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HomeMy WebLinkAboutX2019-3290 - PermitsCity of Newpc ' _ach - Building Division IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII�IIII�IIIIIII II COMB Permit: X2019-3290 100 Civic Center Drfve, iv,aport Beach, CA 92660 X 2 0 1 9 3 2 9 0 Project No :2282-2019 Permit Counter Phone (949)644-3288 fi Inspection Requests Phone (949)644-3255 p, y "�<ranw'g Combination Type - SFPMECHELECPLUM NO CONSTRUCTION NOISE Issued Date: 1 211 6/2 01 9 Inspection Area : 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. to 6:90 p.m. and Satc�a) 8,00 a.m, to 6:00 p.m. No work on Sundays or Holidays Job Address: 3712 CHANNEL PL NB $$�y E� Description: SFR INTERIOR REMODEL KITCHEN & BATHROOM (180 SF), REPLACE ALL WINDOWS & DOORS,SERVICE U (100 AMP) Z Legal Desc.: CANAL SECTION LOT 7 BLK 637 ALL -INC BET SAME & HIGH TIDE LINErn - TOTAL FEE: $2,066.11 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $886.51 Fee Due at Permit Issuance: $1,179.60 E P'UBLIG WORKS APPROVAL: `. PLAN CHECK BY: APV RPVAL TO ISSUE: \._J o c c of u c coc ccs Owner: KING TIDE PROPERTIES LLC Contractor: CP MC CLARY CONSTRUCTION INC Architect: Address: 3710 CHANNEL PL Address: 1013 LINDEN PLACE Address: NEWPORT BEACH CA 92663 COSTA MESA CA 92627 Phone: Phone: 949-642-9264 Phone: State Lic: Applicant: BUSHMAN WALT Con State Lic: 513053 Engineer: Address: 2480 SANTA ANA AVE Lic Expire: 10/3112021 Address: COSTA MESA CA 92627 Bus Lic: BT00004228 Phone: 949-274-0824 Lic Exp Date: 0813112020 Phone: State Lic: Code Edit : 2016 Worker's Compensation Insurance Designer: BUSHAMN WALT Type of Construction: VB Carrier: STATE COMP INS FUND Address: 2480 SANTA ANA AVE Occupancy Group: R3/U Policy No: 1300846 COSTA MESA CA 92627 Added /New sq.ft. Bldg: 0 Expire: 06/01/2020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I Special Conditions: "HIGH DENSITY AREA" No of Units: 1 Front: / LIQUEFACTION AREA Bldg Height: 0 Left: I Bldg Sprinklers: N Right: I Flood Zone: AE Use Zone: Parkin S aces: 0 Fire Hazard Zone : N Construction Valuation: $80.000.00 Building Permit Fee: $973.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $846.51 Additional Fee : $0.00 Plan check Fee : $40.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $8.00 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 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $68.11 San Dist: $0.00 Building Green Fee : $4.00 Mechanical %: $38.92 NMUSD Fee: $0.00 $0.00 Plumbing %: $87.67 $0.00 TOTAL FEE: $2,066.11 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $886.51 Fee Due at Permit Issuance: $1,179.60 E P'UBLIG WORKS APPROVAL: `. PLAN CHECK BY: APV RPVAL TO ISSUE: \._J o c c of u c coc ccs OWNER -BUILDER DECLARATION 1 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 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 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 0) D Division 3 of the Business and urc�esslons Code, and my license is in full force and effect. License Class License No Dat Contractor Signature. X illfNl /' WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,600), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 pe rmance of the work for which this permit is issued. Policy No. I have and wi(-..{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' compensatior Number Date lame of Agent — t " ._ 11 ]I certify 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 iat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant V V c -C , Dat 2 J lift )ECLARATION REGARDING CONSTRUCTION LENDIN AGENCY hereby 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 Code). ender's Name Lender's Address ly 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 cc ty ordinances and state laws relating to building construction. 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