HomeMy WebLinkAboutX2018-3814 - PermitsAso-ftw
r City of Newport Beach - Building Division
]?100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
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" Combination Type - BLDG PLUM
COMB Permit: X2018-3814
IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII II
Project No: 1926-2018
Issued Date: 12/18/2018
Inspection Area : 1
PERMITS EXPIRE 980 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: 400 VIA LIDO NORD NB
$6.000.00
Description: DEMO 1319 SF (3 BDRM) SFR W/ATT GARAGE, INCLDS SEWER CAP
Legal Desc.: N TR 907 LOT 474
Owner:. LEVIN/LAUERLEVIN
Contractor:
S C HOMES INC
Address: 9825 SUNRISE LN
Address:
3050 PULLMAN ST
SANTA ANA CA 92705
COSTA MESA CA 92626
Phone: 949-975-0123
Phone:
949-723-4243
Applicant: S C HOMES INC
Con State Lie:
828216
Address: 3050 PULLMAN ST
Lie Expire:
1213112019
COSTA MESA CA 92626
Bus Lie:
ST30002421
Phone: 949-723-4243
Lie Exp Date:
0 212812 01 9
Code Edit: 2016
Worker's Compensation Insurance
Type of Construction: VB
Carrier:
STATE FUND
Occupancy Group: R3/U.
Policy No:
1763760
Added /New sq.ft. Bldg: 0
Expire:
0110 712 01 9
Added /New sq. ft. Garage: 0
Demolition Fee
No of Stories: 1
Building Setbacks
Rear: I
No of Units : 1
In -lieu Housing Fee :
Front: It
Bldg Height: 0
Building Dept Adm
Left: I
Bldg Sprinklers:
$0.00
Right: I
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lie:
State Lic:
Special Conditions: CR & R TO HAUL
Fire Hazard Zone : N
Construction Valuation:
$6.000.00
Building Permit Fee:
$0.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $0.00
Additional Fee:
$0.00
Plan check Fee :
$0.00
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:
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$26.00
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$210.00
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$1,127.00
Disabled Access :
$0.00
P/W Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee :
.$1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $1,364.00
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$1,364.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: l-
RA,
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
'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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
n roved for the purpose of sale).
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
only to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law).
] I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 legal
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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with action 0 f pi isipn of the siness and ofesei ns ode, n y nse i' force
nd effect. License Class License No Da I�pT/� /� Cc ractor Signatu
IIORKERS' COMPENSATION DECLARATION
ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TVUSAND DOLLARS ($100,000), IN ADDITION TO THE
OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
affirm under penalty of perjury one of the following declarations:
I have 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
Durance of the 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 and policy number are: -
Policy Number
of Agent
Date
I certify that, in the performance of the work for tfTEpermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
t, if I should become su ' ct the workers' co pensa n or visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio
(nature of Ap plidInt
CLARATION'REGAR O STRUC E DING AGENCY
-reby affirm under pe oNf perjury that -the re.is a construction lending agency for the performance of the work for which this permit is issued (Section 309 ,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 thj�CRy�t'cagnty to enter the agWe-ideAed 45;ty fqr inspection purposes. L _ _ Il _ 1) f /. "1.,
signature of Property Owner o A horized Agent rint Property Owner's or Aul
ACTION DKTE BY �CLARATION O C PLIANCE WITH CODE OF FEDERAL FOR OFFICE
.#E�6y1LATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
I LPI SUBMITTED ASBESTOS NOTIFIC
PERMIT CANCELLED
PERMIT EXTENDED
OMD
PERMITFINALIZ—j�l
CERTIFICATEOF
OCCUPANCYISSUED
3.
ASBESTOS NOTIFICATION IS NOT
PR POSED DE LI N
SIGDhSR1'.