HomeMy WebLinkAboutX2018-0980 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2018-0980
a
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 0 9 8 0 Project No : 0791-2018
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM Issued Date : 05/15/2018
Inspection Area : 8
PERMITS EXPIRE 180 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: 20231 ORCHID ST NB
Description: SFR *WORK IN PRGRS* RMDL 608 SF (M BDRM/BA), FIREPLACE, WATER HEATER ENCLOSURE & WINDOW C/O'S
Legal Desc.: N TR 1500 LOT 14
Owner: BARNES KATHRYN L
Contractor:
OWNER/BLDR
Architect'
}}
1
-MILLION
Address: 4771 FIORE BELLA BLVD
Address:
BARNES -MILLION
KATHRYN Address: 3
IN
� 1
LAS VEGAS, NV 89135
Phone: 702-870-8282
Phone:
Phone: State Lic:
Applicant: SCOTT BRIAN
Con State Lic: CIS
Engineer:
Address: 962 N HARWOOD ST
Lic Expire:
Address:
ORANGE CA 92867
Bus Lic:
Phone: 562-964-1272
Lic Exp Date:
Phone: State Lic:
.. e.
o °
Code Edit: 2016
Worker's Compensation Insurance
Designer: SCOTT BRIAN
0000 ® °
Type of Construction: V -B
Carrier:
Address: 962 N HARWOOD ST
Occupancy Group: R3/U
Policy No:
ORANGE CA 92867
Added /New sq.ft. Bldg: 0
Expire:
Phone: 562-964-1272
Added /New sq. ft. Garage: 0
°
No of Stories: 1
Building Setbacks
Rear: /
Special Conditions: O/B AUTH ATTACHED
No of Units : 1
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers: N
Right: I
Flood Zone: X
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
......
Construction Valuation: $48,640.00
°
oommoo
Building Permit Fee: $682.00
Excise Tax:
$0.00
Planning Department - Fire Department
Plan Check Fee: $593.34
Additional Fee :
$0.00
Plan check Fee : $37.50 Fire Inspection:
'$O.Iyo
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00 Fire Plan Rev
$0.00
Investigation Fee: $682.00
Grading PC Consultant :
$0.00
SJH Trans : $0.00 Demolition Fee
Record Management : $18.00
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
WQ Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit
$0.00
Disabled Access: $0.00
P/W Plan Check : $0.00 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$47.74
San Dist: $0.00
Building Green Fee : $2.00
Mechanical W
$27.28
NMUSD Fee: $0.00
$0.00
Plumbing %:
$61.38
$0.00
TOTAL FEE : $2,151.24
Plan Check Fee:
$630.84 Fee Due at Permit Issuance : $1,520.40
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL: L�
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
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 tW. applixt 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 Busin ss 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 (_) all of or U 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
moved for the purpose of sale).
lrp—Lam..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).
❑ I 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 legall,
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, S ction 7044 of the Business and
Professions Code, is available upon request wh �his �i lic tion iS.egbmitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. n �� „ „ .�.
Signature of Property Owner or Authorized `y�(%iT �]QA AA I a U.lIh.GU �'1T,1[J (X
LICENSED CONTRACTOR'S DECLA TION `'
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
CQMPENSATION DECLARATION
iE lOS£CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO
NE"19 ,.DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
updgr Whalty of perjury one of the following declarations:
P bivb 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
formance of the work for which this permit is issued. Policy No.
Ivive and will mainfaln 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' compensar
garLCe camel al:d policy number are:
liar. • • • • Policy Number Expiration Date
imthe 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 wo ers' compensation laws of California, and
beconte sugject to the wor_KM' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions./_t1_1 - I I _
;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
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 thisci c ht anter the e -identified property for inspection purposes.
nature of PrODertV Owner or Autho zed ent .El -U Print Property Owner's or Authorized Agent'sNaa&rwy
ACTION DATE BY REIONS CLUATOF CO M COMPLIANCE
4WITH 0AND DE OF RULE AL I FOR OFFICE USE ONLY
PERMIT EXPIRED
I I LN4tUBmrTTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
EPA
PERMIT EXTENDED
QMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
/ryryP
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ASBES OS NOT ICATION IS NOT APPLICABLE TO
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