HomeMy WebLinkAboutX2015-3229 - Permitsq City of Newport Beach - Building Division X2015-3229* COMB Permit: X2015-3229
100 Civic Center Drive, Newport Beach, CA 92660 Project No: 1649-2012
N '( Permit Counter Phone (949)644-3288
v... ` Inspection Requests Phone (949)644-3255
Issue Combination Type - SFP ELEC MECH PLUM tion : Area rea : 2015
Inspection : 2
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID IN CTI O -
INSTALLORVERIFYSMOKE/CARBON MONOXIDE DETECTORS /PLUMBING URES TORADED
Job Address: 87 LINDA ISLE NS ��
Description: "REPLACE EXPIRED PERMIT` SFR -KITCHEN REMODEL, RAISED FOUNDATION, WALL & NEW F NG @ NORTH SIDE11
Legal Desc.: TR 4003 LOT 87 AND POR LOT B
Owner: HSIEH MING Contractor: HEAVYWEIGHT CO P,
UCTIM-Archit
Address: 1738 CAMINO LINDO Address: 6051 VARNAA E VG�"
SOUTH PASADENA, CA 91030 VALLEY G ; CA 914Q1{")� �,\
Phone: Phone: 818-9 00 \k 6 OQ hone: f e Lic: LIA
Ole
Applicant: GOLESTIAN ARTEM Con State Lic: 7351 �Q Engines GERMIYANOGLU IS I
Address: 705 BALBOA AVE Lic Expire: 09/30120' O lddrre s: 11022 SANTA MONIC a• .
GLENDALE CA 91206 Bus Li BT30 470CY```` LOS ANGELES 90
Phone: 818-581.8780 Li p Date: 1 /2015vo`� Phone: ` . j to L. 001505 0 ......
Code Edit : 2010 er' mpe ion Insur Designer: GOLESTIAN ARTEM
Type of Construction: V -B r NO L- Address: 705 BALBOA AVE
Occupancy Group: R3/U No {°: _ GLENDA C-
Added /New sq.ft. Bldg: 0 2 xpue Phone: 818-330-
Added /News ft. Garage: 0
No of Stories q g 2 Buildi etb ar: / Special CondiypCE PER
No of Units : 1
rent: / 9�t®® 2014.3817:eco° )
° o0
Bldg Height. Ohm- t,• -� Left' `n-�`r'
Bldg Sprinklers: h l • r�
Flood Zone: 'WW�p _. . ,. Usat �lcmas d Z9fvLs : N
Building Permit Fee:
$0.0q
Plan Check Fee:
$0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$1.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$0.00
TOTAL FEE : $1,141.92
Planning krlfPient
Plan the ee
Fair Share
w SJH Trans
In -lieu Housing Fee
Public Works De n
Park Dedic n
1 PM P Check : ,
_11
iWPlan Rev
imolition Fee
Building Dept Adm
General Service
Refund Deposit
$0.00
Fee Due at Permit Issuance :
PROCESSED BY: ��.�✓ `` { , _.,+""` PUBLIC WORKS APPROVAL:
ZONING APPROVAL:` PLAN CHECK BY:
i
GRADING APPROVAL: .r--'` APPROVAL TO ISSUE:
°° o00 �0000
o c
8.00° oo°o
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,141.92
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 strucl,plre, prior to its issuance, also requires the applicantfor
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (c enig 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 y app aft .for a permit subjects the applicant to a civil penalty of
not more than fivehundred dollars ($500).
U I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portio a work, and the structu isi
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property rough employees' or personal efflom
improvements are not intended or offered for sale. If, however, the building or improvement is sold wit a year of completion, the Owner -B &r '11
improved for the purpose of sale). ,,,,,,\e • 0 (e�U �
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to ruct the p`r�oje,�cy( �6n 7044,�y1g7h 10 Professions
apply to an owner of property who builds or improves thereon, and who contract a projects with t li d Contra r u ant to the Contract s'
❑ 1 am exempt from licensure under the Contractors' State LicensE_LpWcff the following reason: rela
By my signature below I acknowledge that, except fort h perso Idence in which I M@uusstt''have resid least one year prior mpletion of the
sell a structure that I have built as an owner -builder it h - _an constructed ets` entirety b licens contractors... nd nd that a copy of the at
Professions Code, is available upon request when pplication is subm' d o�the fo i Web site:http://y4N(®1L�ih o.ca.gov/calaw.html.
Signature of Property Owner or Authorized '�� •_
LICENSED CONTRACTOR'S
I hereby affirm under penaltysfRji€rjury ta n er pro Isio , of hapter 9 ..�g with Se tion 000) of D VISIO 3 of the Busines i
and effect., License Class" Icen - , as 2 Ogtaptor S'
..
ORKERS9MPENSATIl N, A I
ARNING: FAILURE TO SECURE WORKERS COMPENSA RAG lL, A SHALL SUBJECTO .. R T RIMINAL PENALTIES AND Cn%ILFINES UP TO ON
° e • �T OF C07APQNSAtION, DAMAGES AS PROVI❑ 0 FOR I1 ECTION DT e L OR CODE, INTE :. RN F
° I Hereby affir under penalty ofperJury' otof th§�Iloyttyg declarations `
_ T have and. w{11 maintain a certificate o7 conseni� to self-insure.f o 9 sued by the Director of Ingust1 a ati s as pr
)eVormance plajie work for which this pgrml� is Issued P,�o IG �t� ) � � its`, ,,qtr,° >�+
:20 -have and.willl tijaintain workers compensatlon Irys"u �e uu , by Section 3700 of the La old. fdrVh rlcSLV%q�ork for wl
1p6urance cftar and policy number are: ,;�.,t�' I +(
Gamier . '�,..Y hpllcy8dmber ,yr, �'°� Expiration
i�.Wcertify
?of AgeIT6 ;> *r. —C PP�on€#kms_
r that, in the performance of the work for which this permit Is issued;,Tl ,not e�ploy any person in any manner soma oa•t� becomesl7,b7e 11 fo th
tf� should D�cdrne subject to the workers' compens tion provision of�Setaion`§700 of the Labor Code, I shall fort iti5"complg•,;vlth"vffinse proyIaOh!
hereby affirm under penalty of perjury that -there is; a cbhstrudil
Ender's Name . .
3y my signature below, I Certify to each of the following:
I am the property owner or authorized to act on the property
I have read this application and the information I have provic
I agree to comply with all applicable city and county ord' am
I authorize representatives of this city or,county to a er t e
Signature of Property Owner orA rized Agent
intended or offered for sale (Section 7044,
!Ids or improves the property, provided that the
�e the burden of proving that it was not built or
Contractors' State License Law does not
ense Law).
s covered by this permit, I cannot
Section 7044 of the Business and
Date
force
DOLLARS ($100,000), IN ADDITION TO THE
3700 of the Labor Code, for
My workers'
compensation laws of California, and
:rtdin j'agency for the performance of the work for whiph tlS s permit is issued (Section 3097, Civil Code)
Lender'sAddress
Iers.befi la f. •�' �<
Incorrect.
and state laws to building construction.
ve-iden(ifieeproperty for inspection purposes.
�� Print Property Owner's or Authorized Age Name IF
OIiYI4 J('Uv_0rre(J0,17 Date
A1'TNN1f fMTF '`,
8S'
DECLARATfONO'FGOMPLUWEt49TiiCo6EOF
FUH UI -Hu ink OTN
FEDERAL REGULATIONS PART 61 OF UTLE40 AND
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