HomeMy WebLinkAboutX2007-0663 - PermitsCity of Newport Beach Building Department COMB Permit No: X2007-066
PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3286 Inspection Requestslrelephone (949)644-3255
Combination Type - MFP/ GRAD/ ELEC/ MECH/ PLUM
_ G'S
Job Address: 9 HARBOR RIDGE DR NB Description: RES & BASEMENT ADDITION 1,552 SF & GARAGE ADD OF 80 SF
f,.
Project : 0625.2007 0625-2007
Inspector Area LI Vii, Legal a .
TOGETHER :
Owner: Mr:,ir.;-+0v WIW �kTv DW� €rtr o�®I Br.WIT ArjfiiVPPjj66*%CURTIS NS
Address: 9 HARBOR RIDGE Address: 6757 REDLAND CT Address: 2691 RICHTER AVE #11.200
NEWPORT Phone: 949290.5879EACH �260 on 9NRS EC 506 Pf-1 Zppmw Oilso0IN
��f�r8'0yjgQ��O rt�elQO 87;Applicant: KAMPS CUR71S n t 8 Engineer: ABARQUEZ JOSE MAddress: 2691 RICHTER AVE t,0 L it LA(fiallawhomi`L CORZO -
IRVINE CA 92606 Bus Lic: BT30001755 RANCHO SANTA MARGA CA 926 8'
Phone: 949-863.7020 c ate: 11/3012007 Phone: 714-6425417 State LicC• 19a
Code Edit: 2001 �'� Wor m ati I Designer. �
Type of Construction: VN «'arrier: X Address:
Occupancy Group: R31 U1'
IRED
Added /New sq.ft. Bldg: 155Zz Expire: Phone:
Added /New sq. ft. Garage: 82az^�' , -
No of Stories: 2 fps., �' Building Setbacks Rear: / Special Conditions: `
Bl of Units: 9 g,. r n Giscard plan 1
Bldg Height: '� /
Bldg Sprinklers: N s i
Flood Zone: t1 (WAIn PC 3 y
Issued Date: 09/05/2007 x' Ud m a 0 (no work started)
I�.,•.,
Construction Valuation: 30 1 1 Nate: FEES
Building Permit Fee: $2,061.00 ---Sa`-Dist; $n nn al n nartment InSpi. initialgire epart t
Plan Check Fee: $1,483.92 n Plan check Fee : $225.00 F ec ion: $0.00
Overtime Plan Ck: $0.00 NMUSD Fee: $2,855.68 air are : -
$0.00
Investigatin Fee: $0.00 SJH Trans : $0.00 Demolition Fee
Record Management: $135.50 Grading Permit Fee: $584.00 Building Dept Adm $0.00
Energy Compliance: $180.00 Grading PC Fee: $292.00 Public Works Department - General Service $0.00
CA Seismic Safety: $30.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00
Disabled Access: $0.00 P/W Plan Check: $52.50 -
Fee Increase: Fee: $0.00 Electrical %: $288.54
Additional Fee : $280.00 Mechanical %: $288.54 $0.00
Hazardous Mat:. $0.00 Plumbing %: $206.10
$0.00
co c c
TOTAL FEE :_ $0 ?05:50 TOTAL PAYMENT: $1,663.92 TOTAL DUE: $7,641.58
6
PROCESSED BY: y y PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
GRADING APPROVAL:
I o _ c c < o
PLAN CHECK BY:
L i
_ APPROVAL TO ISSUE:
��-• �� �PEh TS )2CPrIO DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
ACTION
DATE:
BY:
OWNER -BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWING REASON
PERMIT EXPIRED
" (SEC. 7031.5, BUSINESS AND PROFESSIONS CODE: ANY CITY OR COUNTY WHICH REQUIRES A PERMIT TO CONSTRUCT, ALTER IMPROVE,
DEMOLISH, OR REPAIR ANY STRUCTURE, PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED
STATEMENT THAT HE OR SHEIS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LICENSE LAW (CHAPTER 9(COMMENCING
WITH SEC. 7000) OF DIV.3 OF THE BUSINESS AND PROFESSIONS CODE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE
ALLEGED EXEMPTION. ANY VIOLATION OF SEC.7031.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OFPERMIT
CANCELLED
LS
r7NOR MORE THAN FIVE HUNDRED DOLLARS 1$500): -
I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK; AND THE$TRUCc
TURE IS NOT INTENDED OR OFFERED FOR BALE (SEC. 7044; BUSINESS AND PROFESSIONS CODE:' THE CONTRACTORS LICENSE LAW DOES
NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON. AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR
PERMIT EXTENDED
THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS 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 HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE.):1. -- - -
EC. 7044,
CONTRACTORS CENSE PROPERTY
W CONTCTING WITH LICENSED CONTRACRS TO CONSTRUCT THE PROJECTBUILDS'OR
BUSINESS ANDP PROFESSIONS ODE:THEOWNER OF THE PROPERTY, AM EXCLUSIVELY W.
PERMIT FINAL
IMPROVES THEREON AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTOR(S). LICENSED PURSUANT TO THE CONTRACTORS
❑LICENSE LAW.).
CERTIFICATE OF
I AM EXEMPT UNDER SEC B.&PLC.FORTHISRMSON
OCCUPANCY ISSUED
DATE OWNER -
LICENSED CONTRACTORS DECLARATION
TENANT NAME
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISION$ OF CHAPTER 9 (COMMENCING WITH SEC. 7000) OF
DIVISION 3 OF THE BUSINESS'AND PROFESSIONS CODE, AND MY LICENSE IS IN FULL FORCE AND EFFECT.
TYPE,OF BUSINESS
LICENSE NO.
LICENSE CLASGSy
�—
DATECONTRACTOR
WORKERS' COMPENSATION DECLARATION
..FOR OFFICE USE ONLY
IHEREBY AFF IRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS:
_
A
I HA D WILL MAINTAIN CERTIFICATE OF CONSENT TO $ELF•INSURE,FOR WORKERS' COMPENSATION, AS PROVIDED FOR By SEC 3700.
T LABOR CODE, FOR THE�ERFORMANCE OF THE WORK FORWHICH THIS PERMIT IS ISSUED.
Ill ND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE, AS REQUIRED BY SEC 3700 OF THE LABOR CODE, FOR THE PERFORM•
O THE WORK FORWHICH THIS PERMIT IS ISSUED, MYWORKERS'OMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE:
-
CARRIER
LICV NUMBER
HIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS).
ICE IFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I SHALL NOT EMPLOY ANY PERSON IN ANY MAN•
0 AS TO BECOME SUBJECT TQTHE WORKERS' COMPENSATION: LAWS OF CALIFORNIA[' AND AGREE THAT IF I SHOULD BECOME SUBJECT
O THE WORKERS' COMP-EENSATION PROVISIONS OF SEC. 3700 OF THE LABOR CC/CSE, I SHALL FORTHWITH COMPLY WITH THOSE PROVISIONS.
DATE: _APPLICANT.�i//�_/% /.R4
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBIECTAN EMPLOYER'TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OLAS ($100;000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES
AS PROVIDED FOR IN SEC. 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES,
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURYTHAT THERE IS A CONSTRUCTION LENDING AGENCY FORTHE PERFORMANCE OF THE WORK
FOR WHICH THIS PERMIT IS ISSUED (SEC. 3097, CIV.C).
`
LENDER'S NAME
• • • • ••
• • • • • • • • e o
LENDER'SADDRESS
• • • • •• • • • • a e
I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH ALL
•• • •••
CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF
THIS CITY TO ENTER UPO�ABOVE•MENTIONED PROPERTY FOR INSPECTION PURPOSES. .
PERMITTEE NAME (PRINT) / J 7T//'[��/ (i1 l%�
• • • • e
0 0 o e
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••i
SIGNATURE OF PERMITTEE DATE ��
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