HomeMy WebLinkAboutX2019-1626 - Permits/ City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
b' 100 Civic Center Drive, Newport Beach, CA 92660
:. . X 2 0 1 9 .1 B22 6
Permit Counter
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Inspection Phone(9 )644-3255AS BUILT
PERMIT
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'earn . Combination Type - MFP ELEC MECH PLUM - EXPOSE ALL STRUCTURAL,
COMB Permit: X2019-1626
Project No: 1155-2019
Issued Date : 05122/2019
Inspection Area : 3
%work on Sundays or Holidays
S
Architect:.
PERMITS EXPIRE 780 DAYaAKMaR USS MBE.,pir't1A
Construction Hours: Monday - Friday 7:00 a.m, to 6:30.r�(rtey_fgtLL
Job Address: 4910 NEPTUNE AVE NB
Phone:
-
C
Description: MFR `WORK IN PRGRS•. INTERIOR
REMODEL (2) BATHROOMS
"DRYWALL RPR" 1,374 SF
Legal Desc.: RIVERSECTION LOT 7 BLK 49 POR OF LOT.
$0.00
Owner 4910 NEPTUNE LLC
Contractor:
REUTER HOMES
Address: 2920 WAY LN
Address:
1537 MONROVIA AVENUE
CORONA DEL MAR CA 92625
Fair Share:
NEWPORT BEACH CA 92663
Phone:
Phone:
949-645-5824 -
Applicant: REUTER HOMES
Con State Lie:
760411
Address: 1537 MONROVIA AVE
Lie Expire:
03/3112021
NEWPORT BEACH CA 92663
Bus Lie:
BT30043620 -
Phone: 949-645-5824
Lie Exp Date:
05/31/2019'
Code Edit : 2016
Worker's Compensation Insurance
Type of Construction: VB.
Carrier:
LIBERTY MUTUAL.
Occupancy Group: R3/U
Policy No:
XWS69339306
Added /New sq.ft. Bldg: 0
Expire:
12/01/2019
Added /New sq. ft. Garage: 0
Disabled Access:
No of Stories: 2
Building Setbacks
Rear: /
No of Units : 1
$41.25
Front: I
Bldg Height: 0
$0.00
Left: I
Bldg Sprinklers:. N
San Dist :
Right: I
Flood Zone: X
Use Zone: ParkingSpaces: 0
Mechanical %:
Construction Valuation: $110,000.00
NMUSD Fee:
$0.00
COMB Permit: X2019-1626
Project No: 1155-2019
Issued Date : 05122/2019
Inspection Area : 3
%work on Sundays or Holidays
S
Architect:.
Building Permit Fee:
Address:
Excise Tax:
Phone:
State Lie:
Engineer:
SOMA JR PHILIP GEORGE
Address:
252 SOUTH BRENTWOOD
$0.00
ANAHEIM CA 92804
Phone:
714-724-1599 State Lic:C-046231
Designer:
Address:
Phone:
Special Conditions: 119.1348
LIQUEFCTION AREA
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TOTAL FEE: $3,866.21 Plan Check Fee: $1,149.61 Fee Due at Permit Issuance:
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
4
c o
`PIPBL,It`,.' WQ;k APPROVAL:
PLAN CHECK BY:
APPEftOVAL!TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$2,716.60
Building Permit Fee:
$1,228.00
Excise Tax:
$0.00
Planning Department -
$0.00
Demolition Fee
Plan Check Fee: $1,066.36
Additional Fee :
$0.00
Plan check Fee:
Refund Deposit
Overtime Plan Ck::
$0.00
Grading Bonds Fee:
$0.00
Fair Share:
Investigation Fee:
$1,228.00
Grading PC Consultant :
$0.00 -
SJH Trans :
Record Management:
$10.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Energy Compliance:
$0.00
- Grading PC Fee:
$0.00
Public Works Department-
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :.
$0.00
Disabled Access:
$0.00
PNV Plan Check :
$41.25
Hazardous Mat
$0.00
Electrical %:
$85.96
San Dist :
$0.00
Building Green Fee :
$5.00
Mechanical %:
$49.12
NMUSD Fee:
$0.00
PI b 01:
$110 52
um mg o.
TOTAL FEE: $3,866.21 Plan Check Fee: $1,149.61 Fee Due at Permit Issuance:
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
4
c o
`PIPBL,It`,.' WQ;k APPROVAL:
PLAN CHECK BY:
APPEftOVAL!TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$2,716.60
Fire Department
.$40.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
um mg o.
TOTAL FEE: $3,866.21 Plan Check Fee: $1,149.61 Fee Due at Permit Issuance:
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
4
c o
`PIPBL,It`,.' WQ;k APPROVAL:
PLAN CHECK BY:
APPEftOVAL!TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$2,716.60
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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
the 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
Professions 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wagesas their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
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 it was not built or
im roved for the purpose of sale). - - -
I, 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
ap 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' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge 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 legally
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 iv' ' n 3 of the Business and Pro o and y li e' in I force
and effect. License Class License No D 01 Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAIf DOLLARS ( 100,000), IN AD ION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
De4eirmance of the work for which this permit is issued. Policy No.
have an liilLmaintain workers' compensation
rance car rand policy nM
er arl
'ier M ID
is of Age t
certify that, in the performance ofthgwprk r H
,if I should become g ject to th o
lature. of Applicant
,ance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol
o Number Expiration Date
Phone #
this pe ' is issue shall of mploy any person in any manner so as to become subject to the workers' compensatI n laws of 1ilifornia, and agre
anon visions ecti bar-Eade,. I shall forthwith comply with those provisions.
ate /
NG AGEN
hereby affirm under penalty of perjury thatere 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
ymy signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county rdinances and state laws relating to building construction.
I authorize representatives of this city or county o t r the above -identified property for inspection purposes.
ignature of Property Owner or Authorized Anent Print Property Owner's or Authorized Agent's Na4W�44 s Date /
1CTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGUILATIONS PART 61 OF TITLE 40 AND AOMD RULE
EXPIRED
CANCELLED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
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