HomeMy WebLinkAboutX2018-0659 - PermitsCity of Newport Beach - Building Division
o 100 Civic Center Drive, Newport Beach, CA 92660
H Permit Counter Phone (949)644-3288
' s n Inspection Requests Phone (949)644-3255
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Combination Type- SFP ELEC MECH PLUM
Construction Hours: Monday
Job Address: 4645 CAMDEN DR NB
Description: SFR - ADD 96 SF/REMODEL 776 SF
Legal Desc.: N TR 3357 LOT 127
Owner:
MAI MICHAEL THANG & CHAULINH
Address:
4645 CAMDEN DR
CORONA DEL MAR, CA 92625
Phone:
Applicant:
RICHARDS CHRIS
Address:
1250 COAST VILLAGE RD, STE J
SANTA BARBARA CA 93108
Phone:
805-969-5074
Code Edit : 2016
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 84
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 24
Bldg Sprinklers:
Construction
Building Permit Fee: $1,802.00
Plan Check Fee: $1,496.42
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$56.00
Energy Compliance:
$84.00
CA Seismic Safety:
$15.60
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$5.00
TOTAL FEE: $4,007,42
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
COMB Permit: X2018
Project No : 0540-2018
Issued Date: 04/2712018
Inspection Area : 5
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VAUD INSPECTION.
Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Contractor: MILO CONSTRUCTION
Address: 101 VIA MONTE PICAYO
SAN CLEMENTE CA 92673
Phone: 949-290-6429
Con State Lie:
871429
Lie Expire:
03/3112020
Bus Lie:
BT30038762
Lie Exp Date:
03/3112019
Worker's Compensation Insurance
Carrier: EXEMPTION
Policy No:
Expire:
Building Setbacks
Use
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical W
Mechanical %:
Plumbing %:
Rear: 30
Front: 6
Left: 6
Right: 6
D Parkina .$DaceE
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$126.14
$72.08
$162.18
Plan Check Fee
N
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
CUNG THIEP HOANG
1250 COAST VILLAGE RD, STE J
SANTA BARBARA CA 93108
805-969-5074 State Lic:C018995
VAN SANDE GREGORY KEITH
2920 DE LA VINA ST
SANTA BARBARA A 93105
805.963-6901 State Lic:C-030964 ' ....
Special Conditions:
Fire
Planning Department -
Plan check Fee:
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PNV Plan Check:
$38.00
San Dist:
$0.00
NMUSD Fee:
$0.00
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:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,618.42 Fee Due at Permit Issuance : $2,389.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: (�
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
[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, prior to its issuance, also requires the applicant for
le 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
Dt more than five hundred dollars ($500).
] I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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
1provements 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
iproved 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
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).
] I am exempt from licensure under the Contractors' State License Law for the following reason:
y 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 legall,
all 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.html.
ignature 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 Section 7 0 of Division 3 of the Business and Cod@, and my lice is in full force
nd effect. License !ass License No Date 'Z t E Contractor Signature/ 'i-
fORKERS' COiMFENSATION DECLARATION
Nr10,C. PAILURELTO DLCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNND DOLLARS ($100,000(, IN ADDITION TO THE
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 and wil' Tizrtain 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
ettQrrriance of the wbrk for which this permit is issued. Policy No.
have and wi.; ma;r.Wn 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'
rancE carrier, and policy number are:
Policy Number
of ,.Agent ___
Date
cert'f;• that, in the perfo ance 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 agre
I, if I, snould b?oome su ect to the workers' coml1pensati provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant dI DatI
CLARATION FEEL DING CONSTRUCTION LENDINGAGENCY 2�- L
//
areby affirm under nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
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 I have 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 count o enter the above-identif' property for inspection purposes.
nature of Prooertv Owner or Authorized Aoent�Z .L Print ProDertv Owner's or Authorized ADent's Narsr� l�lCl�A. Gf%. L(�5/� e�F.-Z a,
ACTION DATE BY� RDECLARATION I EGULATIONS OF CO 1 UANCE WIT40 H DE OFQMD FED
ERAL I FOR OFFICE USE ONLY
PERMITEXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
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PERMITFINAL
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