HomeMy WebLinkAboutX2016-2863 - Permits (2)City of Newport Beach - Building Division *X2016-2863*
COMB Permit: X2016-2863
100 Civic Center Drive, Newport Beach, CA 92660
Project No: 1978-2016
F Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP ELEC PLUM Issued Date: 1011312016
Inspection Area: 8
PERMITS EXPIRE 180 DA YS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKEICARBom MONOYJDE D-;7TECToRs IpLumSING RXTtjRES TO BE UPGRADED
Job Address: 2132 VISTA LAREDO NB
Description: MFR-ALTREMODEL KITCHENIBATHROGMS 324 SF & NW GUARDRAIL 9
LegalDesc.: TR5692(LL.84-214027) PAR,
Owner. THORNTON RICHARD E C
0 SCONSTRUCTION SV(a C I
JN
BAILEY DAVID
Address: 2123 VISTA LAREDO Addr 57 SHEARWATER PIL Addi-esE]
NEWPORT BEACH CA 92660
660 LAGUNA HILLS CA 92653
-63 -
�e
Phone: Pho EVA
�7i ;M, Phone- 949-573-1050 State Lic:CO27404
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2
Applicant: BAILEY DAVID Con WhOM:
Address: 23187 LA CADENA DR #101 �e.. P� -17 Address: Lic 03k/3O
LAGUNA HILLS CA 92653 Bus Lic: BT30037317
Phone: 949-573-1050 Lic 1
e: State Lic:
Code Edit:
r's ti -Msur%ow DedAr ner:
= -
2013
Type of Construction: V-B Ca i EXEMPT We s s:
Po
R2[U1 'I F
Occupancy Group: I*(NE Loas)
Added /New sq.ft. Bldg. 0 Expire: Phone:
Added INew sq. ft. Garage: 0
No of Stories: 2 1, ing setbacks Rear. I s�flkQ d-
0
Bldg Height: 0 Le'k LJ I
No of Units 3 0
jr Fla ne4 r% "n,
Bldg Sprinklers: )ca %fl in
arted)
Usezowa,^rL, 0
X fees: Flood Zone: Fire QU one ttVV
Construction Valuation: $55,000.00
Building Permit Fee: $737.00 5A�-xciW T px: $0.00 Plannin D ent'
Plan Check Fee: $641.19 1opal. Plan check Fee: $37.59 Fi I ecti $0.00
share. Overtime Plan Ck: $0.00 Grading lBond; Fee: Fair $0.00 Fair Share:
i'-ee- $0.0 CWSP- I rF a $0.00
Grading
C� C
Investigation Fee: $0.00 Grading PC Consu�ft�aa����ns: ��$0.00
radlno Permit Fe
Record Management: $12.00 rading Permit Fee: $0.0 Building Dept Adm $0.00
Energy Compliance: $56.00 ee: $0.00 Public Works Department - General Service $0.00
CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00
Disabled Access: $0.00 PAN Plan Check: $0-00 Grading Bond: $0-00
Hazardous Mat $0.00 Electrical %: $51.59 San Dist: $0.00
Building Green Fee: $3.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00
Plumbing %: $66-33 $0.00
TOTAL FEE : $1,604.61 Plan Check Fee: $1,604.61 Fee Due at Permit tssuance $0.00
PROCESSED BY: SyNK / -<JA C- PUBLIC WORKS APPROVAL:
A r
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
6&A
OWNER -BUILDER DECLARATION
1 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)
ction 7031.5, Business land' 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
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commending with Section 7000) of Division 3 of the Business and
fessions 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
more than five hundred 800ars ($500).
1, as owner of the property; or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
>iness and Professions Code: The Contractors' State License Law dries not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
Irovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
)roved for the purposes of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade: The Contractors' State License Law does not
)ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law)_
I am exempt from tic ensure, under the Contractors' State License Law for the following reason: _
my signature below I st have�T'"es d"-6"d'�a't Teas orie year pnor 'o comp e ion o e improvements covered by this pemiit, 1 cannot lega
�_,.
i a structure that 1 have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Ifesslons Code, is avaldabie nn r,�, nest when this application is submitted or at the following Web site: rlevlcalai j•htm1.
(nature of Property Ovre;r Ord g Date
1 hereby gf iirm under pet
a9d a eo . License r
• i i i
WQRi%ERS' CO F-b
V4RN'iNG,- FAILURE TO'SECU1
COST OF COMPENSXVONj D4
I teraby affirm uAQer peC
�a
gl.hgave and rmill m�>y
performance of tvic vw
Ell l aave-and will mRainf-,
i*u%ance carrier$ gn�d�pcO,
D��of°Agent .
1 ce ify that, in the pe
t r 1 should become:
signature of Applicant_
iECLARATION REC
hereby affirm under ei
.ender's Name
3y my signature below, l
I am the property ou
I have read this app,l
I agree to comply, wI
I authorize represen
>ignature of Property Oz
ACTION
PERMITEXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYWUED
DECLARATION
riuiulhat I am lim
2]
ES'PWkitlIOR IN SECTION 3706 OF THE LAB'
of perjury one of the fallowing declarations:
_ , - to
this petit is
h Sedtioai fri.3icd�an61
at
a Contractor Signal
1 < ! a
c �AL"aes Lhis
FEES. L
Director of Industrial Relations as provided
for the performance of the work for which
Policy Number Expiration Date
Phone #
t not employ anperson c soa hero _sctc�i the
3700 of tine i ai r C I , oz ki eo wIt a Wks isrons.
f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section
Lender's Address
or authorized to act on the property owner's behalf.
or Authorized Age
DATE E BY
i
purposes.
Print Property Owner's or Authorized Ag
c RATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND A{'MD RULE
1403
1 SUBMITTED ASBESTOS NOTIFICATION TO
BESTOS NOTIFICATION IS NOT APPLICABLE TO
OPOSED DEMQyZ,�Pk-^^-''�-- -�
c�rtniaTltirF•.. �••�"'
Code,
THOUSAND DOLLARS ($1OQ000), IN ADDITION TO THE
by Section 3700 of the Labor Code, for
permit is issued. My workers'
compensation laws of California, and
Civil Code).
Date
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
life of the pool.