HomeMy WebLinkAboutX2018-2797 - PermitsCity of Newport Beach - Building Division I'IIIIIh�IX ° �1 8 2 7 9 7
IIIIUIIIIIII�IIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 ° E, L'
Permit Counter Phone (949)644-3288 °
Inspection Requests Phone(949)644-3255
Combination Type - SFP PLUM
0 0
Applicant:
PERMITS WP
Address:
Construction
Construction Hours: Monday - Friday 7:00 -def
Job Address:
325 HOLMWOOD DR NB
Description:
SFR REMODEL KITCHEN *STOP WORK' C2018-0124
Legal Desc.:
N TR 1136 LOT 16
Owner:
VAN DER WAL JURJEN. Contractor:
Address:
325 HOLMWOOD DR Address:
0
NEWPORT BEACH CA 92663
Phone:
949.981-7360 Phone:
Applicant:
TWORK ANDREA
Address:
26035 FALLBROOK
Occupancy Group:
LAKE FOREST CA 92630
Phone:
949-631-4984
Code Edit .
2016
Type of Construction
VB
Occupancy Group:
R3/IJ
Added /New sq 8. Bldg:
$0.00
Added /New sq. ft. Garage:
No of Stones:
1
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
Valuation:
Building Permit Fee: $262.00
Plan Check Fee: $227.94
Overtime Plan Ck:
$0.00
Investigation Fee:
$262.00
Record Management :
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $81
PROCESSED BY:
ZONING APPROVAL:
bt1��
Con
Lic I
Zone:
LAJr VALH)11VJYCGI1UN.
8:00 a.m. to 6:00 p.m_ p
COMB Permit: X2018-2797
Project No:
Issued Date: 0 911 812 01 8
Inspection Area : 2
or Holidays
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DR
OWNER/BLDR
Are ' ,• 0'0 ce.
TWORK ANDREA rn�as:
a`. P onolO State ic:
..
OQ�
ngineer.
Addreeaaiw%',
kp Ate: stat6l ir,
in Ikura,, Designer:Address:
Phone:
g ar: / Special Conditions: O/B ED
Front: I
.4` TOR
Ns _ ire °n>a(��'d� .6..
$0.00 Planning Depa?-
e : $0.00 Ian check Fee:
s Fee: $0.00 air Share
n ultanl : $0.00 SJH Trans:
P.,e e: 0 In -lieu Housing Fee
Ing PC Fee:,.,,,,(� a\ Public Works Depa 1
Insp. F ae..a 0.0O� 0'6' 1 Park Dedic
sj PM; Check:
ric I %: - �r�tJ� .00 at..
tam %: $0.00 NMUSD F
ibinq %: $23.58/
o "
�'� F epa
$37.50 File
$0. _�.yV n Re
.00 �(� mo as
$0.00 ding Dept Adm
General Service
1.0 Refund Deposit
ro-10-000 Grading Bond:
$0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$816.02
OWNER -BUILDER DECLARATION .'; ••; ; ; !•• •• •..
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License* Law fo*r$h4 r*sgrf(s) igoicated 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 cOQ*rup� pltAr Irnpvave, demolis�l, 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' tate LICansg LAIChapter 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 de'_) ail of pr J aortiylrTs 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 o*EC of aroperty wir, thoughra
eployeee' or personal effort, builds or improves the property, provided that the
rove ents are not intended or offered for sale. If, however, the building or improvement is Sold*M*in oneyea%,pf comprejipn,%d# Owner -Builder will have the burden of proving that it was not built or
LmpVed for the purpose of sale).
as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and P o Slone Code: The Contractors' State License Law does not
y to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursu o _ ctors' State License Law).
I 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 _ one year prior to compXy
f the improvements covered by this permit, I cannot legal
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licen ractors. I understand that a che applicable law, Section 044 of the Business and
Professions Code, is available upon request when 1s applicati 's sub itted or at olio sift. ttp://www. leginfo.ca.gov/calaw. ,Signature of Property Owner or Authorized Agent Q V \ D: °' D't 6
LICENSED CONTRACTOR'S DECLARATI N s, r`,,.- p hi "
I hereby affirm under penalty of perjury that I am licensed under provisi ` Pter 9 (cgmm��iot1r Xit'h Sectio5 01 1-0f Islbn 3 of the Bu a and Professions Code, and my license is in full force
and effect. License Class .,Liconsi o ®pt +'3^' .� CVra a nature
VORKERS'COMPENSATION CLAR
IARNING: FAILURE TO SECURE T2 PE
MPENS71
OST OF COMPENSATION, DAMAGES AS PR
hereby affirm under penalt
7 1 have and'i Intain a c
erformance o4he work for which thi it is
31 havq anwill l'3erkers' com
rance carie er an policy number are
:arrl
lam f Agent +-
rF
I cert y that, i hep Orman the work
hould be m e Workers'
',ignature of Applic t,
hereby affirm under'
-ender's Name
3y my signature belol
I am the property
I have read this a
I agree to comply
I authorize repres
Signature of Prooertv
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMITEXTENDED
CERTIFICATEOF
OCCUPANCYISSUED
and the
the following
to act on the
BY
Ems' ,
UNLAWFUL, AND SHALL RSUBJECT AND
E LOYES TO GRIMY . PEN�LFI AND CIV INE P Tp
THE LABOR CODE, INTEREST, AND ATTORNEY'S F1EE$�1^r'1� '-j
arations: �S�l
to
3yM for workers compens' iofi" sjssued by the Director of Indu$trial Relations as
Section 3700 of the Labor Code, for the performance of the work for wl�i
ExpirationDate
t� ykh
I shall not employ any person m any manner g=as to bec!b ct to the
action 3700 of the Labor Code I shall orj YM6 dorriply a ifh t e p Isions.
CY
lending agency for the performance of the work for which this permit is
Lender's Address ,r,,.
laws relating to
Print
TO
LSASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION /) i
� ,WJ2L15
FOR OFFICE USE ONLY
THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
for by Section 3700 of the Labor Code, for
permit is issued. My workers'
W1
laws of California, and
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