HomeMy WebLinkAboutX2018-1359 - Permits1rr, City of Newdort Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-1359
/ 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 1 3 5 94 Project No : 1071-2018
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP MECH ELEC PLUM Issued Date: 2018
Inspection Arearea : 3
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: 242 COLTON ST NB
Description: SFR ALT 671 SF (CHANGE TO (2) BEDRM DWELLING)
Legal Desc.: TR 772 LOT 19 BLK 6 ALL (EX NELY 20 FT) AND NELY 24 FT LOT 20 BLK 6
Owner: MCHENRY BART
Contractor:
OWNERIBLDR
Architect: BAILEY DAVID
Address: 242 COLTON ST
Address:
Address: 23183 LA CADENA DR #101
NEWPORT BEACH CA 92663
LAGUNA HILLS CA 92653
Phone:
Phone:
Phone: 949-573-1050 State Lic:CO27404
Applicant: MCHENRY BART
Con State Lie: OIB
Engineer: WILSON KALEN
Address:
Lie Expire:
Address: 1371 WARNER AVE #A
Bus Lie:
TUSTIN CA 92780
Phone:
Lie Exp Date:
Phone: 714.576.6524 State Lic:C-083753
Code Edit: 2016
Worker's Compensation Insurance
Designer:
Type of Construction: VB
Carrier:
Address:
Occupancy Group: R3/U
Policy No:
Added /New sq.ft. Bldg: 0
Expire:
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: /
Special Conditions:
No of Units : 1
Front: /
p
Bldg Height: 0
Left: /
I ".
1
r-
Ovi�
Bldg Sprinklers: N
Right: I
<
Flood Zone: X
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
�; �,a
=:"7
Construction Valuation: $65,000.00
Building Permit Fee: $821.00
Excise Tax:
$0.00
Planning Department- Fire Department
Plan Check Fee: $714.27
Additional Fee:
$0.00
Plan check Fee: $0.00 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
o°OPOC
Record Management: $40.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee: $0.00 Building Dept Adm
91$0.00
e
Energy Compliance: $56.00
Grading PC Fee:
$0.00
Public Works Department- General Service
o60AO
a°oo
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit
Disabled Access: $0.00
P/W Plan Check: $0.00 Grading Bond:
$0.00
0 0
Hazardous Mat $0.00
Electrical %:
$67.47
San Dist: $0.00
o° o
®° `
Building Green Fee : $3.00
Mechanical %:
$32.84
NMUSD Fee: $0.00
Plumbing%:
$73.89
® c
oo°oo
TOTAL FEE : $1,798.47
Plan Check Fee:
$770.27 Fee Due at Permit Issuance :
�c
$1,028.20
o
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PROCESSED BY: 91
PUBLIC WORKS APPROVAL:
�gocoo
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o u
Door°u
ZONING APPROVAL: 0yu-
PLAN CHECK BY:
o 0 0
0°00
GRADING APPROVAL:
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)
(Section 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
the 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
not more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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
improvements 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
Im roved for the purpose of sale).
1, 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
apply 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).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my pe%onsdesncect, which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal
sell a structure that I have built as an ownerbuilder if it has trued in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the B siness and
Professions Code, is available upon request when thi appfor at the following Web site:http://www.leginfo.ca.gov/calaw.html. le
Signature of Property Owner or Authorized Agent Date z7
LICENSED CONTRACTOR'S DECLARATI
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date. Contractor Signature
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
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION GTUS 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.
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'
rance carrier and policy number are:
Policy Number Expiration Date
of Agent
ce Ify that, in the pertorma e f th work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compen//sation laws 11of California, and agre
gt oitf I Shof Applicom subject t e w mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions Date' sr 2 l
IECLARATION REG G ONST CTION LENDING AGENCY
hereby affirm unQpjpenalty 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
it;V signature below, I certify to each of the following:
• 1 am the property ovoer or authorized to act on the property owner's behalf.
• I have read this application and the information I.have pro ided s correct.
I agree to comply with all applicable city and county or in a nd state laws relating to building construction. j
. I authorize rap �selitatives of this city or county to ant t den ' property for inspection purposes. fJh -y
vinai ue of Prone' v owner Dr Authorized ADerti / Print PrODertv Owner's or Authorized Agent's Name X_+t9Cly1 'f V }01 t(l Date N 1 k4
A'C•f1ChVr� • DATE BY ✓\ DE"RATI@N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
• • •+ • RE'YFULATIONS PART 61 OF TITLE 40 AND AQMD RULE
•••••• • 1403
NERMITGXP/RED.:... I Ll I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITFINAL •(/✓Z�jr�y `'k*''V' 3 U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
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