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Home My WebLink AboutX2018-3120 - PermitsCity of Newport Beach - Building DivisionCOMB Permit:X2018-3120 Per Civic Center Drive; Newport Beach, CA 92660 x 2 0 1 8 3 1 2 0 Project No; 2440-2018 (toe PermiE Counter Phone (949)644-3288y Inspection Requests Phone (949)644-3255 Combination Type - MFP ELEC MECH PLUM Issued Date :10/16/2018 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: 2415 NOVIA NB. Description: MFR INTERIOR REMODEL (CREATE NEW BATHROOM, KITCHEN, BEDROOMS) 906 SF Legal Desc.: N TR 7052 LOT 7 Owner: TAGGE FAMILY TRUST - Contractor:" HASKETT JIM CONSTRUCTION INC Architect: BAILEY DAVID Address: 2415 NOVIA PIL Address: PO BOX 512 Address: 23183 LA CADENA DR #101 NEWPORT BEACH CA 926sn SUR Phone: 562.577-1662 r Applicant: BAILEY DAVID Address: 23183 LA CADENA DR #101 No of Units : 3 LAGUNA HILLS CA 92653 Phone: 949-573-1050 Code Edit: 2016 Type of Construction:. V -B Occupancy Group: R2/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 3 Bldg Height: 0 Bldg Sprinklers: Flood Zone: 08/31/2019 Construction Valuation: $190.000.00 Bus Lic: Building Permit Fee: $1,708.00 Plan Check Fee: $1,485.96 10/31/2018 Overtime Plan Ck:. $0.00 Worker's Compensation Insurance Investigation Fee: $0.00 Carrier:. Record Management: $56.00 Address: Energy Compliance: $133:00- 9166656 CA Seismic Safety: $0.00 Expire: Disabled Access ; $0.00 Phone: Hazardous Mat $0.00 Building Green Fee :. $8.00 TOTAL FEE: $4,598.81 PROCESSED BY: ZONING APPROVAL: Building Setbacks ...Rear: I Front: / Left: I Right: / Excise Tax: Additional Fee Grading Bonds Fee: Grading. PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00- $119.56 $68.32 $153.72 Plan Check Fee: LAGUNA HILLS CA 92653 949-573-1050 State Llc:CO27404 WILSON KALEN 1371 WARNER AVE #A TUSTIN CA 92780 714576.6524 State Lic:C-083753 Special Conditions: FRANCHISED HAULER: JD DEMO Fire Planning Department Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee .Public Works Department - Park Dedication: $0.00 PAN Plan Check: $41.25 San Dist: $0.00 NMUSD Fee: $0.00 FSIDE CA 90743 _ Phone: - 714.8944800 Phone: Con State Lic: 738498 Engineer: Lic Expire: 08/31/2019 Address: Bus Lic: BT30060773 Lic Exp Date: 10/31/2018 Phone: Worker's Compensation Insurance Designer: Carrier:. STATE COMP Address: Policy No:. 9166656 Expire: 10/01/2019 Phone: Building Setbacks ...Rear: I Front: / Left: I Right: / Excise Tax: Additional Fee Grading Bonds Fee: Grading. PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00- $119.56 $68.32 $153.72 Plan Check Fee: LAGUNA HILLS CA 92653 949-573-1050 State Llc:CO27404 WILSON KALEN 1371 WARNER AVE #A TUSTIN CA 92780 714576.6524 State Lic:C-083753 Special Conditions: FRANCHISED HAULER: JD DEMO Fire Planning Department Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee .Public Works Department - Park Dedication: $0.00 PAN Plan Check: $41.25 San Dist: $0.00 NMUSD Fee: $0.00 � e •oee oomm - 0 e ° oemoo oo_ eb` e m ° o ooc000 ° ° o mo ° $0.00 $0.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 $1,700.21 Fee Due at Permit Issuance : $2,898.60 PUBLIC WORKS APPROVAL: PLAN CHECK BY: I GRADING APPROVAL:. APPROVAL TO ISSUE: e a000c m 0 m °° oc m ° m ° mm me000 oemoo° m a o ° o°o°°c mmoo` Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: � e •oee oomm - 0 e ° oemoo oo_ eb` e m ° o ooc000 ° ° o mo ° $0.00 $0.00 $24.00 $197.00 $564.00 $0.00 $0.00 $0.00 $1,700.21 Fee Due at Permit Issuance : $2,898.60 PUBLIC WORKS APPROVAL: PLAN CHECK BY: I GRADING APPROVAL:. APPROVAL TO ISSUE: e a000c m 0 m °° oc m ° m ° mm me000 oemoo° m a o ° o°o°°c mmoo` 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 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 oflhe 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 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 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 1 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,. 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.: Data Signature of Property Owner or Authorized Agent LICENSL'DIC(ATRACTOR'S DECLARATION I hereby affitrq ppder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 f vis�GS3-0f the Business and Prof VOns licen is in full force enjeffect.. Lice QSe Class License No Date ` v Contractor Signatur VARKERS'.COMPENSATION DECLARATION OT FAILURE TO.SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HU RED THOUSAND DOLLARS ($100,000); IN ADDITION TO THE OT OF COMTgWiION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm .00 er penalty of perjury one of the following declarations: ] have and V11L Inaintain 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 Wo ance of the work for which this permit is issued. Policy No. ave 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' compensator 1mur a carvior2rRJ,Dolicy number are: S�rjiyl: Policy Number Expiration Date ��e bf Agerrt ,' Phone # :1I certify that, in the pe ance o he work for w , this p mit iI is Lied, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree hat, if I should become bject to co pen ati provisions action 3700 of the Labor Code, 1 shall forthwith comply with those provisions. I %'f�, )�. �. Daty c Signature of Applicant )ECLARATION REG 0 R TION LENDING AGENCY hereby affirm under of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 ,Civil Code). .ender's Name Lender's Address 3y my signature belo I certify to each of the for I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I In vided is corr I agree to comply with all applicable city and cou y 0 me sand ate ws relating to building construction. I authorize representatives of this city or county o \rifer t e v - entifi d property for inspection purposes. D/=12 �.I signature of Propert Owner or Authorized A ant Print Propert Owner's or Authorized Agent's Nam ACTION DATE BY TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE NOTIFICATION TO I PERMIT EMENDED L1AQMu PERMITFINAL ASBESTOSNOTI CATIO NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEM I S _ OCCUPANCYISSUED SIGN TURF: