HomeMy WebLinkAboutX2017-0163 - Permitseo City of Newport Beach - Building Divisiv,n
100 Civic Center Drive, Newport Beach, CA 92660 _ o�
H Permit Counter Phone (949)644-3288
C
U - Inspection Requests Phone (949)644-3255
'rcarrox`b• Combination Type - MFP
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2017-0163
Project No: 0118-2017
Issued Date : 01/19/2017
Inspection Area : 5
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED
Job Address: 212 FERNLEAF AVE NS
Description: MFR - CANTILEVERED ROOF DECK EXTENSION 69 SFS=-•:r=.�
Legal Desc.: RESUB OF CORONA DEL MAR LOT 14 BILK 133(AND NELY1/2LOT 12 BILK 133
u� Fs
Owner: NOWLIN ERIC Contractor: OWNER/BLDR cWITEl:AERIC�
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Address: 212 FERNLEAF AV #1 Address`. NOWLIN ERIC Address:
CORONA DEL MAR CA 92625 d .�
Phone: 949-842.4694 Phone: YY15e: (wl, State Lic:
Applicant: LAO RAUL Con State Lic: OI a9Y Eng r{OADI FARHA
Address: 19922 GRIDLEY RD Lic Expire: `{ nrt 0. 16TH NI B jW
CERRITOS CA 90703 Bus - O Uv �0 CA 9270 rr^�•P*- -
Phone: 562.673-2716 xp Date: __Ph�one: - .2800 to Lic C•036640
Code Edit : 2016 W ke ' •mpe on Insuranc �1(�tP06ner ICType of Construction: VB �a to Address: RIDLEY RD.. :Occupancy Group: R3/U �! olicy No: OS CA 90703Added /New/TI sq.ft. Bldg: Expire: - Phone: -2716Added /New sq. ft. Garage: 0�No of Stories: 2 V 'I i a ar: Special CondiNo of Units : 2 ront: /Bldg Height: 0 Left:`Bldg Sprinklers: q`Flood Zone: X Use Zone: Fire Hazard
Construction Valuation: 000
Building Permit Fee: ;$337.0 cise $0.00 : PlannVan,
ar�ne�tC=t'(ie6) Fire Dep m n ya�Si` $
Plan Check Fee: - $244.50 ition a $0.00 Pla e * 0 x Fire Ins `��. 0.00
Overtime Plan Ck: $0.00 ing Fee: $0.00 Faio Nd $0:00 •> F',,$0.00
Investigation Fee: $0.00 'ng PC Consultant : $ 00 ,ry SJ$0.00 Demolit 3'
Record Management : $10.00 ading Permit Fee: e In -lieu Housing fee: Td $0.00
Energy Compliance: $0.00 Grading PC Fee: Public Works Department - t�� Gen rvice $0.00
CA Seismic Safety: $3.25 WQ Insyyy..4e i�� $0.00 Park Dedication 0.00 ,pS'P` and Deposit $0.00
Disabled Access'. $0.00 AEleid ���JJ!! .tpal P/W Plan $0.00 Grading Bond: $0.00
Hazardous Mat $1 00 c�ka `80.00 Sa : 0
Building Green Fee: $1.00 nical�WQ�` $0.00 USD Fee: $0.00
ing °°. - $0.0 $0.00
TOTAL FEE: $633.25 Plan Ch ee- 82.00 Fee Due at Permit Issuance : $351.25
PROCESSED BY: c ` c E �,�°e sPUeLIC8WORKS APPROVAL:
°eo
ZONING APPROVAL: PLAN CHECK BY: '
GRADING APPROVAL: oe° c c APPRfs11/AL TO ISSUE:
°oo 0o v° o 0 00o a•
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicat dd Oplow 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, demo i(s , rair 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 (CnapterS (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 hav, Y,the burden of proving that it was not built or
fo
r the purpose of sale).
).ira,owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Profes e: T Contractors' State License Law does not
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to th . actors' State L enseLaw).
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 r prior to completion of the improve ants 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 con I understand t a copy of the ap Iiga�e I ,Section 7044 of the Busin ss and
'rofessions Code, is available upon request whe t 's app' ion is submi ed or at the following We p://www.leginfp,��aaIi'aw.htmL eU\�
ignature of Property Owner or Authorized Agent 11� 0 0 Date
.ICENSED CONTRACTOR'S DECLARATI N r(
hereby affirm under penalty of perjury that I am licensed under provisio is o erg (commencing wit Section 700 1�i iSi�3 of the Business and _ slo Code, and my license is in full force
nd effect. License Class License Dat C Contract ' a,
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATI RAG I Uq
:OST OF COMPENSATION, DAMAGES AS PROVIDE SECT 376
hereby affirm under penalty of one of the fo Io ,
I have and will maintain artifica?,pj 6 o as -insui
erformance of the work for whic this Is Issued. Pol
]I have and will maintain worke ' compensd6polIll as
isurance Carrier and policy numbe re:
is of Agent d
certify that, in the performance of
if I should become subject to the
of Applicant
)reby affirm under penalty of perjury thatere%OPlf%tic
Ider's Name
my signature below, I certify to each of th following:
I am the property owner or authorized to t on the ertA
1 have read this application and the inform ion I ave vld
I agree to comply with all applicable city an , y nc
I authorize representatives of this city or co ty ty xere
DATE I BY
PERMIT EXPIRED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCY ISSUED
MECT AN EM TO IMINAL PENALTIOVI CIVIL FINES UP TO ONE HUNDRED THOU
SA
6T, �O E [VV
n sulfAly the Director of Industrial Relations as provided for by. Sectk
3700 of the Lade,. nth erformance of the work for which this permit is
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lending agency for thtOp
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' a,�edl
�.I relating to buildi
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Print
N OF C NCE WITH COD
*fIMT 61 OF TITLE 4 AO
T BEST I;I TIbNTO
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S NOTIFICATION IS NOT C•ABLI
IEN]p"LITIOf� /j
person in
r Code, I
ce of the work for which this permit is issued
as
g c Mon.
Ton purposes. -
Drops ner's on ed A ent's Nam
DER OR OFFICE USE ONLY
•• ••• •a•
workers'
, Civil
DOL4RS ($100,000), IN ADDITION TO THE
the Labor Code, for
workers'
California, and
01 //�
• All raquireal alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval'to fillpool/spa & shall remain in place & be maintained for the
life of the pool.
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