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HomeMy WebLinkAboutX2014-1836 - Permits (2)r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllll COMB Permit: X2014-1836 '- 100 Civic Center Drive, Newport. Beach, CA 92660 x 2 0 1 4 1 8 3 6 Project No : 1485-2014 - N Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 "`a * Issued Date : 12/1912014 Combination Type - SFP ELEC s Inspection Area : 3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Job Address: 2300 MESA DR NS Description: SFR/ BALCONY ADD 1260 SF & ENLARGE DOORS Legal Desc.: IRVINE SUB LOT 152 BILK 51 POR OF LOT Owner: GLIDEWELL JAMES Contractor: Address: 2300 MESA DR Address: Planning Department - NEWPORT BEACH, CA 92660 Phone: Applicant: SUTTON AMY Address: 2162 MICHELSON DR IRVINE CA 92612 Phone: 949-222-3579 Code Edit : 2013 Type of Construction: V-BSPR Occupancy Group: R3 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 -Bldg Sprinklers: Y Phone: Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: R F HAMBLET CONSTRUCTION Architect: 2162 MICHELSON DR Address: IRVINE CA 92612 949.254.3074 Phone: State Lic: e • 988293 Engineer: HOUSHMAND MOHSEN mmeem. 11/30/2015 Address: 4400 CAMPUS DR#A ° BT30049451 NEWPORT BEACH CA 92660 12/31/2015 Phone: 949-752-1612 State Lic:C-042283 Worker's Compensation Insurance Carrier: WIC EXEMPT Policy No: Expire: Building Setbacks Rear: / Front: / Left: / Right: / Designer: Address: Phone: Special Conditions: 0 Fire Hazard Zone : N Construction Valuation: $200.000.00 $32.00 Fire Inspection: $0.00 Fire Plan Rev Building Permit Fee: $1,611.00 Excise Tax: $0.00 Planning Department - General Service Plan Check Fee: $1,159.92 Additional Fee: $0.00 Plan check Fee Overtime Plan Ck: $0.00 Fair Share Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans Record Management: $50.00 Grading Permit Fee: $0.00 In -lieu Housing Fee Energy Compliance: $120.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $26.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access : $0.00 P/W Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $112.77 San Dist: $0.00 Building Green Fee $8.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $3,119.69 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $473.36 Fee Due at Permit Issuance : $2,646.33 PUBLIC WORKS APPROVAL: PLAN CHECK BY:� APPROVAL TO ISSUE: o m mm•omr. m 00000 0 ommoo s0cco 0 0 0 oomm0o om•o0 Fire Department $32.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $473.36 Fee Due at Permit Issuance : $2,646.33 PUBLIC WORKS APPROVAL: PLAN CHECK BY:� APPROVAL TO ISSUE: o m mm•omr. m 00000 0 ommoo s0cco 0 0 0 oomm0o om•o0 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 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 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegall� sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Prcpejy QVner or Authorized Agent Date L.ICEN$ED CONTRACTOR'S DECLARATION 1"Idby$ffirm ujiter penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Divisi n 3 of the Business and Professions in1y Iic s; �in f 11 force and effect. License Class License No Date t Contractor Signature �(�-r gO%jERS' COMPENSATION DECLARATION NXNINF: FAILURE TO SECMRE 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 THE W j O GOMPENSA•rfbN,RVMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 'hereby affirm uryipr penalty of perjury one of the following declarations: .11 rale and wil►meintain 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 )eriormance of the.work for which this permit is issued. Policy No. .... • 1•havOo and !I:;IV13ain 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' compensatiol p;LLrigge carrier and policy number are: • .... Policy Number Expiration Date Ef Agent •••• Phone# fy that, in the performance of the work for whi this p mit is ' d, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre I should become subject ' com sation rovi ons of ection 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date I Z 9 CLARATION REDING CONSTRUCTION ENDING AdENff :reby affirm under penalty of perjury that there is a construction lendingagency 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 correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. r r' I authorize representatives of this city or county toe a e -a ov -i tified property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name / Dat r ACTM DATF BY PFR1drT FKP1RFn3 PEi9lh4lT G401G[LED PERA41TEYTENOEO PLriMlT rfNAL CERTfFTGRTEOF 0CCUPArJCY1S5UED lPP 610E ITI L€JO AND © rs[61u1Trrnasnrsansf$Dnrx-AT►num: 13 EPA �R ❑ AQMD 51UNA 1 W&: mu