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Home My WebLink AboutX2018-1513 - PermitsCity o Newport Beach - Building Division II IIIIIIIIIIII0 IIIIIIIIIIIIIIIIIII119111113 II COMB Permit: X2018-1513 a 100 Civic Center Drive, Newport Bach, GA 92060 Project No: 11170-2018 r Permit Counter Phone '949)644-3238 - c"5 Inspectio i Reque6is Phone (929)64432ff .. `urrnus*� Combination Type - SFP ELEC PLUM MECH Issued Date : 05129/2018 Inspection Area : 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VAUD INSPECTION. Cons c3ori Hours: Pnnday - Fn ay ,--03 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays qr Hol{ s Job Address: 3801 INLET ISLE Description: SFR KITCHEN DR NB REMODEL ,a T 440 SF . Legal Desc.: N TR 6425 LO 54 Owner: KATZ KEUM Y Contractor: PAROS KITCHEN & BATH INC Architect: GOETZ ANDREW Address: 3801 INLET ISLE DR Address: 431 N TUSTIN STREET Address: 2855 E COAST HWY #234 CORONA DEL I MAR, CA 92625 ORANGE, CA 92867 CORONA DEL MAR CA 92625 Phone: Phone: (714) 602-9717 Phone: 949-6733152 State Lic:C018499 Applicant: GOETZANDREN Con State Lie: 1022773 Engineer: Address: 2855 E COAST HWY #234 Lie Expire: 01/31/2019 Address: CORONA DEL MAR CA 92625 Bus Lie: BT30058123 Phone: 949-673-3152 Lie Exp Date: 02/28/2019 Phone: State Lie: Code Edit : 2016 Workers Compensation Insurance Designer: Type of Construction: V-13 Carrier: NORGUARD Address: Occupancy Group: R /U Policy No: PAWC887388 Added /New sq.ft. Bldg: 440 Expire: 01101/2019 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: / .... Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $35,200.00 Building Permit Fee: $5 2.00 Excise Tax: $0.00 Planning Department - Fire Department • ° ° ° Plan Check Fee: $480.24 Additional Fee : $0.00 Plan check Fee : $37.50 Fire Inspection: +° •%0s t10 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: 2.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm °k'00 Energy Compliance: 0.00 Grading PC Fee: $0.00 Public Works Department - General Service $6.00 • ° ° "' ; CA Seismic Safety: 0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit SO,.�Q •$0.00 Disabled Access : 0.00 PM Plan Check : $0.00 Grading Bond: . Hazardous Mat 0.00 - Electrical %: $38.64 San Dist: $0.00 ° _ • .,, a . Building Green Fee : 2.00 Mechanical %: $22.08 NMUSD Fee: $0.00 • � • Plumbing %: $49.68 $0.00 TOTAL EE : $1,184.14 Plan Check Fee: $517.74 Fee Due at Permit Issuance : $666.40 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: 5:2 + 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 placed next to (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 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 Di 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 e not more than five hundred dollars ($500). ❑ 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 fi 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 I improvementsam 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 prov iI-m-roved 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' St apply 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). 1311 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 sell 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 A Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivision o the Business and Profession ode, a and effect. License Class License No Date Contractor Signatu 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 DOLLA COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 ofllndustrial Relations as provided for by Section 371 ormance of the work for which this permit is issued. Policy No. I Vuhave 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 issue rance carrier agdpdisy number are: Carer • • • • • Policy Number Expiration Date 11. „r A.n1 '•• • _ I_ Phone# edify that, in the perfornan if IYlould become su 1 ct to the • ature of ADDlicaut• permit is issued, I shall not employ any person in any manner so as to become subject to the workers' i provisions of Section 3700 of the Labor Code, I shall forthwith; comply with those provisions. 1F•C•.4ARATION RFQAIT�INr FiS ENDING AGENCY hereby affirm untler.tenelty of perjury th t there is a construction lending agency for the performance of the work for entge?Name Lender's Address P*Stgmature below, I certify to each of the following: ' I am the propartl q*er or authorized to act on the property own half. `i Row read this application and the information 1 have pro ' ITS "agree to cpnigl9 Kith all applicable city and county ordi n s a laws relating to building construction. I authorize representatives of this city or cou ty to er ab property for inspection purposes. lkmature of Prooertv Owner or Authorized Agen Print Property Owner's ACTION DATE BY DECLARA-NN OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL PJ,.., VASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF I�f Fat PROPOSED DEMOLITION OCCUPANCY ISSUED 9 SIGNATURE: Datov— permit is issued (Section 3097, Civil Code). FOR OFFICE USE ONLY Name he applicable item(s) requires the applicant for Sion 3 of the Business and plicant to a civil penalty of (Section 7044, f, provided that the t it was not built or License Law does not of the Business and is in full force ($100,000), IN ADDITION TO THE of the Labor Code, for My workers' California, and 8