HomeMy WebLinkAboutX2018-2450 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
F Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP
`X2018-2450' COMB Permit: X2018-2450
Project No: 1951-2018
Issued Date: 08/2212018
Inspection Area : 4
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: 38 CANYON ISLAND DR NB
Description: MFR REPLACE CANTILEVER DECK (108 SF)
Legal Desc.: TR 8445 LOT 1 UNIT 38 81 2 G OF PROJECT LOCATED ON AP 442-241-01/
Owner: BIG CANYON HOA Contractor: GRANT MICHAEL CONST. Architect: LUSHBAUGH WILLIAM
Address: 22982 LA CADENA #221 Address: 15581 PRODUCT LANE # C-16 Address: 17191 CITRON '
LAGUNA HILLS CA 92653 HUNTINGTON BEACH CA 92649 IRVINE CA 92612
Phone: 949-305-1166 Phone: 714-891-9443 Phone: 949-251-1710 State LicCO24867 ;
Applicant: GRANT MICHAEL CONST. Con State Lic: 634946 Engineer: MARK IBRAHIM ,
Address: Lic Expire: 08/3112019 Address: PO BOX 16994'-.r '
Bus Lic: BT30034994 IRVINE CA
Phone: Lic Exp Date: 08/31/2018 Phone: 949/669-9065 State Lic:C-004223
Code Edit: 2016 Worker's Compensation Insurance Designer:'
Type of Construction: VB Camer: BENCHMARK INS Address:
Occupancy Group: R2/U Policy No: CST5013527 m
Added /New sq.ft. Bldg: 0 Expire: 08115/2019 Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2 Building Setbacks Rear: / Special Conditions: NO S E'CC3'/'GILj
No of Units : 8 Front: /
Bldg Height: 0 Left: /
Bldg Sprinklers: Right: I
Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N
Construction Valuation: $21 600.00
Building Permit Fee: $337.00 Excise Tax: $0.00 Planning Department- Fire Department
Plan Check Fee: $244.50 Additional Fee : $0.o0 Plan check Fee: $37.50 Fire Inspection: $0.00
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: $4.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00
Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00
CA Seismic Safety: $2.81 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 %: $0.00 San Dist : $0.00
Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00
Plumbing %: $0.00 $0.00
TOTAL FEE : $626.81 Plan Check Fee : $282.00 Fee Due at Permit Issuance : $344.81
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:
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 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 L) 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 ownLr.c,` 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 hcn, licensure under the Contractors' State License Law for the following reason:
Ey n,, signature be'c,v 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 srructure 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
F rofe.sions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi.
Sigr.a:ure of Property Owner or Authorized Agent Date
LICENSED C6NTk_1 CTOR'S DECLARATION
I her=hy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 Division 3 of the Business and P as ' Code, a y lio is in full force
and effect. Lipens?'�,ass License No Date ^ ontractor Signatu
PIORKERS' COMPENSATION DECLARATION
N4RNI^Irc: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO ONE H DRED THOUSAND DOLLARS IS100,0001, IN ADDITION TO THE
_OJT OF COMPENS%110N, 7AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under F�nalty of perjury one of the following declarations:
I have and will niPintain 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
ormance of Ere nark for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
of Agent
Date
JI certify that, in the performance of the work for which this permit is issue , I shall not employ any person in any manner so as to become subject to the workers' mpensation laws of California, and agre
tat, if I should become su act to the workers' compens provisions Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant O
IECLARATION REGA ING CONSTRUCTION LENDING AG NCY
hereby 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 3 7, Civil Code).
ender's Name Lender's 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's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and 96unty ordinances and state la relating to building construction.
I authorize representatives of this city or cou ty to enter the abo denti property for inspection purposes. //` �,¢.,�,
signature of Propertv Owner or Authorized Age Gc- Print Property Owners or Authorized ADent's Nam/ Al ICI-11 /�/� aB to �� 22' z
ACTION I DATE I BY
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EMENDED
PERMIT FINAL IZ/IZ/ 19
CERTIFICATE OF
OCCUPANCYISSUED
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND, RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
TO