HomeMy WebLinkAboutX2018-1983 - Permitsf --
City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
E '4 Permit Counter Phone (949)644-3288
' Inspection Requests Phone (949)644-3255
caz xv,. Combination Type - BLDG ELEC
IIP��������Project No
Per mit: X2018-1983
Issued Date:
Inspection Area : 3
Phone
Applicant: DOBBIE STEVE
Address: 668 COAST HWY # 1390
LAGUNA BEACH, CA 92651
Phone: 949-322-6784
Code Edit: 2016
Type of Construction: V -B
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 425
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $583.00
Plan Check Fee: $580.00
Overtime Plan Ck:
$0.00
PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
$0.00
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:
1401 GALAXY DR NB
$0.00
Disabled Access:
Description:
SFR ADD DETACHED GARAGE 425 SF
$0.00
Building Green Fee :
Legal Desc.:
N TR OT L
24 LOT 2
4224 249
NMUSD Fee:
$0.00
Owner:
MILLER WAYNE
Contractor:
'
OWNERIBLDR Architect: f g
Address:
1401 GALAXY DR
Address:
Address: EEE666
Top
NEWPORT BEACH, CA 92660
0
Phone
Applicant: DOBBIE STEVE
Address: 668 COAST HWY # 1390
LAGUNA BEACH, CA 92651
Phone: 949-322-6784
Code Edit: 2016
Type of Construction: V -B
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 425
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $583.00
Plan Check Fee: $580.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$24.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$3.00,
FEE: $1,303.81
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Phone:
Con State Lie: O/B
Lie Expire:
Bus Lie:
Lie Exp Date:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: /
Right: /
3arkina Saaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$40.81
$0.00
$0.00
Plan Check Fee:
Phone:
Engineer:
Address:
Phone:
State Lie: ee.e°
ROSS SCOTT WILLIAM oeoe i m••omc
1800 E 16TH STREET #B
SANTA ANA CA 92701
714-835-2800 State Lic:C-045309
Designer:
DOBBIE STEVE
Address:
668 COAST HWY # 1390
Fair Share
LAGUNA BEACH, CA 92651
Phone:
949.322.6784
Special Conditions
Fire Hazard Zone : N
Planning Department -
Fire Department
Plan check Fee
Fire Inspection:
Fair Share
Fire Plan Rev
SJH Trans
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$38.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$653.00
PUBLIC WORKS /
PLAN CHECK BY:
APPROVAL TO IS:
Fee Due at Permit
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0 0
c00000
0
00 0
0 0 0
00 0
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$650.81
00000
0
00000
000000
m 0
c 0
000000
0000c0
Fire Department
$35.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Fee Due at Permit
m
oome
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mmem
e000
m m o
om m
e
0 0
c00000
0
00 0
0 0 0
00 0
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$650.81
00000
0
00000
000000
m 0
c 0
000000
0000c0
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)
(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). `
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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
i roved for the purpose of sale).
s 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).
11 1 am exempt from licensure unde11 i the Contractors' State License Law fo the fojpwing re � n:
By my signature below I acknowledge; that, except for my personal resi e i ch 1 've resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
sell a structure �t1 have ,¢uilt as ahowner-builder if it has not be Rs di 4lrety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Busi eas a d
Professions'Gode, isravailable upon request whe his plic i € e-fdllowing Web site:http://www.leginfo.ca.gov/calaw.html.
SignaWre of PIbogr[y Owner or Authorized Agent Date
L#SEVSED;QNTRACTOR'S DECLARATIONI
I herby affirm ander penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
Arad effect. LiceAse Class License No Date Contractor Signature
WRIAKERS' 0111IPjrNSATION DECLARATION
NARNING: FAILURL YOAECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE
COSYOF COMPENW", DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm:rnBgrdenalty of perjury one of the following declarations:
1?ifiave 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 the
ptU8 (once of the work for which this permit is issued. Policy No.
:11 have 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' compensatiol
....
%1•Suranse ¢arrler•a_rq-pglicy number are:
• • • Policy Number Expiration Date
Phone #
�f-Ee rfy that, in the performance of the wor r w ' tl5is p iI n of S, I s�not�Bnypemon�Sny �soasb�ecomeect [o the workers' compensation laws of C lif¢ ia, and agret, ' I mes cttothe wa p nsa p ' in of Sectrovisions. �
a atu, of Applic in f Date
IECLARATION RE(;[ARDING C S . UCTION LENDING AGENCY
hereby 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).
ender's Name Lender's Address
�y 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 i�0 ��ti ���. �� %r
1 agree to comply with all applicable city and county ordinances s(vGs Q&tfng to building construction. ��p
I authorize representatives of this city or county enter ye=it p66party for inspection purposes.// ( / � j
ignature of Property Owner or Authorized Anent /` �/p Print Property Owner's or Authorized Aqent's Nam dy' ate
DATE BY -� DECLAR9rTION OF COMPLIANCE WITH CODE OF FEDERAL 6 FOR OFFICE USE ONLY
REGrU AO1.US PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXTENDED
PERMIT FINAL ",�,r, /i b ', ////� P&ASBEST
CERTIFICATE OF ® f7//� PROPOSED
OCCUPANCY ISSUED SIGNATURI