HomeMy WebLinkAboutX2015-0549 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
- r+ Permit Counter Phone (949)644-3288
"srr Inspection Requests Phone (949)644-3255
Combination Type - SFP GRAD ELEC MECH PLUM
COMB Permit: X2015-0549
X 2 0 1 5 0 5 4 9 Project No: 1866-2010
Issued Date : 02/27/2015
Inspection Area : 1
Applicant: ALEX BAXTER
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
O/B
Parking Spaces:
Engineer:
INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED
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Job Address:
3912 CHANNEL PL NB
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Description:
CHANGE OF CONTRACTOR/ (N) SFD 3061 SF, W/ATT GARAGE 619 SF, DECK 468 SF, COVERED ENTRY 100 SF (X2010-2376)
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NEWPORT BEACH CA 92663
Legal Desc.:
CANAL SECTION LOT 7 BILK 539 ALL -INC BET SAME & HIGH TIDE LINE-
Excise Tax:
-
HUNTINGTON BEACH CA 92626
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Phone:
Lic Exp Date:
Plan Check Fee:
Owner:
BARTON DEBRA ELIZABETH Contractor: OWNERIBLDR Architect:
memo
Plan check Fee :
Address:
3912 CHANNEL PL Address: BAXTER ALEX Address:
Fire Inspection:
$0.00
Overtime Plan Ck:
NEWPORT BEACH CA 92663
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Phone:
949-631-9883 Phone: Phone: State Lic:
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Applicant: ALEX BAXTER
Con State Lia
O/B
Parking Spaces:
Engineer:
DAILEY TIMOTHY
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Address: 3818 CHANNEL PL
Lic Expire:
Address:
9332 WINTERWOOD CIR
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NEWPORT BEACH CA 92663
Bus Lic:
$0.00
Excise Tax:
-
HUNTINGTON BEACH CA 92626
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°
Phone:
Lic Exp Date:
Plan Check Fee:
$0.00
Phone:
714-962.6903 State Lic:C-039489
Plan check Fee :
$0.00
Fire Inspection:
$0.00
Overtime Plan Ck:
$0.00
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Code Edit: 2007 ..
Worker's Compensation Insurance
Fire Plan Rev
Designer:
Investigation Fee:
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Type of Construction: V -B
Carrier:
$0.00
Address:
Record Management:
$100.00
Occupancy Group: R3/1.1
Policy No:
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
Energy Compliance:
Added /New sq.ft. Bldg: 3061
Expire:
$0.00
Public Works Department -
Phone:
General Service
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Added /New sq. ft. Garage: 619
WO Insp. Fee:
$0.00
Park Dedication :
$0.00
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No of Stories: 2
Building Setbacks
Rear:
3
Special Conditions:
AIC Waiverlf 5.08.337•W
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No of Units: 1
Hazardous Mat
Front:
20
$0.00
O/B AUTH ATTACHED
$0.00
Bldg Height: 0
Left:
3
�anical %:
$0.00
NMUSD Fee:
$0.00
Bldg Sprinklers: N
Right:
3
Plumbing %:
$0.00
Flood Zone:
Use Zone: R-2
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation:
$0.00
Building Permit Fee:
$0.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee:
$0.00
Additional Fee :
($65.00)
Plan check Fee :
$0.00
Fire Inspection:
$0.00
Overtime Plan Ck:
$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:
$100.00
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
PAN Plan Check:
$0.00
Hazardous Mat
$0.00
lectrical %:
$0.00
San Dist:
$0.00
Building Green Fee :
$0.00Me
�anical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : 5.00
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$35.00
PROCESSED BY:
ZONING APPROVAL:
PUBLIC WORKS
PLAN CHECK BY
GRADING APPROVAL: APPROVAL TO IS
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
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
1rof9dsions 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
rof ore 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 of the work, and the structure is not intended or offered for sale (Section 7044,
Wsiness 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 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
pply to an ewrtBr 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 em"Otlfrom licensure under the Contractors' State License Law for the following reason:
ly �ry signature billow 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 Iegall1
ellm struduis,101 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
'ro ons Cqde, is available upon request when thi a lication is sub fitted or at the IlovVtng Web site:hftp://www.leginfo.ca.gov/calaw.html. —)'�_
to a of Property Owner or Authorized Agent
SED CQ N TRACTOR'S DECLARATION
�ej0by affirm urr;g(penalty of perjury that I am licensed under provisions of hapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. �.icanse Class License No Date Contractor Signature
YQj2KERSt�OMPENSATION DECLARATION
IARff��If�G: FAILURE TO sCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
QSiQF COMPEr�Q'QQ DAMAGES AS PROVIDED FOR IN SECTION 3]03 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S PEES.
heredy affirm under (renally of perjury one of the following declarations:
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I .�9ve anti w�l�.�9intain 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
btrormance otthe work for which this permit is issued. Policy No.
]I 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' compensatioi
Isurance carrier and policy number are:
Policy Number
Date
is of Agent —Nnone s
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
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date_
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
;reby 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 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 count ent the �a—b/�oya-fid/egk�(�le pro erty for inspection purposes.
at re of Property Owner or Authorized Agent i� d � v k r' P perty Owner's or Authorized Agent's Name ` Y
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Permit No: X2015-0549
Plan Check No: 1866-2010
Address : 3912 CHANNEL PL
Suite No:
Owner: BARTON DEBRA ELIZABETH
3912 CHANNEL PL
NEWPORT BEACH CA 92663
Code Year Edition :2007
Occupancy Group : R3/U
ConstructionType: VV=B
Occupant Load : N/A
Fire Sprinklered: N
Work Description: CHANGE OF CONTRACTOR/ (N) SFD 3061 SF W/ATT GARAGE 619 SF DECK 468 SF COVERED
ENTRY 100 SF (X2010-2376)
THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT BEACH
ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN COMPLIANCE WITH
THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING CONSTRUCTION OR USE.
Chief Building Official: Samir Ghosn, MS, PE, CBO. Signature : � I Date : z e— z(2