HomeMy WebLinkAboutX2019-0834 - PermitsCity of Newport Beach -Building Division IIIIIIIIIIIIIIIIIIIIIIIIIillllllllllllllllllllllllll II
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 8 3 4
ry ,. Permit Counter Phone (949)644-3288.
1 Inspection Requests Phone (949)644-3255
n3u Combination Type - SFP ELEC MECH PLUM
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 6:00 a.m. to 6:00 p.m. No wo
Job Address: 115 VIA RAVENNA NB -
Description:. SFR REMODEL KITCHEN & 3 BATHS 670 SF. RE-ROOFIRE-STUCCO HOUSE. RIR.20 WINDOWS, BRICK VENEER TO SELECTED
Legal Desc.: N TR 907 LOT 174
Owner: ' CAMERA DALE - Contractor: OWNERIBLDR Architect:
Address: 115 VIA RAVENNA. Address: CAMERA DALE Address:
NEWPORT BEACH, CA 92663
Phone: Phone: - Phone:
COMB Permit: X2019-0834
Project No: 0563-2019
Issued Date: 04/19/2019
Inspection Area 1
rkon*
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7s
AREAS r �`-a
State Lie:
Applicant: JEHEBER ROD
Con State Lie: Die
Engineer:.
REZAEI ALI
e°0000
Address`. 410 32ND ST STE 202 -
Lie Expire:.
Address:
17401 IRVINE BLVD STE A
$0.00
NEWPORT BEACH CA 92663
Bus Lie:
°SB.QO
IRVINE CA 92608
Plan Check Fee: $931.77
Phone: 949-723-4393,
Lie Exp Date:
Phone:.
949.466-9394 State Lic:C-041068
$40.00
Fire Inspection:.
Overtime Plan Ck $0.00
Grading Bonds Fee:
$0.00
Fair Share
Code Edit : 2016
Worker's Compensation Insurance
Designer:
JEHEBER ROD
Grading PC Consultant:
.Type of Construction:. V -B
Carrier:
Address:.
410 32ND ST STE 202
.... -. e .... °
Occupancy Group: R31U
Policy No:
$0.00
NEWPORT BEACH CA 92663
-
Added /New sq.ft. Bldg: 0
Expire:.
Phone:
949-723-4393
$0.00
Added /New sq. ft. Garage: 0
General Service
CA Seismic Safety : $0.00
m o
No of Stories: 2
Building Setbacks Rear: /
Special Conditions:
LIQUEFACTION AREA
Refund Deposit
No of Units : 1.
Bldg Height: 0
Bldg Sprinklers: N
Front: I
Left: /
Right: I
O/B AUTH ATTACHED
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Construction Valuation: $94.000.00
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oo»» 0 0
e°0000
0 0
Building Permit Fee: $1,071.00
Excise Tax:
$0.00
Planning Department -
°SB.QO
Fire Department
Plan Check Fee: $931.77
Additional Fee:
$0.00
Plan check Fee :
$0.00
$40.00
Fire Inspection:.
Overtime Plan Ck $0.00
Grading Bonds Fee:
$0.00
Fair Share
$0.00
Fire Plan Rev
Investigation Fee:.. $0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management: $52.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
-
$0.00.
Building Dept Adm
Energy Compliance: $65.80
Grading PC Fee:
$0.00
Public Works Department -
General Service
CA Seismic Safety : $0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
Disabled Access: $0.00
PAN Plan Check :
$0.00
Grading Bond:
Hazardous Mat $0.00
Electrical %:
$74.97
San Dist:
$0.00
Building Green Fee ; $4.00
Mechanical %:
$42.84
NMUSD Fee:
$0.00
Plumbing %:
$96.39
TOTAL FEE : $2,378.77
Plan Check Fee:
$971.77
Fee Due at Permit Issuance
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
o
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oo»» 0 0
e°0000
0 0
<c000c
°SB.QO
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,407.00
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 structure, prior to its issuance, also requires the applicant 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 3 of the Business and
'rofessions 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
t rrj�re than five hundred dollars ($500).
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 intended or offered for sale (Section 7044,
usiness 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
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 that it was not built or
nproved for the purpose of sale).
1 1, 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:
ly my signature below I acknowledge that, exc pt far 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 Iegall,
ell a structure that I have built as an owner -b Ider if it has not been tructed in its entirety by licensed contractors. I understand that a copy of the applicable law, S tion 7044 of the Business and
'rofessions Code, is available upon reques hen app Ic ubmitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. CC
signature of Property Owner or Authorize g nt l ®, a - e y' ((— It
.ICENSED CONTRACTOR'S DECL TION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
WERS' COMPENSATION DECLARATION
ING; FAILURE7S WCWtE 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
OF COMPENSAAG" DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Iby affirm uadw Penalty of perjury one of the following declarations:
have and will Valftin 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 thl
rgvfte of the taork for which this permit is issued. Policy No.
EVE -and will;aaiatain 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
wise carrier and poTicy number are:
IF. .00 : Policy Number Expiration Date
I� s�fiQi that, in jh pP�rrormance of the work for Is 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
iE` If I Should MuA he wo co sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. A -
hereby
R Li_ f li_i
hereby affY 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, Civil Code).
ender's Name Lender's Address
y my signature below, I certify to each of the following:
I an! 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 tate laws relating to building construction.
I authorize representatives of this city or cAD�ty- _ t -identified property for inspection purposes. r1 A _ /' n , .
DATE BY DECLARATION OF REGULATIONS P RT061 OF IITLE 40ANDAQMD RULE CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
PERMITEXPIRED I I I UI SUBMITTED
PERMITFINAL L1-70-7dl0 S L "%bY UESBE TOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF RO 0 D EMOLITION
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