HomeMy WebLinkAboutX2018-0994 - Permits-ao
City of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone (949)644-3288
'.Inspection
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Requests Phone (949)644-3255
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Combination Type - BLDG PLUM
COMB Permit: X2018-0994
x 2 0 1 8 0 9 9 4 Project No: 0357-2018
Issued Date: 04/05/2018
Inspection Area : 1
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: 800 W OCEAN FRONT N13
Description: DEMO 5 BDRM, 2490 SF SFR W/ATTACHED GARAGE, INCLDS SEWER CAP '
Legal Desc.: EAST NEWPORT LOT 4 BILK 7 AND LOT 5 BLK 7 ELY112 OFLOTS I � i 77"i
C T 0 R
Owner: GREUBEL JEROME Contractor: OWNER/BLDR Architect: SMITH BRADFORD
Address: 800 W OCEAN FRONT Address: GREUBEL JEROME Address: 425 30TH ST #22
NEWPORT BEACH CA 92661 NEWPORT BEACH CA 92663
Phone: Phone: Phone: 949-631-3682 State Lic:C014146
Applicant: SMITH BRADFORD
Con State Lic:
CIS
Engineer:
GHOULI RAID ASAD
Address: 425 30TH ST #22
Lic Expire:
Address:
26040 ACERO #100
NEWPORT BEACH CA 92663
Bus Lic:
MISSION VIEJO CA 92691
Phone: 949-631-3682
Lic Exp Date:
Phone:
949-855-2300 State Lic:C-070882
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Code Edit: 2016
Worker's Compensation Insurance
Designer:
°OO°
Type of Construction: VB
Carrier:
Address:
Occupancy Group: R3/U
Policy No:�-
Added/New sq.ft. Bldg: 0
Expire:
-
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions: TIGHT QUARTERS TO HAUL
No of Units : 1
Front: /
Bldg Height: 0
Left: /
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Bldg Sprinklers:
Right: I
®•°oo
Flood Zone:
Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $10.000:00
Building Permit Fee: $103.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $189.00
Additional Fee:
$0.00
Plan check. Fee :
$0.00 - Fire Inspection:
° �!G�•
• ° • ° °
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 : $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00 Building Dept Adm
$24.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$197.00
CA Seismic Safety: $0.00
WQ Imp. Fee :
$0.00
Park Dedication : $0.00
Refund Deposit
$1,692.00
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 %:
$9.27
$0.00
TOTAL FEE : $2,305 7
Plan Check Fee :
$0.00 Fee
Due at Permit Issuance :
$2,305.27
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`applicanvor
ie 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
Vs,ness
de) or that he or she isexempt 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
ive hundred dollars ($500).
of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
rofessions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
n roved for the purpose of sale).:`
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
�ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, exce4yor my personal residence in whit ust have resided for at least one year prior to completion of the improvements covered by this permit. I cannot legally
ell a structure that I have built as an owner -build if it has not been o tr ed in a tirety by licensed contractors. understand that a copy of the applicable law, action 7044 of the Business and
'rofessions Code, is available upon re us t is a lication i 'i t I at t owing Web site:http://vnvw.leginfo.ca.gov/calaw.html. it _
signature of Property Owner or Authorized t to \ D
.ICENSED CONTRACTOR'S DEC ION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S 6) of Division 3 of the Busi s nd Professio Code, and my license is in full force
nd effect. License Class License No Contrac r 'nature
VORKERS' 9pj4PENSATION DECLARATION
IARNING: FAILURE RQ&$ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (8100,000), IN ADDITION TO THE
OST OF COMPEFISA�ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affimr? dM&r penalty of perjury one of the following declarations:
•.
I have and ww.111.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¢
dfrpoance of the work for which this permit is issued. Policy No.
....
have and Wjli,r Atain 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' compensatior
ce carrier and policy number are:
epRar Policy Number Expiration Date
Wfy tAunder
in,ormance of the o fo hich t s ermit is issued, I shall not employ any person in any manner so as to become subject to the wor ers' compensation laws of California, and agre(
t, if IShobject to the w k m ensat provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
...• `
nature o a— �— l
LEAIRATING CONSTRUCTION LENDING AGENCY
:reby afflty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 097, 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.p'��,.f.�
I agree to comply with all applicable city an county ordinances and state laws relating to building construction.
I authorize representatives of this city /�r coc¢J�M to enter thea e-id�rltified property for inspection purposes.
/- T\C a� Yom\ l\ ` _ .. _ . _
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE BY`DECLARATION OF CMPLIANCE WITH CODE OF FEDE
REGULATIONS PA TO61O TITLE 40A DACMD RULERAL FOR OFFICE USE ONLY
ASBESTOS
LI ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: