HomeMy WebLinkAboutX2019-1934 - Permitse�irr4� City of Newport Beach - Building Division
100 Civic Center Drive: Newport Beach, CA b2660
Permit Counter Phone (949)644-3208
S Inspec i !':quests Phone (949)644-1255
r:J 41Pii4SUa Combination Type - MFP ELEC MECH PLUM GRAD
IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1934
x 2 e 1 9 1 9 3 4 Project No: 1411-2019
Issued Date : 01/10/2020
Inspection Area : 3
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: 304 AVENIDA CARLOS NB
Description: MFR INTERIOR REMODEL 747 SF AND ENCLOSE COURTYARD 162 SF 1 KI �� ECTO R
Legal Desc.: TR 5435 (L.L.84-214024) PAR 59
Owner: BARBARAJANNARD
Contractor:
OWNER/BLDR
Architect:
BAILEY DAVID
Address: 304 AVENIDA CARLOS
Address:
Address:
23183 LA CADENA DR #101
NEWPORT BEACH, CA 92660
LAGUNA HILLS CA 92653
Phone:
Phone:
Phone:
949-573-1050 State Lic:CO27404
Applicant: BAILEY DAVID
Con State Lic: OIB
Engineer:
WILSON KALEN
Address: 23183 LA CADENA DR #101
Lic Expire:
Address:
1371 WARNER AVE #A
, ..
LAGUNA HILLS CA 92653
Bus Lic:
TUSTIN CA 92780
......
Phone: 949-573-1050
Lic Exp Date:
Phone:
714-576-6524 State Lic:C-083753 ,
Code Edit: 2016
Worker's Compensation Insurance
Designer:
Type of Construction: V-B
Carder:
Address:
Occupancy Group: R31U
Policy No:
Added /New sq.ft. Bldg: 162
Expire:
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: I
Special Conditions: O/B ATTACHED
No of Units : 3
Front: I
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone:
Parking Spaces:
0 Fire Hazard
Zone : N
Construction Valuation: $200,000.00
-
Building Permit Fee: $1,897.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $1,575.31
Additional Fee :
$0.00
Plan check Fee : $160.00 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: $66.00
Grading Permit Fee:
$312.00
In -lieu Housing Fee :
$0.00 Building Dept Adm
$24.00
Energy Compliance: $140.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$197.00
CA Seismic Safety: $26.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$564.00
Disabled Access: $0.00
PAN Plan Check: $41.25
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$132.79
San Dist: $0.00
Building Green Fee: $8.00
Mechanical %:
$75.88
NMUSD Fee: $0.00
$0.00
Plumbing %:
$170.73
$0.00
TOTAL FEE • $5,389. 6
Plan Check Fee:
$2,288.56 Fee
Due at Permit Issuance :
$3,101,40
PROCESSED BY:
PUBLIC WORKS APP
VAL:
ZONING APPROVAL: 7fT
PLAN CHECK BY:
C
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
:he 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
fe Ipns Cade) 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
rm than five hundred dollars ($500).
r , as owner of the property, or my employees with wages as their sole compensation, will do (_) all oqff ortions 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 prZOo, 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
imp bved for the purpose of sale). ,
0 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 legall)
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 ap itted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATIO
I hereby affirm under -penalty of perjury that I am lic nsed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: rAILURE ru SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I nerehy affirm under penalty of perjury one of the following declarations:
❑ 1 have and wili 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
performance of the work for which this permit is issued. Policy No.
❑I have and will ma'rtain 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' compensatio
in..urauoe carrier and policy number are:
Policy Number
Date
r
cent y that, in CIe performance 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 agree
[, if should becoY.= subject to the workers' ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. yyyYY
nature of Applicant /� Date/
CLARATION REG� DING C UCTION LENDING AGENCY // ``
;reby affirm under penalty 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).
lder'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 owners 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 county enter th -identified property for inspection purposes.
mature of Prooerty Owner or Authorized Agent X Print Property Owner's or Authorized Agent's Name k/
DATE BY t DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART61OFTITLE 40ANDAQMD RULE }
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL Y 21 4
CERTIFICATE OF J� l
OCCUPANCYISSUED
❑ I SUBMITTED ASBESTOS NOTIFICATION TO
EPA
QMD
WASBESTOSNOTIFICATIONJAOT APPLICABLE TO
PROPOSED DEMOLIT
SIGNATURE: -
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