HomeMy WebLinkAboutX2017-1282 - Permitsrod, City of Newport Beach - Building Division
• 0 4 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288 -
Inspection Requests Phone (949)644-3255
"Eaiira9. Combination Type - SFP ELEC MECH PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2017-1282
x 2 0 1 7 1 2 8 2 Project No
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Issued Date: •••• ®.••°°
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Code Edit : 2016
Type of Construction: V -B
Occupancy Group: R3/U
Added /New/TI sq.ft. Bldg:
Added/New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Worker's Compensation Insurance
Carrier: STATE COMP INS FUND
Policy No: 1830569
Expire: 08/01/2017
Building Setbacks Rear: /
Front: /
Left: /
Right: I
Use Zone: Parkina Soa
Designer:
Address:
Phone:
Special Conditions: VHFHSZ
Building Permit Fee:
$0.00
Excise Tax:
$0.00
Planning Department -
Inspection Area :6 '°®®
°
$0.00
Additional Fee :
$33.00
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Overtime Plan Ck:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. V.
Grading Bonds Fee:
$0.00
Construction Hours: Monday
-Friday 7:00 a.m.
e
to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays • •
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• ° °
Grading PC Consultant :
$0.00
SJH Trans
$0.00
Record Management:
' 1 ' ° °
Job Address:
19 CASTELLINA DR NB
In -lieu Housing Fee
$0.00
Energy Compliance:
�' �) • ems'
•'
Description:
Legal Desc.:
SFR ALT 150 SF KITCHEN REMODEL
CITY STD PLAN (X2017-0868)
"CHANGE OF CONTRACTOR**
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access :
$0.00
PAN Plan Check:
$0.00
Hazardous Mat
Owner:
WYSON JOHNIDANNELL
Contractor:
ALLSTAR CONSTRUCTION
Architect:
WALKER BARRY •
.°,°°„
Address:
19 CASTELLINA
Address:
77 64TH PLACE
Address:
P.O. BOX 11658 ° ° ° e m
°. • ° m °
$0.00
NEWPORT BEACH CA 92657
LONG BEACH CA
NEWPORT BEACH CA 92658 °
Phone:
949-413-4078
Phone:
Phone:
949-246-4085 State Lic:C019637
Applicant:
WALKER BARRY
Con State Lic:
821700
Engineer:
Address:
P.O. BOX 11658
Lic Expire:
07/31/2017
Address:
NEWPORT BEACH CA 92658
Bus Lic:
BT30068860
Phone:
949-246-4085
Lic Exp Date:
Phone:
State Lic:
Code Edit : 2016
Type of Construction: V -B
Occupancy Group: R3/U
Added /New/TI sq.ft. Bldg:
Added/New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Worker's Compensation Insurance
Carrier: STATE COMP INS FUND
Policy No: 1830569
Expire: 08/01/2017
Building Setbacks Rear: /
Front: /
Left: /
Right: I
Use Zone: Parkina Soa
Designer:
Address:
Phone:
Special Conditions: VHFHSZ
Building Permit Fee:
$0.00
Excise Tax:
$0.00
Planning Department -
$0.00
Plan Check Fee:
$0.00
Additional Fee :
$33.00
Plan check Fee
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share
$0.00
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans
$0.00
Record Management:
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
$0.00
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access :
$0.00
PAN Plan Check:
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee :
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
PROCESSED BY:
TOTAL FEE : $33.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $33.00
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
GRADING APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
Fire Department
$0.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
TOTAL FEE : $33.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $33.00
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
GRADING APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirundm � � ger 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)
5ection,7031.5, Musiness 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
9C p6gt to file•2 9itned 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
Irofessions Code)" fh9t 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
0 iniathan five kundred dollars ($500).
I, as owner 21 -they pl.Uperty, 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,
4sinesa 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
hprckgments arEi gc9intended 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
RpPmaq for the'RWR9r Q of sale).
3 1, *ht owner of toe property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
otlViy 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).
J I am;xempPf1M Mansure under the Contractors' State License Law for the following reason:
5f-m)P9l1nature belo .acknowledge that, except for my personal residence in which I must have
4 a gtructure &at4 have built as an owner -builder if it has not been constits entirety by
rofessions Cocre*is available upon request wheq this appNc9fRa i,s5fibmi ;Vole at the following(
'signature of Property Owner or Authorized Agen
.ICENSED CONTRACTOR'S DECLARAT 0
hereby affirm under penalty of perjury that I am license(Cunder provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
no effect. License Class License No Date Contractor Signature
YORKERS' COMPENSATION DECLARATION
ARNING: 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 ($100,000), 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 th
;formance of the work for which this permit is issued. Policy No.
for at least one year prior to completion of the improvements covered by this permit, I cannot legal
contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
>http://www.leginfo.ca.gov/calaw.html.
Date 7
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'
carrier and policy number are: _
ie of Agent
certify that, in the performance of the
, if I should become subject to the>Np
of
Policy Number
Date
this p Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
atio pro ' Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Da —020
DECLARATION REGARDING/1CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty bf perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By 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 at laws relati I g construction.
I authorize representatives of this city or countytoenter tl ov i 1 ied prop rty r i tion purposes. (� , t
Signature of Prooertv Owner or Authorized Acen �/ rint Property Owner's or Authorized Agent's Namd r14� C� u r.LM Dat L4 Z0'"j
ACTION DATE BY I
EGUL
RTONS PART OIOF TITLE 40ANDAQMD RULE CE WITH CODE OF RAL FOR OFFICE USE ONLY
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
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
PERMITCANCELLED
DEPA
PERMIT EXTENDED
jj3AQMD
life of the pool.
PERMITFINAL
p,�„v
SB TOS NOTIFICATIO S TAPPLICAe T
CERTIFICATE OF
OCCUPANCYISSUED_
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