HomeMy WebLinkAboutX2016-0290 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
K Permit Counter Phone (949)644-3288
s. Inspection Requests Phone (949)644-3255
�rtuax r Combination Type - SFP ELEC MECH PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2016-0290
x 2 8 1 6 e 2 9 0 Project No :
Issued Date : 01/28/2016
Inspection Area: 4
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE/CARSON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADFn
Job Address:
12 SAWGRASS DR NB
Description:
SFR - REMODEL KITCHEN & BATHROOMS (STD PLAN)
Legal Desc.:
N TR 15391 LOT 32
Owner:
CONDON ALLEN M Contractor:
Address:
12 SAWGRASS DR Address:
NEWPORT BEACH, CA 92660
Phone:
Applicant:
REUTERS GEN CONTRACTING
Address:
887 PRODUCTION PL
NEWPORT BEACH CA 92663
Phone:
949-645-5824
Code Edit: 2013
Type of Construction: V-B
Occupancy Group: R3
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Phone:
Con State Lic:
Lic Expire:
Bus Lic:
Lic Exp Date:
REUTERS GEN CONTRACTING
887 PRODUCTION PL
NEWPORT BEACH CA 92663
949-645.5824
760411
03/31/2017
BT30043520
05/31/2016
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 1535045
Expire: 07/01/2016
Building Setbacks Rear: I
Front: /
Left: I
Right: /
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
State Lic:
emo•
e m
State Lic:
mmommo mme000
i000 cone:
X
Use Zone:
Parking Spaces:
0
Fire Hazard Zone N
Construction Valuation:
$200,000.00
Building Permit Fee:
$1,574.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee:
$1,369.38
Additional Fee :
$0.00
Plan check Fee :
$37.50
Fire Inspection:
Overtime Plan Ck:
$0.00
Fair Share:
$0.00
Fire Plan Rev
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management :
$2.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
Disabled Access :
$0.00
PAN Plan Check :
$0.00
Grading Bond:
Hazardous Mat
$0.00
Electrical %:
$110.18
San Dist:
$0.00
Building Green Fee :
$8.00
Mechanical %:
$62.96
NMUSD Fee:
$0.00
-
Plumbing %:
$141.66
TOTAL FEE: $3,305.68
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
m m
m o 0
om O
0 0
• m a
mo
ooeeo
0
oemom
cammoo
0 0
m °
° m e mmoo
mm m
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $3,305.68
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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(:)
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
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
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,
usiness 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
iprovements 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
proved 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).
7 I am 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 legally
all 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:hftp://www.leginfo.ca.gov/calaw,html.
ignature of Property Owner or Authorized Agent Date
44
ICENSED CONTRACTOR'S DECLARATION
hereby affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) of Division 3 of the Business and Pro e, a r ense' i fu I force
nd effect. 1-hriaee.1lass License No Dat _ (0 Contractor Signature
vrf
10MERS' COMPPNSATION DECLARATION
ARNIN& FAILURE TO SESURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR (:100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
nereby affirm urgder penalty of perjury one of the following declarations:
1.1 and•wi9 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 the
a e of the w9rk for which this permit is issued. Policy No.
hev and wiN nWntain 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' compensatior
9 5 e carrier a)Id policy number are:
Ar' r•: • Policy Number Expiration Date
ame Agent • Phone #
�•.••
I 40ioly that, in tie perform a of th rk for Ich the ermit i :sued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
at, if I should �Tecofi� subj he era' pens n prov. ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of ApplC Dat
ECLARATION REGA I N RUCTI N L G AGEN r
hereby affirm under an y per ry that there is a construction Ie ding agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ander'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 come
I agree to comply with all applicable city and county ordi an and a rela g to building construction.
I authorize representatives of this city or co y to a ove= enti ro y for inspection purposes. /' �G
ignature of Property Owner or Authorized Agel Print Property Owner's or Authorized Agent's N e Dat
nA.TF
BY
OECLARAHON OFMPLIMCE 6l9T)J CODE OF
H)R Dt•NC,7 t)5't (JriR.T
AC77e)N
Jr
FEOERAL REGULATIONS PART61 OF T17LEAO AND
AGMDF'&[Ci401
IsfinnTTri)kSW.STns NOTfrM.ATH)N TO.
0 EPA
❑ AQMD
P1 cra7TFxPrrrFta
Pni 101€CANCiiILD
PERAMTEXTENDED
0 RSBESTOSNO7)ACA7=15NOT APPLICABLE TO
POSEDDEMOLITfON.
PlAMITrNUAt S / (�
d"
.� F
CERTIFTGATEOF
NA l V1tt:
OCCUPANCY35UED