HomeMy WebLinkAboutX2016-2609 - Permitswrb� 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
+gar Combination Type - SFP ELEC MECH PLUM
VIII IXIIII ILII VIII IIT VIII IIIIII IIID 6IIII 0�II� III III
a
a•oa •QOII p Permit : X2016-2609
F0oj6et f fo m 199 -?0j6
•em ®ma ••a • m o e m
Issued Date : 04%20120.19
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTIOV. a o 0
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 wowk
Job Address: 1739 TRADEWINDS LN NB INSTALL OR VERIFY SMOKEICARBON MONOXIDE DETECTORS IPLUMBING FIXTURES TO BE U
Description: SFR -ADD 34 SF TOKITCHEN & REMODEL KITCHEN & LVRM 774 SF
Legal Desc.: N TR 3082 LOT 17
Owner:
BUCHER JOHN & KIM
Address:
1739 TRADEWINDS LN
NEWPORT BEACH, CA
Phone:
Applicant:
WALZ JOHN ROBERT
Address:
510 LARKSPUR AVE
CORONA DEL MAR CA
Phone:
949-836-5977
Inspection Area : 3
a
�{ applicable:
ononfractor: Arc itesct: /�WALZ T and
Address: �� Adc(reS 000Aj(mo RO80�NA L MAR OA
92625 ..
Date-- "-`� °n Phone: 949-836-5977
State Uq=l
Co Lic git&.V!h9/9.I MICHAEL R
flLi xpi e: dress: 483 E 20TH STREET
B Lic: COSTA MESA CA 92627
Li t one: 949.646-6596 State Lic:S-00:
Code Edit: 2013 orker's Compener:
nsation s D
Type of Construction: VB g
Car' ass:
Occupancy Group: R3/U Poli
Added /NewfTI sq.ft. Bldg: 34 Expi Phone:
Added /New sq. ft. Garage: 0
No of Stories: 1 g Se acks Rear: / S 'al,,
Bl
of Units : 1 Front: / 1L_/
Bldg Height: 0 Left: /
Bldg Sprinklers: fight gamey - ,.1
Flood Zone: X e Z rk °0" Fi ?jQaWQS ,r��afted)
Construction Valuation: $66,000.00 t-¢ ,a drl� TJ _''''�
Building Permit Fee: $807.00 Excise Tax: (Wolk �1}peu) Planning Department- i Fire De-'�'- partme t�lj,
Plan Check Fee: $758.09 Additional Fee : $0.00 Plan check $112.50 til$
Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 ---Pat are : $0.00 InSP' Fire Plan
Investigation Fee: $0.00 r@fin Consultant $B:OTi�` SJH Trans : 0.00__ Be
Record Management : $36.00 r'q� rrniC ee-
ee: $0.00 - e ing Fee : BuildingDept Adm
Energy Compliance: $56.00 rading PC Fee: Pub' p
CA Seismic Safety: $8.45 ment - General Service
O Insp. Fe $0 ark Dedication : $0.00 Refund Deposit
Disabled Access : $0.00 c.�' PAN Plan Check: $0.00 Grading Bond:
Hazardous Mat $0.00 E ee o:: $56.49 San Dist: $0.00
Building Green Fee : $3.00 Mechanical %: $32.28 NMUSD Fee: $0.00
Plumbing %: $72.63
TOTAL FEE: $1,867.44
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $758.09 Fee Due at Permit Issuance : $1,109.35
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
TION
OWNER-BUILDGROEC�tA[tA, �
I hereby affirm under penalty of $ejury thet Yam girppt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
;Section 7031.5, Busineseandf 5rofe3sions'Code Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also. requires the applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from licensura and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dovlirs ($W4. • • ' ' '
13I, as owner Of the prORerty; or my employees wrtlTOgl;;4� as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7 4,
Business and Professions•C ode+The CpRtraoAs' State Licetrse 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 intehderi 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).
❑ 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
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, 1 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.govlcalaw.htmi. Date
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000 f Division 3 of he Business and Pro saierrs Code, and my license is in full force
and effect. License Class License No - Da ?� - Contractor Sig r
WORKERS' COMPENSATION DECLARATION
AFINING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00D), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 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 th
performance of the 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 performanceofthe work for which this permit. is issued. My workers' compensatiol
insurance carrier and policy number are:-
;pr Policy Number Expiration Date
of Agent
JI c rtify 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 agree
11 77
lSf I should become s
ubjectb the workers' compensat'on-provmoffs-of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicaht X �� D y 7c
DECLARATION REtvIICRIDING CONSTRUCTION LENDING AGENCY `('"-"'ci7�
the the work for which this permit is issued (Section 309
hereby affirm under penalty of perjury that there is a construction lending agency forLenders Address
my signature
of 7, Civil Code).
e Name
y 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 cou@ty /o en r qabove-identified property for inspec'on purposes. Date
senaelre Df Prooertv Owner or Authorized Agen �.il / --�` not Propert Owner's or Authorized Agent's Na e
ACTION
EXTENDED
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BY U A I DECLARATION OF COMPLIANCE WITH CODE OF FEDEI
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
ASBESTOS NOTIFICATION TO
El ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
FOR OFFICE USE ONLY
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.