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HomeMy WebLinkAboutX2017-0868 - PermitsJob Address: City of Newport Beach - Building Division Description: 100 Civic Center Drive, Newport Beach, CA 92660 •:,. �,, -. Permit Counter Phone (949)644-3288 u. Inspection Requests Phone (949)6!,1,-3255 `�creun r Combination Type - SFP`ELEc MECH PLUM Plan check Fee NEWPORT BI Job Address: 19 CASTELL Description: SFRALT1,S( Legal Desc.: NEWPORTBEA Owner: WYSON JOH. Address: 19 CASTELLI Plan check Fee NEWPORT BI Phone: 9494134078 Applicant: WALKER BARR Address: P.O. BOX 11658 Planning Department - NEWPORTBEA Phone: 949-2464085 Code Edit : 2011 Type of Construction: V -B Occupancy Group: R3A 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 11 Construction Valuation: DR 5 III IXilll ILII Mill ILII VIII IIIIII 0IIIIIIII Mill III II to whom: - Architect: Address: COMB Permit: X2017-0868 Project No : Issued Date : 04/03/2017 Insoectlon Area : 6 or Holidays WALKER BARRY P.O. BOX 11658 NEWPORT BEACH CA 658' 949-246-4085 St a 1-04 Lic Exp Date: Phone: d plat S Jr 's ®s�ti�rielnsuranceEl ' �e �i"��' ��.d9 ar r ot g gs; oli No: (work stEPtiffld) (no workPlfita.rted) Building Setbacks Rear: / Special Conditions: VHFHSZ Mote. Front: / Note: e Right: / Insp. initials: Fire Hazard Zone: Y Building Permit Fee: $367.00 Excise Tax: $0.00 Planning Department - Fire Plan Rev Plan Check Fee: $319.29 Additional Fee : $0.00 Plan check Fee General Service Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : Record Management : $2.00 Grading Permit Fee: $0.00 In -lieu Housing Fee 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 PM/ Plan Check : $0.00 Hazardous Mat $0.00 Electrical %: $25.69 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $14.68 NMUSD Fee: $0.00 Plumbing %: $33.03 TOTAL FEE: $800.19 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $356.7p, Fee Due at Permit Issuance : $443.40 0 . ® FQBLIC.EVyORKS APPROVAL: C 4 6 L a L PLAN CHECK BY: j `APPROVAL TO ISSUE: c o Fire Department $37.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $356.7p, Fee Due at Permit Issuance : $443.40 0 . ® FQBLIC.EVyORKS APPROVAL: C 4 6 L a L PLAN CHECK BY: j `APPROVAL TO ISSUE: c o OWNER -BUILDER 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 struct*S, prior to its issuance, also requires the applicant for is 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'§ection 7000) of Division 3 of the Business and 'rofessions 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 of 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, lusiness 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 emants 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 Fnip% v for the purpose of sale). - V, I, 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 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). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 Iega111 ell a structure that I have built as an owner -builder if it has not Aean 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 t of n is s fitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent r Date�T�/ �• .ICENSED CONTRACTOR'S DECLARATI N hereby affirm under penalty of perjury that am licensed and r provisions of Chapter 9 (commencing with Section 700of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date y Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: 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: 7 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 erformance of the work for which this permit is issued. Policy No. :1I have 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' compensatiol nsurance carrier and policy number are: ;arrier Policy Number Expiration Date Vame of Agent Phone # L- I certify that, in the performance oft a 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 agre hdt, if I should become sub act to jh /or rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �� yy,, pp II —L Signature of Applicant !/�y Dater 5 ' 7 )ECLARATION REGAING CONS UCTI LENDING AGENCY l 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 3y 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 ordina ces and state laws relating to building construction. I authorize representatives of this city or county toe t abo �j id of property for inspection purposes. �� UV �(;Yl Da Signature of Property Owner or Authorized Agent / V� r Print Property Owner's or Authorized Agent's Name vb-ACTION DATE BY DECLAR TION OF CO PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULA IONS PART 630E TITLE 40AND AQMD RULE 1403 • ••• PERMITEXPIRED ISUBMIT-rED ASBESTOS NOTIFLGATIOl1 TO • • ••• PERMITCANCELLED (., IC,A. 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