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HomeMy WebLinkAboutX2018-2934 - Permitswnop City of Newport Beach - Building Division .� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 w 4r Inspection Requests Phone (949)644-3255 Combination Type - SFP IIIIIIIIIIIIIIIIIIIIIIII IIIIIIII II COMB Permit: X2018-2934 Project No : 2331-2018 Issued Date : 10/10/2018 Inspection Area : 5 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: 157 SHORECLIFF RD NB Description: SFR ENLARGE MECH ROOM (25 SF) NON CONDITIONED WI RETAINING WALL 25 LF X TH "INSIDE THE P/L" Legal Desc.: N TR 1116 LOT 109 Owner: WANG WILLIAM Contractor: SEACREST DEVELOPERS INC Architect: Address: 6 STRAFFORD Address: 755 W 17TH ST #A Address: NEWPORT BEACH CA 92660 COSTA MESA CA 92627 Phone: Phone: 949-499-1381 Phone: State Lic: Applicant: IRVIN DANIEL Con State Lic: 803634 Engineer: MOODY, JOSEPH THEODORE Address: 755 W 17TH ST Lic Expire: 01131/2020 Address: 16 SALTON COSTA MESA CA 92627 Bus Lic: BT30063675 IRVINE CA 92602 Phone: 949-548-4399 Lic Exp Date: 06/30/2019 Phone: State Lic:C-086931 Code Edit : 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $5 000.00 Building Permit Fee: $532.00 Plan Check Fee: $549.40 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $16.00 Energy Compliance: $0.00 CA Seismic Safety: Woo Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE : $1,138.40 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier. STATE FUND Policy No: 9034365 Expire: 12101/2018 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 6' Front: 25' Left: 6' Right: 6' Designer: Address: Phone: Special Conditions: 0 Fire Hazard Zone : N $0.00 Planning Department - Fire Department $0.00 Plan check Fee: $40.00 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 $0.00 Public Works Department - General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $589.40 Fee Due at Permit Issuance : $549.00 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 items) (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 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). ❑ 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, 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 rcrpose 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 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). ❑ 1 am exempt from licensure under the Contractors' State License Law forthe following reason: By my signature oelow I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure :hat I leave 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 application is submitted or at the following Web site:hftp://www.leginfo.C2.gov/calaw.htmi. SigaLture of Property Owner or Authorized Agent Date I K-ENSED CQNTRACTOR'S DECLARATION I h=re'iy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of Division 3 of the Business and Prof sio Code, art cerise is in full force land effoo. License Class License No Date a%a /8 Contractor Signatu JVURI(ERS' CON.FI-'NSATION DECLARATION WAPI,'WG FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUN RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 70ST OF �OMPENAkPON, PAMAGES As PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 th Kerformance of the work for which this permit is issued. Policy No. Eve 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' compensatiol Insurance carrier and policy number are: Policy Number Date ame of Agent Phone # 11 certify that, in t4perfance 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' ompensation laws of California, and agree tat, if I should becct to orke nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignatu re of ApplicDaECLARATION R CO ION LENDING AGENCY hereby affirm undof perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 , Civil Code). ender's Name Lender's Address y 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 1 hav 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 to nt the atTo e-ViFfified property for inspection purposes. innature Of Pro❑ertv Owner or Authorized Agent // _ - = Print Property Owners or Authorized Agent's Na a DATE BY DECIARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED ISUBMITTED ASUE8TOS NOTIFICATION TO PERMITCANCELLED EPA TINOTIFICATION FICATE OF I j`� I'�l//�� I (/ GNATURE:ETIS CERTIFICATE NOT LE TO OCCUPANCY ISSUED `�I I ',/`^�^_.