HomeMy WebLinkAboutX2017-1005 - PermitswsA� City of Newport Beach - Building Division
>~' 100 Civic Center Drive, Newport Beach, CA 92660
F =' Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP ELEC MECH PLUM
IIIIIII�IIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2017-1005
x 2 0 1 7 1 0 0 5 Project No: 0673-2017
... e s .o n
Issued Date : 06/06/2017 ; ° • • e
o see. ••n
Inspection Area : 8 a
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. • ' ' '"`
P•40
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 Hr�lidays, , , ,
Job Address: 2127 VISTA ENTRADA NB +
Description: MFR -ADD 155 SF/REMODEL 1014 SF �.,.R _ F . ,
Legal Desc.: TR 5878 (L.L.84-214031
9 6
Owner: MCKENNA INV STMENTS LLC Contractor: TREVTOR CONSTRUCTION BAILEY DAVID '�•'r� siec�
�Bte: $ 2/ ItHzif appitie�i�:
Address: 2127 VISTA EN RAD 094V AGAR:F' ---- Ad resa: 23183 LA CADENA DR #101 • • • • '
NEWPORT BE H, CA 92660 SANTA ANA CA 92704 MG�IpjA HILL$ CA.-92653 •++.. g.:'` !, ,
Phone: 949-300.0084 P ne: 7G38
❑ SN69.- SGd501 -" 1'-'State Lic:CO27404
Applicant: BAILEY DAVID tat Engineer: WILSON KALEN
Address: 23183 LA CAD AD #10 it 0to wjy AgSs: 1371 WARNER AVE.#A
LAGUNA HILLS A9 us L B TUSTIN CA 92780
Phone: 949-573-1060 Lic Exp Date: 06/30/2018 Phone: 714-576-6524 - State Lic:C-083753
Code Edit :
Type of Construction
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 3
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee:
$2,1
Plan Check Fee: $1,791.36
Overtime Plan Ck:
Investigation Fee:
Record Management:
$
Energy Compliance:
$1
CA Seismic Safety:
$
Disabled Access:
$0.00
Hazardous Mat $0.00
Building Green Fee : $11.00
TOTAL FEE: $5,610.50
PROCESSED BY:
ZONING APPROVAL:
Building Setbacks
(work sta
Excise Tax:
Additional Fee
Grading PC Consultant
Grading Permit Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 0
Front: 0
eft: 0
ht: 0
$0.00
$0.00
r r.,
a -
is
Planning Department -
Plan check Fee :
$0.00 SJH Trans
$149.87
$85.64
$192.69
PAN Plan Check:
San Dist:
NMUSD Fee:
Plan Check Fee : $2,004.15
Designer:
Address:
Phone:
Special Conditions: $�I
r�C Y" .
Imp, injEils:
$0.00
$38.00
$0.00
$0.00
Fire Department
Aire Inspection:
$0.00
n Rev
$0.00
Fit
FlitFee
wilding Dept Adm
$24.00
�-General Service
$197.00
Refund Deposit
$564.00
Grading Bond:
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $3,606.35
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER-BJ41LDER DECLARATION
° I'FTcFgby affirin agdPi' 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)
Sat,9607031.5, 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
Me permit to file,& 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
VoUrions 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
,�
iol glple than five hundred dollars ($500).
l,,ab`owner of the property, or my em to as 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,
�usinlss and Prdffs3fOns Code: The C n r SJ' !"`!!8Ep1p° L�"•4 !��f°!A'°"'^� 'tfmRrgh°arR Fs®aabafiatl„6uilds,or.. improves. the property, provided that the
mPFovements are Nets tended or offer 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
�m roved for the`purii of sale)... ®eta
4, as -owner of the property, am excl
apply tE an owner of{uoperty who build
Q 4 em:exempt from licensure under t
Ely my signature t"civi I acknowledge t
sell a structure thgtl,jlp6e built as an o'
Professions Code, is available upon re(
Signature of Property Owner or Authori.
LICENSED CONTRACTOR'S DEC
I hereby affirm under penalty of perjury
and effect. License Class
COMPENSATION
NARNING: FAILURE TO SECURE WORKERS' CI
COST OF COMPENSATION, DAMAGES AS PRO\
I hereby affirm under penalty of perjury
❑ I eve and will maintain a certjfia
pe rmance of the work for which this
I have and will maintain workers' c1
I s ce carrier and policy number an
is of Agent
certify that, in the perfor�-rIapppfiqee� of
if I should becomes tSjeet,t
16
lature of Applicant.
:ively contracting with icensed Contractors7044, BuV1nWfihtVPR °Mns Code: The Contractors' State License Law does not
or improves the eon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
Co a r fe Lic - AD
lNe�
Cnit
0 f"
It, ex pt m at
I redde one year prior to completion of the improvements covered by this permit, I cannot legalh
ter-b I r if i not en c io ct . I understand that a copy of the applicable law, Section 7044 of the Business and
Est olio ifO.t0gW1Mt yFI11tml.d en Date
A N
iat I Icens ride JXND
J?U11E1CN
4 it n f D' isio of the Business and Profe {{ s C Ic a is in full force
Lict Contract or Signature l)
LA TION
PENSA GE i PLO N LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
°D FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
ie of the following declarations:
of to F� insure for workers' c mpensation, issued b irec of Jndustrial Relations {�s provided for by Section 3700 of the Labor Code, for th
Tmit is s - d. �96 , �t C' � !
44 p
(pens surance, s e by c o 0 f the Labor or e a eta fo hioh thispermit is issued. My workers' compensation,
work started) (no work ggfi�n�6te
Policy Number
p Phone #
I`whiska-tivis-permit-is-iszloci. I droll nnr Employ any parson in aay_BJ=er so as to become subject to the workers' co�pensation laws of California, atfC agre
ors' co pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions'
Innn_ ini4�` nafo
hereby affirm under 6enalty of perjury that there is a construction lending agency for the performance of the work for which this pe
Ender's Name Lender's Address
y 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 coun dine ee and state laws relating to building construction.
I authorize representatives of this city or county n ev = '#ied property for inspection purposes.
Print Prooertv Owner's or Authorized
EXPIRED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE I BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
( REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION TO
IS NOTAPPLI,T@LE TO
FOR OFFICE USE ONLY
Civil Code).
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