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HomeMy WebLinkAboutX2018-3202 - Permits�r1r City of Newport Beach � Builcftinivisir�no©lllllllllllllllll�llllllllllllllllllllllllllllu COMB Permit: X2018-3202 1u0 Civic Center Drive, Newport Beach, CA 9246°0 " e ° X 2 6 1 8 3 2 0 2 Project No : 2496-2018 Permit Counter Phone (949)644-3288 V" • fi Inspection Requests Phone (949)644-3255 a nnuv`a. Combination Type - SFP ELEC MECH PLU°IV� Issued Date :77/0712078 ' ` Inspection Area : 5 e E o `�.• •tee PERMITS` PIRE 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: 3215 OCEAN BLVD NB Description: SFR -REMODEL KITCHEN & 3 BATHS, DOORS AND WINDOWS/FOLDING DOOR 1500 SF Legal Desc.: TR 1026 LOT 13 SELY1/2 -R/S 12 -35 -(AND NWLY112 LOT14 Owner: GUARRIELLO RITA P Contractor: FOREHAN CONSTRUCTION Architect: Address: 3215 OCEAN BLVD Address: 1442 N KENNYMEAD Address: $0.00 Planning Department- CORONA DEL MAR CA 92625 ORANGE CA 92869 - $0.00 Plan check Fee: $40.00 Phone: 714-606-7794 Phone: 714-602-7511 Phone: State Lie: $0.00 Fair Share : Applicant: FOREHAN CONSTRUCTION Con State Lie: 980958 Engineer: $0.00 Grading PC Consultant: $0.00 Address: 13982 SANDCASTLE PL Lie Expire: 02/28/2019 Address: Record Management: $8.00 Grading Permit Fee: SANTA ANA CA 92703 Bus Lic: BT30059890 Building Dept Adm $0.00 Energy Compliance: $0.00 Phone: Lie Exp Date:. 07/3112019 Phone: State Lie: $0.00 CA Seismic Safety: Code Edit: 2016 Worker's Compensation Insurance Designer: Park Dedication : $0.00 Refund Deposit Type of Construction: VIB Carrier: BENCHMARK INS Address: P/W Plan Check: $0.00 Occupancy Group:. R3/U Policy No: CST5003692 $0.00 Electrical %: $90.16 San Dist: $0.00 Added/New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 Expire: 03/01/2019 Phone: $5.00 Mechanical %: $51.52 NMUSD Fee: $0.00 $0.00 No of Stories: 2 Building Setbacks Rear: I Special Conditions: d .F� it -' '? ( �,^ ✓ No of Units : 1 Plan Check Fee: Front: I $1,558.60 PROCESSED BY: Bldg Height: 0 PUBLIC WORKS APPROVAL: Left: I ZONING APPROVAL: Bldg Sprinklers: PLAN CHECK BY: Right: / GRADING APPROVAL: Flnnd Zone, Use Zone: Parkinc Soaces: 0 Fire Hazard Zone: N Construction Valuation: $120.000.00 Building Permit Fee: $1,288.00 - Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $1,120.56 Additional Fee : $0.00 Plan check Fee: $40.00 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: $8.00 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 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $90.16 San Dist: $0.00 Building Green Fee : $5.00 Mechanical %: $51.52 NMUSD Fee: $0.00 $0.00 Plumbing %: $115.92 $0.00 TOTAL FEE: $2,716 Plan Check Fee: $1,160.56 Fee Due at Permit Issuance : $1,558.60 PROCESSED BY: 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 beldw by file checkmark(s) I have placed next to the applicableI}em(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, aiter, iryprove, 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 Contractcsa" 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. 4n;:violation-bf SA&c:i 74031.5 lt any applicant for a permit subjects the applicant to a civil penalty of not 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 U portions & thawork, 14 the $tructure 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'.& ptnonal 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). _ L-1 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 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: By my signature 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 legalh 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:http://www.ieginfo.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 7000) of,11 ' on o thgBusiness and Prof as' JZ' �ad-myiicense is in full force and effect. License Class License No Date contractor Signatu WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P ALTIES AND CIVIL FINES UP TO ONE HUNDb THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I hav�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 thi peftf ante of the work for which this permit is issued. Policy No. 1a l I 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' compensatior Insuran a carrier and policy number are: trier Policy Number Expiration Date Name of Agent Phone # 1 certify that, in the performance 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 workers' compensation laws of California, and agree that, if I should become subject to th orkers' compe, sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,. Signature of Applicant Daces DECLARATION RE D NSTRUCTION LENDING AGENCY I hereby affirm under pe na f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By my signature below, 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county t enteyt', above -identified party for inspection purposes. J q//� /' Sionature of Prooertv Owner or Authorized AGent\ I / _" , Print ProDertv Owner's or Authorized ADent's'Naml ll'Z�r_��l,, Date /� ACTION PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE ( BY JVJECLARATION OF EGULATIONS PART61 OF IIT E 40 AND QMD RULE CE WITH CODE OF RAL FOR OFFICE USE ONLY I SUBMITTED ASBESTOS NOTIFICATION TO NOTIFICATION IS NOTAPPLICABLE TO 3E 2 z.2 \\/\ ƒ � >2 � § c \ ¢ z < \ � 47 2 | coo »—_ f 7 2 � \ § �A§{ƒLU L — CC C4, § \ moo[§§ o=§e 2 u a )0\k q ' PLO k — ae K /� yo � c } � U§k � ±9 Q § £ � , . 3E 2 z.2 \\/\ ƒ � j ! | \ >2 � ,�. . � \ � 2 | f 2 j � . .. /� j ! | \ � | f 2 � � c } � Q j ! | \