HomeMy WebLinkAboutX2018-1616 - Permitsawno City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
E - Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP ELEC PLUM
IIY��II�II�I�����I�I II Project No
oe1 3 zo s018-1616
Issued Date : 06/13/2018
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 Holidays
Job Address: 611 LIDO PARK DR NB St: 1 FI: 3 Unit: 3-B
Description: MFR - KITCHEN & BATH REMODEL 100 SF
Legal Desc.: TR 815 LOT 2 AND POR LOT 3 AN UND 1142 INT TOGETHER WITH UNIT 6F AND
Owner:
HOGAN TRUST
Contractor:
Address:
611 LIDO PARK OR #3B
Address:
NEWPORT BEACH CA 92663
Phone:
Phone:
Applicant:
DE MARCO CHERYL LYNNE
Con State Lie:
Address:
9121 ATLANTA #826
Lie Expire:
HUTINGTON BEACH CA 92646
Bus Lie:
Phone:
714473-6623
Lie Exp Date:
Code Edit, 2016
Type of Construction: I -A
Occupancy Group: R2
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 8
No of Units : 42
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation: $8,000.00
Building Permit Fee: $1 B7.00
Plan Check Fee: $162.69
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $435.20
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
OWNERIBLDR Architect:
DE MARCO CHERYL LYNNE
Address:
9121 ATLANTA #826
HUTINGTON BEACH CA 92646
Phone:
714473-6623 State Lic:00023965
OIB Engineer:
Address:
Workefs Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear. I
Front: I
Left: I
Right: I
larkina Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$26.18
$0.00
$16.83
Plan Check Fee:
Phone: State Lie:
Designer: f -., �0"' R
Address: ik
V 3
Phone: W ii$ a ,^
Special Conditions:
Fire Hazard Zone: N
Planning Department -
Plan check Fee
Fair Share :
SJH Trans,
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$37.50
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$162.69 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
$0.00
$0.00
Rt,Oo
°$al°00
a
°
$0.00.
$272.51'
PLAN CHECK BY:
APPROVAL TO ISSUE:
°
c
a�-
a
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) t
(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 Sr
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). _.4
❑ 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,
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
improved 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
apoVto 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).
Ell
exempt from licensure under the Contractors' State License Law for the following reason:
�y y 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 legal
II 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
Professions Code, is available upon request when this applic n is bmitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent DatPnl
LICENSED CONTRACTOR'S DECLARATI
I hereby affirm under penalty of perjury that I am licensed u der ovisions 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 ense No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: 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 I$100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
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 thf
performance of the work for which this permit is issued. Policy No.
I 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' compensation
insurance carrier and policy number are:
trier Policy Number Expiration Date
of Agent Phone #
e ify that, in the 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 agref
at ' I should become subject to wo rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
th
Signature of Applicant Dats7�. Ll��
DECLARATION RE ING CO TRO N LENDING AGENCY
I hereby affirm under penalty of duty that is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name +-r Lender's Address
y my signatuM�:lo•, I certify to each of the following:
`• 4 an the prooerFy owner or authorized to act on the property owner's behalf.
[-A
I have reatl tt'Sapplication and the information I have provided is correct.
Iagree to coith all applicable city and county ordinan and state laws relating to building construction.
authorize representatives of this city or county to ente e v 'dented property for inspection purposes. nature of PnogQ Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name V Date
• •4j,ilON • DATE BY DE�LtATIO OMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY LA
• �••• �e• • RE 11 TIO RT61 OF TITLE 40ANDAQMD RULE
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• ` • 1403
1-1594,11T EXPIRED I El I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITF1174L•••• j ri U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF (� ,3 J IVS PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: _ _