HomeMy WebLinkAboutX2008-0307 - PermitsCity of Newport Beach Building Department COMB Permit No: X2008-0307
PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requests/Telephone (949)644-3255
Combination Type - MFP/ / ELEC/ /
Job Address: 9 HARBOR RIDGE DR NB Description: ADDITION SCOPE/RES ADD/ADD 25 SF
Project: 0625.2007 0625-2007 (X2007-0663)
Inspector Area: y Dgsq,=.=QTR 9587 LQ_T 7 UNIT 42,0E PROJECT LOCATED ON AP 461-074-11
TOGETHER :. -`� - z.- ---- ; ,�-INSPECTOR
Owner: INLL%Lu-,Kq iuO ffl ftL �Coiltfgctof. B C HILT .,,,.,,Architect:. KAMPS CURTIS
Address: 9 HARBO -RID E DR ress'. 6T5TREDtANB-C'1- �) r-. N Addie�s7'� • 2691 RICHTER AVE
NEWPOR1, E HCA 92660 RIVERSIDE CA 92506 IRVINE CA 92606
Phone: 949/290-5019 AN
C46
(❑ 380*c r ❑ lee%q fund
Applicant: KAMPS CURT! Engineer: ,ABARQUEZ JOSE M
Address: 2691 RICHTER VE Lto V4°f1®f ISess: 18 EL CORZO
IRVINE 6026 Bus Lic: A
Phone: 949-863-7620 Lic Exp Date: 11/30/2007 Phone: 714.642.5417
Code Edit : - 2 1 lofft Designer:
Type of Construction: ,` V 1 Address:
Occupancy Group: - R U1
Added /New sq.ft. Bldg: ; 25LJ ED Phone:
Added /New sq. ft. Garage: 0
No of Stories: Building Setbacks Rear: I Special Conditions:
No of Units : .I1. 2 Front: /Bldg Height: a I
Bldg Sprinklers: Scan j l a rlight: / Discard
plan
Flood Zone: Uo Zone: PC -3
Issued Date: 02115/2008"
(work startellffi); Spaces: 0 (no work started
QuU.Uu FEES
Construction Valuatio 5
Building Permit Fee:
Plan Check Fee:
"385 0
$0;0
San Dist:
Excise Tax:
$0.00
Planning Departm
fNts� �litials:
lan-Checkfee-:
ve Dep me t
ns ecti� :
$0.00
Overtime Plan Ck:
'$O.111R"�a�'}hfl99t9'9'2QQy49
8
�,G
ai Re
$0.00
Investigatin Fee:
$0.00
SJH Trans : $0.00
Demolition Fe
Record Management:
$25.00
Grading Permit 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:
$0.50
WO Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access:
$0.00
P/W Plan Check: $0.00
Fee Increase: Fee:
$0.00
Electrical %:
$12.03
Additional Fee :
$0.00
Mechanical %:
$0.00
$0.00
Hazardous Mat:
$0.00Plumbing
%:
$0.00
$0.00
f
io
<
C
. , o
TOTAL FEE: $219.68
PROCESSED BY: - PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:�
GRADING APPROVAL: E o ` _ o c APPROVAL TO ISSUE:
u u o V u u-RERMFTSFJ1PIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. '�
OWNER -BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LICENSE LAW FOR THE FOLLOWING REASON
(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 SHE IS 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 OF
E] NOR MORE THAN FIVE HUNDRED DOLLARS ($50D):
I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUC.
TURE IS NOT INTENDED OR OFFERED FOR SALE (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
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.):
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7044,
BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF THE PROPERTY WHO BUILDS OR
IMPROVES THEREON AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTOR(S) LICENSED PURSUANT TO THE CONTRACTORS
❑ LICENSE LAW.).
I AM EXEMPT UNDER SEC ,B.& P.C. FOR THIS REASON
LICENSED CONTRACTORS DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS 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.
LICENSE CLASS LICENSE NO.�
TE CONTRACTOR4"
WORKERS'COMPENISATION DECLARATION
❑ I HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: ,
I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATIONS AS PROVIDED FOR BY SEC 3700
1:1 OF THE LABOR CODE, FOR THE PERFORMANCE OF THEWORK FORWHICH THIS. PERMIT IS ISSUED.-- -
I HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE, AS REQUIRED BY SEC 37000F. THE LABOR CODE, FOR THE PERFORM-,
ANCE OF THE WORK FOR WHICH THIS PERMIT 18 ISSUED, MY WORKERSCOMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE:
DATE: BY:'-
PERMIT
Y:-PERMIT EXPIRED
PERMIT CANCELLED cm CS
PERMIT EXTENSION
PERMIT FINAL
TE
TENANT NAME
TYPE OF BUSINESS
POLICY NUMBER -
❑ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS).
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED; I SHALL NOT EMPLOY ANY PERSON IN ANY MAN.
NER SO AS TO BECOME SUBJECT TO THE WORKERS'COMPENSATION LAWS OF CALIFORNIA, AND AGREE THAT IF I SHOULD BECOME SUBJECT-"
TO THE WORKERS�MPENSATION PROVISIONS OF SEC. 3700 (9FTHE CABSM CODE, 15 LL FORTHWITH COMPLY WITH THOSE PROVISIONS.
WARNING: FAILURE TO SECURE WOP9ERS' COMPENSATION CO GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND D LARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES
AS PROVIDED FOR IN SEC. 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBYAFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK
FOR WHICH THIS PERMIT IS ISSUED (SEC. 3087, CIV.C).
FOR OFFICE USE ONLY
LENDER'S NAME
LENDER'S ADDRESS
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1 CERTIFY THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT,
1 AGREE TO COMPLY WITH ALL
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CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND
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HEREBY AUTHORIZE
CITY TO ENTER UPON THE AS I PJI PROPERTYFORINSPEFTION PURPOSES.
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