HomeMy WebLinkAboutX2017-1230 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 7 1 2 3 0
r t Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255 -
orK¢r Combination Type - SFP ELEC MECH PLUM
COMB Permit: X2017-1230
Project No: 0836-2017
Issued Date : 04/17/2017
..
Inspection Area : 3 • • • • e
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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
Job Address: 1830 GALAXY DR INS
Description: SFR - REMODEL MASTER BATH, KITCHEN, LAUNDRY/RE lNmA42rA®E;uRPft'13 ATER DAMAGE "STOP WOR "
Legal Desc : N TR 4224 LOT 29 t'�
Owner. BIG CANYON INC o rac 7�-BUILBE'12&— �Archlte�ct lC���v
Address: 1830 GALAXY DR !-late ° ass 3 OLINDA DRIVE d,yye�ss
NEWPORT BEACH, CA 92660 BRIE 9 gNo or ❑ 100% refund
Phone: II e - - ., Phone: State Lic:
Applicant: ERICK ALLEN BUILDERS i Co St 1 i AR�g�'(Sj'j'j;
Address: 372 OLINDA DRIVE 1t 1 - Address:
BREA CA 92823 r1u - us Lic BT30057978
Phone: 714-524-2466 Lic Exp Date. „„, 02/28/2018 Phone: State Lic:
Code Edit.: 2016 ` Wo s o atit5jil In ` aIF
w .Jr-`�' 1,01D
Designer: ALLEN ERICK
Type of Construction: VB ier G Address: 372 OLINDA DR
Occupancy Group: R3/U P li..RWC BREA CA 92821
Added /Newlrl sq.ft. Bldg: 0 :, so
07/26/2017 Phone: 714-524-2406
Added /thew sq. ft. Garage: 60
No of Stories: 2 Building Setbacks Rear: / OSpecial Conditions: t
an
No of Units: 1 F nt: / pp�-..'`
81dHeight: 0 na'e ,. R a )thy' r a q " C'A "�* jl
BldgSprinklers: $ ,",��a C%,.,a I
Flood Zone: X -v' se Zone: ark Spaces: 0 T f�'�'trcla.l
Construction Valuation: $63,000.00 V'Jl3K i4 16 1
Building Permit Fee:. a $807.00 Excise Tax: $0.00 Planning Department - at
Plan Check Fee: $702.09 ,zy!Additional Fee: 50 Fire
Overtime Plan Ck: $0.00 _""Gr on as $0.00 Fair Share: In 09i7i i�IJrg R
Investigation Fee: $807.00 Grading PC Consultant: $0.00 S b Dem ee
Record Management : $4.00 _ aaradiag-P-ermit-Fee--'—""—"$!f In -lieu H - "
Energy Compliance: $56.00 Gr $0` u is Works Department - General Service
CA Seismic Safety: $0.00' O Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit
Disabled Access : $0.00 PfW Plan Check.: $0.00 Grading Bond:
Hazardous Mat $0.00 Electrical %: $56.49 San Dist: $0.00
.'Building Green Fee : $3.00- Mechanical %: $32.28 NMUSD Fee: $0.00
Plumbing %: $72.63 -
TOTAL FEE : $2,577.99
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
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Plan Check Fee: $0.00 Fee Due at Permit Issuance : $2,577.99
_ PUBLIC WORKS APPROVAL:
_ PLAN CHECK BY:
APPROVAL TO ISSUE:.
OWNER -BUILDER DECLARATION 11 p
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 fj♦P. 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
111MOssions Cgde) ol4hat 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
s(rtmcore than five%undred dollars ($500).
❑ I, as owner ofthuproperty, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
l:u'siaess and Piofesslons Code: The Contractors' State License Law does not apply to an ownelp of property who, through employees' or personal effort, builds or improves the property, provided that the
ip pvements ark not intended or offered fo les®If� weversth"Flod g�itwg I t - that it was not built or
ILnpjgmcl for tte prpose of sale).
®,I,as owner of lfiEproperty, am exclusiv y con ��v th license ontr to to cos ct the project (Section 7044, Busine$ ��ryJ * �' ry ode: The Contractors' Sta License Law does not
apply�-1to an owner o��operty who builds or prov flte}�6It,-alM ract for pursuan�to contractors State License Law).
LJ J;m exempt froelicensure under the C tractors' State License Law for the following reason: P1 PAW
Bymysignature below I acknowledge that, cept nal re in w. I m a re nL
ri Lh
i e b this: per can t legal
sell a structure tfwf.lrbave built as an owner uild f it has been nstr cte en b is sed con . Iand that a applicable law, Section 704 of th ine deWbV$ions Cpfft;s available upon request hen is applic on is bmit fo site: tp a.gov/cala Signature of Property Owner or Authorized ent to WteLICENSED SONTRACTOR'CLAI hereby affirm Iinder penalty of perjury that I m licensed under provisions of Chapter 9 (commencing with Section 700 f ivis' n 3 thnd Pro licens sin full farce
and effect. License Class.. - ; nse I$ � AW ontractor Si
VORKERS' COMPENSATION DEC
LA TI " f
IARNING: FAILURE TO SECURE WORKERS' COMPEN TION' Aingdeclarations:
NLA L AND L U CT AN E L R� NO CIVIL FINES UP TO ONE HUNDRED THOUSAND O(
�OST OF COMPENSATION, DAMAGES AS PROVIDED F RINSTHE , INT AND AT s Fhereby affirm under penalty of perjury one the folio
I have and will maintain a certificate of onsent to self -insure for workers' compensation, issued. by the Director of Industrial Relations as provided for by Section
Zae�
nce of the work for which this permit s iss 'icy
���� s y�
nd will maintain workers' compen atioh insur ce qulrga cti '�L f 9 Labor Code, for th pe or � t Q rrf r hic(p tgiJ ni iE
carrier and policy number are:: "� $""
of Agent
is issued, I shall not employ any person in any manner so as to become subject to the workers'
:reby affirm under penalty: of perjury th I' a constmcrioo_le f rAn.,.,n=l,'^• ••-�:^� «ifidul1 i��.
Ider's Name der Address
my signature below, I certify to each of the following: I
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 mect.
I agree to comply with all applica y nd a w r in t wilding construction.
I authorize representatives of th city or my t - e ' Is rt nspec oses.
nature of Property Owner or Authorized A Print Property O ner's or Authorized A
TION DATE BY TrMARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EMENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
IN ADDITION TO THE
the Labor Cody, for
a
workers' compensa
of California, and
7-- All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
TO life of the pool.