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Home My WebLink AboutX2016-3884 - Permits�wry� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II d4" 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 6 3 8 8 4 F Permit Counter Phone (949)644-3288 u. Inspection Requests Phone (949)644-3255 c{B11q* Combination Type - SFP PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Job Address: 27 CASTELLINA DR NB Description: SFR - INSTALL NEW MULTI SLIDER DOOR SYSTEM Legal Desc.: N TR 15401 LOT 36 Owner: MORTON BRIAN & BRITTANY TR Contractor: Address: 3151 AIRWAY AVE #RS Address: Address: COSTA MESA CA 92626 Phone: Phone: HARKINS CONSTRUCTION 31612 FAIRVIEW RD LAGUNA BEACH, CA 92651 949-281.9706 Architect: Address: Phone: COMB Permit: X;2016-3884 Project No: 2706-201, e • es ° Issued Date : 12/05/2016 e' • °, °• o Inspection Area: 6 •e•• , e•e• . m o . eee e o • emmom om ON IN C.-TOZ- i o 0 eme•oo eemm m o m m m •mmo •s m State Lic: Applicant: DAVID Con State Lic: 935372 Engineer: BURKE LEO Address: 34167 PACIFIC COAST HWY #D Lic Expire: 07/31/2017 Address: 34167 PACIFIC COAST HWY #D $0.00 DANA POINT CA 92629 Bus Lic: BT30064026 Fire Inspection: DANA POINT CA 92629 Phone: 949.226-7130 Lic Exp Date: 02/26/2017 Phone: 949.226-7130 State Lic:C-067404 Code Edit: 2013 Type of Construction: V -B Occupancy Group: R3/U Added /New/TI sq.ft. Bldg: 0 Added/New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Worker's Compensation Insurance Carrier: NORGUARD INS CO Policy No: HAWC791646 Expire: 10/27/2017 Building Setbacks Rear: / Front: I Left: / Right: / Designer: Address: Phone: Special Conditions: VHFHSZ Fire Hazard Zone : N Building Permit Fee: $292.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $254.04 Additional Fee : $0.00 Plan check Fee : $37.50 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: $16.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $56.00 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 PM Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 Building Green as : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $656.54 Plan Check Fee: $656.54 Fee Due at Permit Issuance : $0.00 PROCESSED BY: _.. PUBLIC WORKS APPROVAL: ZONING APPROVAL: GRADING APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: .. PyFNER-BIJILQER DECLARATION I heTeby affIV"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, Qusiness 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 to permit to filsigned 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 'tofegsions Cede) or tli he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of ot• eg12 than fi�2hLfi'dred dollars ($500). 110 as ownerV the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lu si ass and PPofeSslons 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 nprovements areflot 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 446VI for the purpose of sale). 1 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 Vttln ownecaf property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 3 1 am exempFfromiicensure under the Contractors' State License Law for the following reason: Iy 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 legally ell 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section op1v 'e(� 3 of the Business and Pro sions and my license i i full force nd effect. License Class License No Dat `.� 0� Contractor Signatur ✓ORKERS' COMPENSATION DECLARATION 'ARMING: 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 ($700,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 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 the er�ormance 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' compensatior trance carrier and policy number are: rier Policy Number Expiration Date is of Agent Phone # certify that, in the performan 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 if I should become subject the workers' com fiorMrovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 C tature of Applican Date l7•-�S�- CLARATION REGAR CONSTRUCTION LENDING AGENCY ;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 Code). Jder'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 ordi nces and state laws relating to building construction. I authorize representatives of this city or co�nt�to a bove-identified property for inspection purposes. (Y1� ,,,, ��1 nature of Pmnertv Owner or Authorized Aoeo - Print Property Owner's or Authorized Agent's NameJC �A rh 0a Xe. ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDEI REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED QMD PERMITFINAL Dom, A� SBESTOS NOTIFIIT N IS TAPPUCABLE TO CERTIFICATE OF -Ly��l GoT" . OPOSED EMOLVTI OCCUPANCY ISSUED 0-17 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.