HomeMy WebLinkAboutX2018-1083 - Permits (3)�w�ro4. City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2018-1083
�* _# 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 B 1 0 8 3 Project NO : 0877-2018
ti Permit Counter Phone (949)644-3288
tr Inspection Requests Phone (949)644-3255
r�z,.1,r+•° Combination Type - MFP ELEC MECH PLUM
Issued Date : 0412512018
Inspection Area : 8
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: 2021 VISTA CAUDAL NB
Description: MFR -EXTEND MASTER BATH 98 SF REMODEL KITCHEN, LAUNDRY 598 SFIREROOF WIBORAL TILE ESR-1647 5.0 PSF CLASS "A", CIO WINDOWIDOORS THOUGHOUT
Legal Desc.: TR 5435 (L.L.84-214024) PAR 40
Owner: FRAHER KEVIN Contractor: PIRRUCCELLO CONSTRUCTION Architect: BAILEY DAVID 7OR
Address: 2801 BLUE WATER DR Address: 1033 N WHITTIER ST Address: 23183 LA CADENA DR #101
CORONA DEL MAR CA 92625 ANAHEIM CA 92806 LAGUNA HILLS CA 92653 ,� '� `t f
Phone: 949-887-3835 Phone: 714-269-3714 Phone: 949-573-1050 State Lic: 7 k; ll
Applicant:
BAILEY DAVID
Address:
23183 LA CADENA DR #101
LAGUNA HILLS CA 92653
Phone:
949-573-1050
Code Edit: 0
Type of Construction: V-B
Occupancy Group: R31U
Added /New sq.ft. Bldg: 98
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units: 1
Bldg Height: 0
Bldg Sprinklers: N
Flood Zone: X
Construction Valuation: $76,000.00
Building Permit Fee: $1,487.00
Plan Check Fee: $1,222.37
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$40.00
Energy Compliance:
$56.00
CA Seismic Safety:
$9.75
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$3.0gl,,�
11 TOTAL EE:
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lie:
683870
Engineer:
Lie Expire:
0613012019
Address:
Bus Lie :
BT30062996
Lie Exp Date:
04/3012019
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
STATE COMP
Address:
Policy No:
1572708
Expire:
0310112019
Phone:
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: /
Front: /
Left: /
Right: I
larking Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$104.09
$59.48
$133.83
0
WILSON KALEN
1371 WARNER AVE#A
TUSTIN CA 92780
714-576-6524 State Lic:C-083753
Special Conditions:
Fire Hazard Zone : N
Planning Department -
Plan check Fee:
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$38.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $1,371.54
PUBLIC WORKS
PLAN CHECK BY:
APPROVALTO
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
Fee Due at Permit Issuance : $1,931.98
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 fqr
: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
'rofessions Code) or that he or she is exempt from icensure 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
iot more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 legally
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.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of pl6ury that I am licensed under provisions /of C tel,9 commencing with Section 00 o D' isio 3 of the Business and Pro es ' n 6eda, a y license Is m full force
and effect. LicenFe rlass License No r1=11 (�� Date Contractor Signature ( 4
NORKERS' COMPENSATION DECLARATION
WPN'N9FAILURE -C CECURE 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 SOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
harety affirm under penalty of perjury one of the following declarations:
1 nave and will mY-itain 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 IN
e.fo ante of she work for which this permit is issued. Policy No.
21 havA and w:I: ma..itain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this ermit is issued. My workers compensatior
assurance grnie• am' ^olicy number are: �7 G
-s.._ .�v"�`+O flL� Policy Number /S Expiration Date 3 ��
ame of Agent
]I nprtify that, in the performance
.at, if I should becomy subject tV
of Applicant
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date�/(? �CJ
CLARATION REG41RDING CONSTRUCTION LENDING AGENCY
:reby affirm under Oenalty 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 ordinanc a d state laws relating to building construction. n
I authorize representatives of this city or county ty,e�t€ft�je b �identified�Mperty for inspection purposes.
DATE BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL 11 FOR OFFICE USE ONLY
` REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT CANCELLED
PERMITEXTENDED
III
CERTIFIC4TE OF
OCCUPANCYISSUED
I SUBMITTED ASBESTOS NOTIFICATION TO
IS NOTAPPLICABLE TO
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