HomeMy WebLinkAboutX2016-3584 - Permitswt�h City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIVIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2016-3584
�' 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 6 3 5 8 4 Project No: 2518-2016
E 'r, Permit Counter Phone (949)644-3288
u Inspection Requests Phone (949)644-3255
'�a; g r' Combination Type - SFP ELEC PLUM Issued Date : 1110112016
0
Inspection Area : 6
Job Address: 1 AMADOR NB
Description: SFR KITCHEN AND BATHROOM RMDL
Legal Desc.:
Owner:
CUNEO ANGELO & JUSTINE
Address:
1 AMADOR
NEWPORT COAST CA 92657
Phone:
Applicant:
CHRISTIANO HOMES
Address:
1670 SANTA ANA AVE #K
COSTA MESA CA 92627
Phone:
949.596-4618
Code Edit : 2013
Type of Construction: VB
Occupancy Group: R3/U
Added /Newrrl sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
Contractor:
CHRISTIANO HOMES
Address:
1670 SANTA ANA AVE #K
COSTA MESA CA 92627
Phone:
949596-4618
Con State Lic:
848745
Lie Expire:
1013112018
Bus Lie:
BT30039246
Lie Exp Date:
05/31/2017
Worker's Compensation Insurance
Carrier:
EMPLOYEE SERV GRP
Policy No:
RWCC48536499
Expire:
01/01/2017
Building Setbacks Rear: /
Front: /
Left: /
Right: /
Use Zone: Parkina Soa
Architect:
Address:
Phone: State Lie
Engineer:
HUSZCZ MARIAN JOHN
Address:
8 CORNWALLIS
IRVINE CA 92620
Phone:
949-551-3316 State Lic:S-003555
Designer:
Address:
Phone:
Special Conditions
Building Permit Fee:
$1,066.00
Excise Tax:
$0.00
Planning Department -
Plan Check Fee:
$927.42
Additional Fee :
$0.00
Plan check Fee:
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans
Record Management:
$8.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access :
$0.00
PAN Plan Check,
$0.00
Hazardous Mat
$0.00
Electrical %:
$74.62
San Dist:
$0.00
Building Green Fee :
$4.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$95.94
TOTAL FEE: $2,213.48
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Zone
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
000000
0
$0.00
$0.00,
Irecr
$O.pA .
$0YOp.
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $2,213.48
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(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, priorto its issuance, also requires the applicant for
ie 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).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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
nproved for the purpose of sale).
1 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 1 am exempt from licensure 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 legally
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 application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se n 00) of Division 3 of the Busin s and Professio s e, and my license is in full force
nd effect. License Class License No Da // If -f( ContraC 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 ($100,000(, IN ADDITION TO T
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have an&willlmaintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
ertormance of tVe*work for which this permit is issued. Policy No.
intain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
policy number are:
Policy Number
Date
ne of AgWt' •' Phone #
• •.••
tertify that in performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the wItei
s' compensation laws of California, and agree
if I shotkja�nt
a subject to the workers' mpensa n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iature of p-__.-._ (� t-C (i
Cby affimr ender penalty of perjury that there Ise construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ler's Name Lender's Address
iy signa►df$ 621pw, I certify to each of the following:
I am the'pro(S�rty owner or authorized to act on the property owner's behalf.
I have read this application and the information I have p vided is c
I agree to comply with all applicable city and county or nces and state laws relating to building construction.
I authorize representatives of this city or co ty to enter a obov`e-identified property for inspection purposes.
ature of Prooertv Owner or Authorized ent ��Li6/.� G! /r.5-fr[t.�.7 Print Property Owner's or Authorized1A nCs Name
ACTION
DATE
/ BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDEI
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
UEPA
PERMIT EXTENDED
E1AQMD
PERMITFINAL
pA..W-.
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
-�-f'9
Fa A"
PROPOSED DEMOLITION
OCCUPANCY ISSUED
%
SIGNATURE:
FOR OFFICE USE
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place priorto approval to fill pool/spa & shall remain in place & be maintained forthe
life of the pool.