HomeMy WebLinkAboutX2017-1111 - Permitswaae City of Newport Beach - Building Division
4' 100 Civic Center Drive, Newport Beach, CA 92660
F Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
xVsnx5�3�;. Combination Type - SFP ELEC MECH PLUM GRAD
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and
Job Address: 2024 NAUTILUS LN NB
Description: NEW SFR W/ATT.GARAGE 4990 & 734 SF
Legal Desc.: NTR 3763 LOT 75
Owner:
Address:
Phone:
BRILES RICHARD &-KEANNA�- -
19NSEA
LONG BEACH CA 90803
562-434-4362 tA
Applicant:
JACKSON GARY
Address:
675 MASTERS CIR
Occupancy Group:
BREA CA 92821
Phone:
714-336-2555
Code Edit :
2016
Type of Construction:
VB/U
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
4977
Added /New sq. ft. Garage: 741
No of Stories:
2
No of Units :
1
Bldg Height:
24
Bldg Sprinklers:
Y
Construction
Building Permit Fee: $5,888.00
Plan Check Fee: $4,744.00
Overtime Plan Ck:
$0.00
Investigation Fee.
$0.00
Record Management:
$60.00
Energy Compliance:
$268.00
CA Seismic Safety:
$122.46
.Disabled Access:
$0.00
Hazardous Mat
$_0.0000
Building Green Fee :
$3 . 0
Address: 675 MASTERS CIRCLE
BREA CA 92821
Phone 714-336-2555
Con State Lic 503271
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Worker's Compensation nsurance
Carrier WIC EXEMPT
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Front 20'
Left: 6'
Right: 6'
COMB Permit: X2017-1111
Project No : 0741-2017
Issued Date: 09105/2017
Inspection Area : 3
6:00 p.m. Na work on Sundays or Holidays
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Phone:
Special Conditions:
//'E,��xciselTax:+ �'
b°l�Ai�if�al Wrted)
$1,200.78
$0.00
Planning Department- 4 -
Plan ch(ft(Beld,,'ork starit0o
Fire Departm$nt
Fire Inspection:
Grading Bonds Fee:
$0.00
Fair Share : $0.00
Fire Plan Re
Grading PC Consultant:
Grad no Permit Fee:
$0.00
$820.00
SJH Trans : $0.00
In -lieu Housing Fee : $0.00
Demolition F -e
Building DIpt Adm
Grading PC Fee:
WO Insp. Fee:
$713.40
$0.00
Public Works Depa men - 'Genera[ Sptivice
Park Dedication : 0 • Refund De osit
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ng.Bor3d:
I %: $235.52 NMUSD Fee: $3,974.40
%: $529.92
11 TOTA� FEE: $20,924.64 Plan Check Fee : $5,725.40 Fee Due at Permit Issuance
PROCESSED BY: y PUBLIC WORKS APPROVAL:
ZONING APPROVAL: F-- PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE: ni
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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)
ction 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 p 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 an - a �nption. 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 ($500). '
I, as owner of the property, or my employees with wages as their sol e* i oPf
I (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
:iness and Professions Code: The Contractors' State License Law do ®ul RI t property who, through employees' or personal effort, builds or improves the property, provided that the
rovements are not intended or offered for sale. If, however, the building or improve d within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
roved for the purpose of sale$,.,_,„,.,,„,,,,,e
1, as owner of the property, ii'm exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and +Pro essionso e: eo ractors' State License Law does not
lyylo-an owner of property wqo builr4kor gnproves thereon, and who contracts for the projects with a licensed Contractor pursuant to the. Contractors' State Licens Law)..
I am exempt from licensure nde
my signalge•I.- I ackno (edgl
a structure that -1•have-built as an
of P-rMertiowner or
affirm under
affirm under penalty of
that, except for my personal residence in which I must have resided for at least one
=er buil6r if it ha,-,AGtbeen o90strueted in,lts entiE& by Ii eaagd contractorsrN
FOR
License No
Contractor
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
and will Melntain a Certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by
:e ofIlle work fgr,which this permit is issued. Policy No.
and w111 e�
carrier and
wrance, as required y Section 3700 of
rCt1a,"6Jier
the performance of the work for which this
• r e
Jame ofgentF
r1 �nln }Phonpe[#
g1 e '
that, in the performari'e of thq@ work for w Ich Fiis per RIs issu d, I shall not employ any person in li�j ThstM a5�r �b@ASubject to the workers' c
should become sub act t$ th d kers' comp sation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions.
signature of Applicant 6 `: D _
DECLARATION RE RDING C NSTRU I LE G AGENCY
hereby affirm uncle penalty of fI?f�T�rjury tha is a c struction lending agency for the performance of the work for whit IZS, per I ;;.ug ,(Section 3097, Civil
-ender's Name i —"� ress---�`jf '����ar`
3y my signature below, I certify �eaakFeb�t#as�Eoll®wing�x�.
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 ordinanc and stat laws relating to building construction.
I authorize representatives of this city or county to r th ve-iden 'f ed property for inspection purposes.
signature of Property Owner or Authorized Ag Print Property Owner's or Authorized Agent's Na `�
ACTION DATE BY q DEC R—AT-16 MP IANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATION 6 F TITLE 40 AND AQMD RULE
covered by this permit, I cannot
action 7044 of the Business and
is in full force
IN ADDITION TO THE
3700 of the Labor Code, for
is issued. My workers'
laws of California, and
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
-
PERMITCANCELLED
�g
EpA
PERMITEXTENDED
OMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: