HomeMy WebLinkAboutX2018-3485 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2018-3485
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 3 4 8 5 Project No : 1393-2018
Permit Counter Phone (949)644-3288
✓ry Inspection Requests Phone (949)644-3255
Combination Type - MFP MECH ELEC PLUM Issued Date : 11/1612018
Inspection Area : 8
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: 310 AVENIDA CUMBRE NB -
Description: MFR REMODEL 340 (KITCHEN, POWDER RM, MST. BATH, ADD TRUSSES) paa
Legal Desc.: TR 5435 (L.L.84-214024) PAR 19 AND PAR 19G
Owner:
NORTHRIDGE JR. DAVID C
Address:
310 AVENIDA CUMBRE
Overtime Plan Ck:
NEWPORT BEACH, CA 92660
Phone:
$0.00
Applicant:
WALKER BARRY
Address:
P.O. BOX 11658
CA Seismic Safety:
NEWPORT BEACH CA 92658
Phone:
949.2464085
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R2/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 4
Bldg Height: 0
Bldg Sprinklers: N
Construction Valuation: $35.01
Building Permit Fee: $581.00
Plan Check Fee: $0.00
$0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$6.00
Energy Compliance:.
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
II TOTAL T: $705.20
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: OWNERIBLDR
Address:
Phone
Con State Lie: 0/8
Lie Expire:
Bus Lie:
Lie Exp Date:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: /
Left: /
Right: /
!Eking Spac
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$40.67
$23.24
$62.29
Plan Check Fee
0
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
WALKER BARRY i7 has'
P.O. BOX 11658 • e
NEWPORT BEACH CA 92658 mO°O•••
949-2464085 State Lic:C019637 e. °
oememe
GROVERMAN DAVID RICHARD °
541 BUCKHORN
HAILEY ID 83333
949.500-0653 State Lic:C-043663
Special Conditions: O/B AUTH ATTACHED
Fire Hazard Zone : N
Planning Department -
Fire Department
Plan check Fee:
$0.00
Fair Share
$0.00
SJH Trans
Fire Plan Rev
In -lieu Housing Fee
$0.00.
Public Works Department-
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00
PUBLIC WORKS i
PLAN CHECK BY:
APPROVAL TO ISI
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Issuance: $705.20
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Fire Department
$0.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00.
Demolition Fee
$0.00.
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Issuance: $705.20
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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 applicfble #BLn(s)
Iction 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 applicant for '
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
Ifessions 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
more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
6iness and Professions 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
movements 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
Koved for the purpose of sale).
N. 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' Slate License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for my person residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, 1 cannot legal[)
I a structure4*4 f have built as an owner -builder if it has dgt'be n constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Ifessions Code, is available upon request whe�n th))'s applio5 Is ed or at the following Web site:http://w .leginfo.ca.gov/calaw.html. // /6 o,
nature ofRgq�Q� Owner or Authorized Agent�LJ Date
�vn
NSED CONTiiACTOR'S DECLARATION
}eby affirm under penalty of perjury that I am licensed uner provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
f4ffect. Li¢enseClass License No Date Contractor Signature
)RKERS'6O0ENSATION DECLARATION
IMNG: FAILUREQe6CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
T�
OOF COMPAISATIf DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
raby affirm under penalty of perjury one of the following declarations:
I'htve and will m$intain 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
forrnance 01 "e'work for which this permit is issued. Policy No.
VNe and will rf Siptain 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' compensatiol
3fdFJce carrieaancipolicy number are:
pier Policy Number Expiration Date
lame of Agent one #
Carl'
that, in the performan of th 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 ogre
let, if hould become` subje to the orkers'. compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Ignature of Applicant
'ECLARATION
REG DIN NSTRUCTION LENDING AGENCY
hereby affirm under ¢enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
erider's Name Lender's Address
y my signature below, I certify to each of the following:
1 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 or an as and stay) -laws relating to building construction.
I authorize representatives of this city or county to a er h a - entified property for inspection purposes. l— /`(.
ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name -0m Ca oY7 �N p t 16
kCTION DATE BY D ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 63 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS
PERMIT EMENDED
CERTIFICATEOF ITFINAL s�o �� 1
1 SIWASBE TOS OLIF ATION IS NOT APPLICABLE TO
OCCUPANCY ISSUED
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