HomeMy WebLinkAboutX2018-3642 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIII� II COMB Permit: X2018-3642
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 3 6 4 2 Project No
F r Permit Counter Phone (949)644-3288
u Inspection Requests Phone (949)644-3255
°arrrr u a> Combination Type - SFP PLUM Issued Date :
Inspection Arearea :2018
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: 237 HELIOTROPE AVE INS
Description: SFR -HYBRID RE -PIPE (COPPER @ WATER SERVICE, PEX THROUGHOUT HOUSE)
Legal Desc.: RESUB OF CORONA DEL MAR BLK 134 LOT 11
Owner:
DARNELL DONNA D
Address:
237 HELIOTROPE AVE
CORONA DEL MAR, CA 92625
Phone:
Applicant:
S C C CONSTRUCTION
Address:
3 SANDBAR
CORONA DEL MAR CA 92625
Phone:
949-573-4276
Code Edit : 2016
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
30di ig Pormit Fes.: •$232.01)
Plan Check Fee: $0.00
Oveitime Plan Ck'
$0.00
Imeaiiyadon Fee'
$0.00
Re3ord,hlanagement:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety`.
$0.00
Disab,ed, Access:
$0.00
Hazardous Mat
$0.00
Bu.:my 3reen Fee:
$1.00
TOTAL FEE: $253.88
PROCESSED BY:
ZONING APPROVAL:
__GRADING APPROVAL:
Contractor:
S C C CONSTRUCTION
Address:
3 SANDBAR
CORONA DEL MAR CA 92625
Phone:
949-573-4276
Con State Lie:
783486
Lie Expire:
07131/2020
Bus Lie:
BT30068736
Lie Exp Date:
04/3012019
Workers Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
Expire:
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: /
Right: I
Architect
Address:
Phone: State Lie:
Engineer:
Address:
Phone: State Lie:
Designer:
Address:
Phone:
Special Conditions:
���C
$0.00
Planning Department-
Fire Department
$0.00
Plan check Fee:
$0.00
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
PAN Plan Check:
$0.00
Grading Bond:
$0.00
$0.00
San Dist:
$0.00
$0.00
NMUSD Fee:
$0.00
$0.00
$20.88
$0.00
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$253.88
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, 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 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
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 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 by this permit, I cannot Iegallt
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 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://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 700) f 'visipy?3 of the Business and Pr s Is in full force
and effect. License Class License No Date CJ Contractor Signatur
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUS D DOLLARS ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEE&
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 of Industrial Relations as provided for by Section 3700 of the Labor Code, for
'or mance of the work for which this permit is issued. Policy No.
have 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' compensal
Trance carrier and policy number are:
Policy Number
Date
e of Agent Phone #
t!I rtify that, in the performanc�e�af the I or 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 Califomiq, and afire
, I should become subje D the y rs' a sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. '
signature of Applican Date r '
IECLARATION REG N C LENDING AGENCY
hereby affirm under penalty of perju at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name Lenders Address
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner ehal 5'0 '
I have read this application and the information I have provi i c CL
I agree to comply with all applicable city and county or nces to sating to luilding construction. '
I authorize representatives of this city or county t°� led y for inspection purposes. ,
sicnature of Propertv Owner or Authorizo Print Prooertv Owner's or Authorized ADent's Name/V .. Date '
DATE BY DECLARA N OFT}Q COMP1:MCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
OEPA
PERMIT EXTENDED
13AQMD
PERMIT FINAL
CERTIFIC47EOF
OCCUPANCYISSUED
�di
`
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: