HomeMy WebLinkAboutX2018-2439 - PermitsW 1 ' ° qj4ty of Mewpgrt Beach - Building Division IIIIIIIIIIIIIIIIIIIUIIIIIIII�lllllllllllllllll IICOMB Permit: X2018-2439
IGO CiJiJ5_i 4er 1:6vs, Newport Beach, CA 92660 X 2 9 1 8 2 4 3 s Project No: 0380-2018
r. ?_... eermit.Counted PhDgg(949)644-3288
it -- InSpecti8n Requests Phone (949)644-3255
Combination Type - SFP ELEC PLUM Issued Date : 08/1612018
° m'' ° •° °°° InspectionArea:8
° • e °, • ° ° PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
® ° ..Gonstructf6hWours: Monday =Friday 7:00 a.m. to 6:30 p.m. and Saturday from 6:00 am. to 6:00 p.m. No work on Sundays pr Holidays
Job Address: e2607 ALTA VISTA DR NB
Description: SFR BATHROOM (2) REMODEL ON 2ND FLOOR 203 SF *ADDITIONAL SCOPE*
Legal Desc.: N TR 4893 LOT 109
Owner: BAKER TOM & MADELINE Contractor: A -RISING BUILDERS INC Architect: GUINA RICHARDO
Address: 2507 ALTA VISTA DR Address: 1711 WHITTIER AVE Address: 2915 REDHILL AVE #G-102
NEWPORT BEACH, CA 92660 COSTA MESA CA 92627 COSTA MESA CA 92626
Phone: 949-612-7694 Phone: 949-386-2356 Phone: 949-294-8385 State Lic:C030161
Applicant: NAVES KAREN Con State Lic: 785812 Engineer:
Address: 3300 IRVINE AVE Lic Expire: 05101/2019 Address:
NEWPOR TBEACH, CA 92560 Bus Lic: BT30058321
Phone: 714.486-3318 Lic Exp Date: 03131/2019 Phone: State Lic:
Code Edit : 2016 Worker's Compensation Insurance Designer:
Type of Construction: V -B Carrier: START NET Address:
Occupancy Group: R3/U Policy No: BNUWC143964
Added /New sq.ft. Bldg: 0 Expire: 05/01/2019 Phone:
Added /New ft Garage: 0 w
No of Stories.: 2 Building Setbacks Rear: / Special Conditions: P � �' � • K
No of Units : 1 Front: I
Bldg Height. 0 Left: I° s'
Bldg Sprinklers: Right: I
Flood Zone: Use Zone: Parkin S aces: 0 Fire Hazard Zone : N
Construction Valuation: $5.000.00
Building Permit Fee: $142.00 Excise Tax: $0.00 Planning Department - Fire Department
Plan Check Fee: $123.54 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: $0.00 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 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00
Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %: $9.94 San Dist: $0.00
Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00
Plumbing %: $12.78 $0.00
TOTAL FEE : $326.76 Plan Check Fee: $161.04 Fee Due at Permit Issuance : $165.72
PROCESSED BY:� PUBLIC WORKS APPROVAL:
ZONING APPROVAL: -VL- 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 pjac&d ne! tat apQI capkitena(s)
iection 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.alSg, Ibgeires tiie epplOant 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 5 of lh@ Butlnt?ss 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
of more than five hundred dollars ($500). •'• ;.
I, 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 intenddfjror offered for sale 1C bc4orn70441, ^
usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds oPiMoves the Qrooer y; provides th4 tq2
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 thet•itwas 1f4tuilt. '
nf�roved for the purpose of sale).
J 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:
y 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
ell 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:hftp://www.leginfo.ca.gov/calaw.htmi.
ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o�� f 14?
Division 3 of the Business and Profess! de y license is in full force
nd effect. License Class License No Date -)r-7— 1 S! Contractor Signatur= -e
PORKERS' 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 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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 the
Grf of the work for which this permit is issued. Policy No.
U I ave 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' compensatior
-IIs nce carrier and policy number are:
re of Agent
certify that, in the pl
. if I should become
of
Policy Number
Date
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
workers' gnsalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions./
--{� Dal 7" f �,�
CLARATION REGARDING CONSTR ON LENDING AGENCY
Ireby 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
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 ordinances and state laws relating to building construction.
I authorize representatives of this city or coot% to enter the above -identified property for inspection purposes.
nature of ProDertv Owner or Authorized Aqent /� _Print Property Owner's or Authorized Agent's Name
ACTION DATE BY V,11CLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
/ REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED [ALI SUBMITTED ASBESTOS
PERMITCANCELLED DEPA 5+
PERMITFINAL / UASBESTOS NOTI ICATION IS NOT APPLICABLE TO
CERTIFIC4TEOFOCCUPANCYIS.SUED ( Y � SI NA7 PROPOSED LI ON��
Civil Code).
121
Date 7-!