HomeMy WebLinkAboutX2018-1336 - Permitsnftwf�k
City of Newport Beach - Building Division IIIIIIIIIIIIIII II IIIIIIII IIIII�I III COMB Permit: X2018-1336
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 1 3 3 6 Project No:1054-2018
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
r eMv�b Combination Type - SFP ELEC MECH PLUM Issued Date : 0 610 712 01 8
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: 2000 BERYL LN NB
Description: SFR INTERIOR REMODEL (225 SF), KITCHEN RMDL, SLIDER @ FAMILY ROOM, BATHROOM REMODEL
Legal Desc.: N TR 1806 LOT 3
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
0000
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:CA
APPROVAL TO ISSUE:
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Owner: TAYLOR IVEY
Contractor:
OWNER/BLDR
Architect:
"
1
Address: 2000 BERYL LN
Address:
Address:
n't`
NEWPORT BEACH, CA 92660
gw
U 4.
.:
Phone:
Phone:
Phone:
ate Lie.
Applicant: RICHART JASON
Con State Lie: CIS
Engineer:
GHAZLINAANDY
Address: 1041 W 18TH ST Al 06
Lie Expire:
Address:
4202 ATLANTIC AVE 9204
COSTA MESA CA 92627
Bus Lie:
LONG BEACH CA 90807
Phone: 949-422-9191
Lie Exp Date:
Phone:
562-253-2385 State Lic:C-060867
Code Edit: 2016
Worker's Compensation Insurance
Designer:
RICHART JASON
Type of Construction: V -B
Carrier:
Address:
1041 W 18TH ST Al 06
Occupancy Group: R3/U
Policy No:
COSTA MESA CA 92627
Added /New sq.ft. Bldg: 0
Expire:
Phone:
Added/New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: I
Special Conditions:
No of Units : 1
Front: I
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: /
Flood Zone:
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $39.600.00
Building Permit Fee: $592.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $515.04
Additional Fee :
$0.00
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: $18.00
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: $0.00
WO Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access: $0.00
P/W Plan Check:
$114.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$41.44
San Dist:
$0.00
0...
Building Green Fee : $2.00
Mechanical %:
$23.68
NMUSD Fee:
$0.00
° •$0.00 o u
Plumbing%:
$53.28
40too °••ppO
mm
TOTAL FEE : $1,396.94
M
Plan Check Fee:
$628.54
Fee Due at Permit Issuance :
$768.408
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PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
0000
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:CA
APPROVAL TO ISSUE:
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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) r
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
is 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
of more than five hundred dollars ($500).
1 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,
lusiness 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
nprovements 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
nproved 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:
ly 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)
ell a structure that I have built as an owner -builder if it has not en constrjicted 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 applic on is subm)'ftgd or at t_he following Web site:http://www.leginfo.ca.gov/calaw.htm].
signature of Property Owner or Authorized Agent ) / % Date !O
lZf
.ICENSED CONTRACTOR'S DECLARAT
hereby affirm under penalty of perjury that I am licensed under provisions of Chapte 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
'ARNING: FAILURE TO 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
OST 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 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 th(
erformance 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'
rance carrier and policy number are:
Policy Number
of Agent
Date
ertify that, in the 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 I should become subject to th rkers' com nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Da r/
CLARATION REG ING CONSTRUCTIO LENDING A ENCY o
-reby affirm under penalty of perjury that the a is a construc'on lending agency for the performance of the work for which this permit is issued (Section 3097, livil 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 owners behalf.
I have read this application and the information I have provided is correct.
I agree to coryply, With all applicable city and county ordinances and stale laws relating to building construction.
I authorize rQgrESgritatives of this city or county to e/ntg?the above-ide tified property for inspection purposes. ,r
acture of Prooeda Owner or Authorized AaenL� C /%,� � 1 Print Property Owner's or Authorized Agent'sf NampNZ / t"'' 1 L—I/ � Date
ASTION • • • DATE BY `' DECLARATION OrF COMPLIAN WITH CODE OF FEDERAL FOR OFFICE USE ONLYNS
• • �• REGULATIOPART 610E TIT 40ANDAQMDRULE
• ••
�•�� 1403
FERMI EXPIREd . .• I SUBMITTED ASBESTOS NOTIFICATION TO
NOTIFICATION 15 NOT APPLICABLE TO
OF • • PROPOSED DEMOLITION
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