setbacks Rear: / Special Conditions: Front: I a�.® oo °o eoo ° Left: I . _.. o Right: I oo ° mo°o°o Use Zone: Parking Spaces: 0 Fire Hazard Zone : N ° ° ° ° • ° ° Excise Tax: $0.00 Planning Department - Fire Department Additional Fee ; $0.00 Plan check Fee: $40.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PM Plan Check: $41.25 Grading Bond: $0.00 Electrical %: $27.44 San Dist: $0.00 Mechanical %: $15.68 NMUSD Fee: $0.00 $0.00 Plumbing %: $35.28 $0.00 Plan Check Fee $422.29 Fee Due at Permit Issuance : $477.40 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: n 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 iterza(s) Section 7031.5, Business and Professions Code: Any city or couny 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 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 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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). 3 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 Poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the ContractorsState License Law). J I am exempt from licensure under the Contractors' State License Law for the following reason: y my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion Of the improvements covered by this permit, I cannot legall) ell 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 Tofessions 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 4AN7RACTOR'S DECLARATION hereby affirm under phnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00ess a 0) of Division 3 of the Businnd Profes I s Code, and {ny license is in full force Bd eKoct. License Class License No Dat k7(t"1(If3 Contractor Signature .✓ /OR!(ERS' COMPI!NSATION DECLARATION ARNIN(P. FAILURE TC SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR D THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DS7•Cf COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Iteirelty affirm Adder Dvnalty of perjury one of the following declarations: ] I have and Will, jnaDitain 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 thi .3j:foPAance ofihe.work for which this permit is issued. Policy No. and will Maintain 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:nq p1licy number are: • Policy Number Expiration Date certify that, in the pertqFmance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the wor ers' compensation laws of California, and , if I should become s{lbject to the wor4ery' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant Ireby affirm underpenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued Ider's Name / Lender's Address my signature belo(v, 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 count ordinances and state laws relating to building construction. I authorize representatives of this city or county t en r the ab� dentified property for inspection purposes. nature of Pronertv Owner or Authorized Aoent � —` Print ProDertv Owner's or Authorized Aaent's Name ACTION DATE I BY DECLARATION OF I/ I REGUILOONS PART 1 O TCOMPLIAIITLE 40 AND AQMD RULE CE WITH CODE OF AL FOR OFFICE USE ONLY PERMIT EXPIRED i/91 ,�LJIS WTTED ASBESTOS NOTIFICATION TO PERMITCANCELLED I EpA PERMITFINAL CERTIFICATE OF IVI �If I' IC SGOP NATURE: STO Et�1Q�LIITIONIO I NOTAPPLICABLE TO OCCUPANCYISSUED V I l�J Civil Code). Date