HomeMy WebLinkAboutX2018-3797 - Permitstrr, City of Newport Beach - Building Division
100 Civic Center prive, Newport Beach, CA 92660
E Permit Counter Phonelks49)644-3288
z P Inspection Requests Phone (949)644-3255
e*c� Combination Type - SFP ELEC MECH PLUM
�2 0 1 8 3 7 9 7� III COMB Perm it: s018-3797
Issued Date: 1211712018
Inspection Area : 1
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 Ho14
Job Address:
350 BUENA VISTA BLVD NB -
Description.
SFR -(CHANGE OF CONTRACTOR TO O/B)ADD 471 SF & REMODEL
1,200 SF, ENCLOSE (E) CARPORT 450 SF (REPLACES X2018-0418)
Legal Desc.:
EAST NEWPORT BLK A LOT 146
Owner:
MCDONOUGH PAUL & CAROLYN Contractor:
OWNER/BLDR Architect: JEANNETTE BRION S
Address:
350 BUENA VISTA BLVD Address:
STOCKTON-MCDONOUGH CAROLYNAddress: 470 OLD NEWPORT BLVD
NEWPORT BEACH, CA 92661
NEWPORT BEACH CA 92663
Phone:
818-645-5854 Phone:
Phone: 949-645-5854 State Lic:0008012
Applicant:
BARD MARTIN
Address:
470 OLD NEWPORT BLVD
NEWPORT BEACH CA 92663
Phone:
949-645-5854
Code Edit: 2016
Type of Construction: V-B
Occupancy Group: R311.11
Added /New sq.ft. Bldg: 471
Added /New sq. ft. Garage: 450
No of Stories: 2
No of Units : 1
Bldg Height: 24
Bldg Sprinklers: N
Con State Lie: OIB
Engineer:
Lie Expire:
Address:
Bus Lie:
Lie Exp Date:
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
Address:
Policy No:
Expire:
Phone:
Building Setbacks Rear: 4'
Front: 9'
Left: 4'
Right: 4'
Use Zone: R-1 Parkins Spaces: 2
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VOLPE ROBERT M 9
20321 LAKE FOREST DR STE D-6
LAKE FOREST CA 92630 o e m 0 mo
949-305-4700 x1 State Lic:C-025116
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Special Conditions: CD2017-047 (PA2017.105)
Ole AUTH ATTACHED
Fire Hazard Zone : N
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Construction Valuation:
$0.00-
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Building Permit Fee:
$0.00
Excise Tax:
$0.00
Planning Department-
Fire Department
6m b
Plan Check Fee: $0.00
Additional Fee:
$35.00
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
Record Management:
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$0.00
CA Seismic Safety:
$0.00
WO Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access :
$0.00
PM Plan Check: $0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee :
$0.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $35.00
Plan Check Fee:
$0.00 Fee
Due at Permit Issuance :
$35.00
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
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 p�.,laced 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
1e 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness 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
noroved for the purpose of sale).
J 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).
] I am exempt from Iicensure 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 legall)
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 agp tion is,§ubmitte o at t ollowinWb,,'It �:/ wwvy.leginfo.ca.gov/calaw.html. `-7 1
Iignature of Property Owner or Authorized Agent H U VS=ginfo.ca.gov/ca1aw.htmI.
24
.ICENSED CONTRACTOR'S DECLARATIOf.'
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
nd effect. LicgrjsVA&s License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNIN91*FA1LURriTO SECYRE 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 COMPENSAfAN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Lhelebyeffirm under penalty of perjury one of the following declarations:
J I have and w))I.Iligiltain 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
¢rfErndince of the work for which this permit is issued. Policy No.
and will meinfain 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'
came? Ind policy number are:
Policy Number Expiration Date
tSMV that, in th%performance of the 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
!if !should Mec er a subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date_
CLARATION REGARDING CONSTRUCTION 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county anter4he above-i tified property for inspection purposes.
Owner or Authorized
uner's or Authorized ADS
ACTION DATE BY DECtARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
PERMIT CANCELLED
PERMITEXTENDED
CERTIFICATE OF
NOTIFICATION TO
NOTAPPLICABLE TO