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HomeMy WebLinkAboutX2017-3088 - Permits,City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 N Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644;375@ _. Combination Type - SFP ELEC MECH PLUM GRAD COMB Permit: X2017-3088 X2 0 1 7 3 0 8 8�� II Project No: 2147-2017 Issued Date : 10/04/2017 Inspection Area : 8 Code Edit: 2016 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 718 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: N Construction Building Permit Fee: $2,043.00 Plan Check Fee: $1,473.99 Overtime Plan Ck: $0.00 PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. _.. ... w Record Management: 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 $98.42 Job Address: 20162 SPRUCE AVE NB Disabled Access : $0.00 Hazardous Mat $0.00 - ^_ Description: SFR/ADD 718 SF & REMODEL KITCHEN & LAUNDRY 170 SF WIYARD DRAINAGE $0.00 Refund Deposit Legal Desc.: N TR 1506 LOT 33 Grading Bond: $0.00 $0.00 $0.00 Owner: SCHLEIGER RYAN Contractor: JADON DESIGNS Architect: JEANNETTE BRION S e° ' Address: 20162 SPRUCE AVE Address: 260 E DYER RD #N Address: 470 OLD NEWPORT BLVD NEWPORT BEACH, CA 92660 SANTA ANA CA 92707 NEWPORT BEACH CA 92663y Phone: 714.270-5493 Phone: 714-496-8802 Phone: 949-645.5854 State Lic:0008012 `'u Applicant: SCHLEIGER RYAN Con State Lic: 911837 Engineer: VOLPE ROBERT M Address: 20162 SPRUCE AVE Lic Expire: 03/31/2018 Address: 26150 ENTERPRISE WY #200-B C; NEWPORT BEACH, CA 92660 Bus Lic: BT30044825 LAKE FOREST CA 92630 �'�✓ Phone: 714-270-5493 Lic Exp Date: 0913012018 Phone: 949-305-4700 x1 State Lic:C-025116 Code Edit: 2016 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 718 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: N Construction Building Permit Fee: $2,043.00 Plan Check Fee: $1,473.99 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $50.00 Energy Compliance: $98.42 CA Seismic Safety: $18.28 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $6.00 TOTAL FEE: $5,900.41 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: NORGUARD INS Policy No: JKWC814673 Expire: 03/25/2018 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: / 'Eking Spa $0.00 $0.00 $0.00 $0.00 $293.00 $0.00 $0.00 $143.01 $81.72 $183.87 Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee Fair Share : SJH Trans : In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $38.00 San Dist: $0.00 NMUSD Fee: $1,321.12 Plan Check Fee : $1,572.41 Fee Due at Permit Issuance : $4,328.00 dC0 C , 4WfJ 9 P0131.1CWRkS°4,PP120V 'L: c ® c a . cs• PLAN CHECK BY: A't'P*RWYJtL-.6JS$6F:'" ". o c � coc ao moo a cou �c Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $1,572.41 Fee Due at Permit Issuance : $4,328.00 dC0 C , 4WfJ 9 P0131.1CWRkS°4,PP120V 'L: c ® c a . cs• PLAN CHECK BY: A't'P*RWYJtL-.6JS$6F:'" ". o c � coc ao moo a cou �c 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 items) (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 (comrncinOing 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 improved for the purpose of sale). ❑ 1, 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 legally 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.leginfo.ca.gov/calaw.htmi. 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 O) of ivi 'on 3 of the Business and Profs slop e, an y lir• rfse is in full farce and effect. License Class License No Date B Contractor Signature u INORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby 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 IN ormance of th or k for which this permit is issued. Policy No. I have and will ai'jN�}a n 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 Isurance carrier an Oillicy number are �''� /^ :arrier / Polj�yi mlr/ 1 Expiration Date lame of Agenty I Phone # �I certify that, in the performance of the wo which 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 iat, if I should become suPect to the S' com ation visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'signature of Applicant Q _ ) Date )reby affirm under penalty 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 corr I agree to comply with all applicable city and count ordinanc tate r eating to building construction. I authorize representatives of this city or county,t�nter t a e-ide Iederty for inspection purposes. r _ O.. of Prooertv Owner or ACTION DATE BY ACLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 • ••• • • ••• • • • a-• PERMIT EXPIRED I U[SUIYMIT-fEDASBE9MStJO-FIFICA-fIOPJTO; PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED 6;0 p8 •• • • • • • •. QMD 'STOS T NOTIF I CATO OT AP CA. 4E' O o I > T ..,� U E: •• •• • •• •• • • Name