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Home My WebLink AboutX2017-2245 - Permitsrwr1 City of Newport Beach - Building Division *X2017-2245 COMB Permit: X2017-2245 5 100 Civic Center Drive, Newport Beach, CA 92660H •'" Project No :0791-20�$ Permit Counter Phone (949)644-3288 75- ° s 7 4r Inspection Requests Phone (949)644-3255 •°°e moon r.o xr,&� Combination Type - MFPELECPLUMMECH Issued Date: 10/02/2017 Inspection Area : 2 e.ee • m ° m n PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. e • o 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 Holidais . ' . ... ° m Job Address: 116 OPAL AVE NB mm.00 Description: MFR ADD 25 SF AND REMODEL 511 SF ° vi ,"-.r t i r �. �. .em Legal Desc.: tJ •F W= n) a m Owner: KREDEL RICHARD S Contractor: OWNERIBLDR Architect: �A 000 Address: 116 OPAL AVE Address: KREDEL RICHARD Address: NEWPORT BEACH CA 92662 O/B AUTH ATTACHED Phone: Phone: Phone: State Lic: Applicant: RICHART JASON Con State Lic: O/B Engineer: JAMIL BASHAR S Address: 1041 W 18TH ST (A106) Lic Expire: Address: 3735 W. KELLER DR COSTA MESA CA 92627 Bus Lic: PHOENIXi2 X50. 6> Phone: 949-422-9191 Lic Exp Date: Phone: _ 714.883-4124 State Lic:C-083129 Code Edit : 2013 Worker's Compensation Insurance Designer: RICHART JASON Type of Construction: VB Carrier: Address: 1041 W 18TH ST (A106) Occupancy Group: R3/U Policy No: COSTA MESA CA 92627 Added /New sq.ft. Bldg: 25 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 2 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: N Right: / Flood Zone: AE Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $64.000.00 Building Permit Fee: $736.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $57.00 Additional Fee : $0.00 Plan check Fee: $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $24.00 Grading Permit Fee: $0.00 In -lieu Housing 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: $8.32 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN Plan Check: $38.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: - $51.52 San Dist: $769.00 Building Green Fee : $3.00 Mechanical %: $29.44 NMUSD Fee: $0.00 $0.00 Plumbing %: $66.24 $0.00 TOTAL FEE : $1,782.52 Pian Check Fee : $0.00 Fee Due at Permit Issuance : $1,782.52 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: //yy PLAN CHECK BY: l/ GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -1304091t DECLARATION r^- I hereby affirm underpenalty, 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 applicab+§ items) �ectioR 031.5 �BushR�ss 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 fdd ie permit to file assigned 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 Busihe§s and 10osslgns 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 bt m6fe than five l Ured dollars ($500). J'4 aS pwner ftg pr8perty, 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, Itlsine9s and Profpssl9gs 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 nprevements ale no4 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 y9d'for the purpose of sale). s 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 pil to in ownei%prpberty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). .baro exempt from licensure under the Contractors' State License Law for the following reason: iyg&.41nature beliAlticknowledge that, except for 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 legalll all a structure that I have built as an owner -builder if it has not been constructed i 'ts entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request wh his applicati¢D is@ub ed the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent /�. dd Dat i .ICENSED CONTRACTOR'S DECLARA'10 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 COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: DOLLARS ($100,000), IN ADDITION TO THE have and will maintain 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 3rmance of the work for which this permit is issued. Policy No. have and will maintain 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' compensa rance carrier and policy number are: Policy Number of Agent Date ertify that, in the performance of the 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 agree if I should become subject to the wor rs' c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. rture of Applicannl Dat ARATInN RFr:AR Nr: CrINICTRI ICTUIIN I FNnINr: ARFNCY sreby affirm 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) tder's Name Lender's Address my signature below, I certify to each of the following: I 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county to enjertheab ve-i Ified property for inspection purposes. ® nature of Prooertv Owner or Authorized ADen� ZZZA J r^"'� Print Propertv Owner's or Authorized Agent's Name X� ACTION DATE BY DECLARATION OF IREGULATIONS PA T0MPLIANCE WITH CODE OF 61 OF TLE 0 AND AQMD RULE FOR OFFICE USE ONLY PERMIT EXPIRED UI SUBMITTED ASBESTOS PERMIT CANCELLED _ EPA PERMIT EXTENDED OMD NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF n OCCUPANCY ISSUED