HomeMy WebLinkAboutX2018-2374 - Permits(66 -
City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIICOMB Permit: X2018-2374
100 Civic Center Drive, Newport Beach, CA 92660 X 2 9 1 8 2 3 7 4 Project No : 1883-2018
nPermit Cnter Phone (94644-3288
specton Req ests Phone(949)644-3255 /\ v u - �` 4-
Issued Date: 0810912018
� Combination Type - BLDG PLUM to r �oy W uw 'I'�'v `i u, -"I
Inspection Area :Y, I
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m, and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 6302 W COAST HWY NB
Description: COMM DEMO 4 UNITS FROM MAIN BUILDING DUE TO FIRE DAMAGE 864 SF, REMOVE FOUNDATION SLAB 8 UTILITIES
Legal Desc.: SEASHORE COLONY TR BLK 3 LOTS 4 5 BAND NFLY 112 OF LOT 3 - EX STR
Owner: WENGLER DUANE A
Contractor:
OPTIMA CONSTRUCTION INC
Architect:
SONG MICHAEL
Address: 6302 COAST HWY W
Address:
2823 FRANCIS LN
Address:
5608 E PEABODY ST
NEWPORT BEACH, CA 92663
COSTA MESA, CA 92626
LONG BEACH, CA 90808
Phone: 949-885-6712
Phone:
949-394-3870
Phone:
626-375-3073 State Lic.0032566
Applicant: WENGLER DUANE A
Con State Lie:
1025808.
Engineer:
Address: 6302 COAST HWY W
Lie Expire:
0413012019
Address:
NEWPORT BEACH, CA 92663
Bus Lic:
BT30064120
_
Phone: 949-885.6712
Lie Exp Date: 08/31/2019
Phone:
State Lie:
V����,�,
Code Edit: 2016
Worker's Compensation Insurance
Designer:
�..
Type of Construction: VB
Carrier:
STATE COMP
Address:
Occupancy Group:
Policy No:
9231665
Added /New sq.ft. Bldg: 0
Expire:
06116/2019
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: /
Special Conditions: PA2018-115
No of Units: 0
Front: I
LIQUEFACTION AREA
Bldg Height: 0
Left: I
,
Bldg Sprinklers: N
Right: I
Flood Zone: X
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $42,175.00
Building Permit Fee: $622.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $541.14
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: $10.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00 Building Dept Adm
$24.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$197.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$1,692.00
Disabled Access : $0.00
P/W Plan Check :
$38.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee : $2.00
Mechanical W.
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing%:
$55.98
$0.00
TOTAL FEE : $3,219.62
Plan Check Fee:
$578.64
Fee Due at Permit Issuance :
$2,640.98
PROCESSED BY:
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PUBLIC WORKS APPROVAL:"
ZONING APPROVAL:
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«a • PLAN CHECK BY:
GRADING APPROVAL:
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APPROVAL TO ISSUE:
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)
lection 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
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 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
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 (_) 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
nprovements 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
n roved 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
pply 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).
Itam exempt from licensure under the Contractors' State License Law for the following reason:
y 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 lega11i.
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.
ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of erjurg�r that I am licensed under provisions of Cha ppter 9 (commencing with Section 7000) o Di ision 3 of the Business and Profgssi a - my license is in full force
nd effect. License Class _ _ C��AfEYP1 �- License No NOZS 013 _Date $ g Contractor Signatur
IIORKERS' 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:
1„1 have ,end 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
e rmance of the work for which this permit is issued. Policy No.
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' compensation
Isurance carrie an olicv number argrN _
1e of Agent.i-� .—
certify that, in the performance
if I should become subject -16
of
Date
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
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. gle,
CLARATION REGARDING_CONSTRHCTION LENDING AGENCY
Ireby 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).
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 or ' pn�es a U state laws relating to building construction.
I authorize representatives of this city or couloty nter p/ b -identified property for inspection purposes.
nature of Prooertv Owner or Authorized Anent Print Property Owner's or Authorized Agent's Name/
ACTION
DATE
BY
AR 1"f ION OF COMPLIANCE WITH CODE OF FEDERAL
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FOR OFFICE USE ONLY r
TIONS PART61 OF TITLE 40AND AQMD RULE
1403
PERMITEXPIRED
ICKSUBMItED ASBESTOS NOTIFICATION TO
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PERMIT CANCELLED
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PERMIT FINAL
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ASSES S NOTIFICA N IS APPLICABLE TO
CERTIFICATE OF
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OCCUPANCY ISSUED
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