HomeMy WebLinkAboutX2013-0238 - PermitsCity of Newport Beach
Building Division
PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288
Combination Type - MFP/ ELEC/ MECH/ PLUM/
COMB Permit No: X2013-0238
PROJECT NUMBER: 0190-2013
Inspection Requests/Telephone (949)644-3255
Job Address: 2764 HILLSIDE DR NB Issued Date : 01/29/2013
Description:MFR KITCHEN REMODEL "CITY STD"
Inspector Area: 4
Owner: AGREN MATTHEW RYAN
Address: 2764 HILLSIDE DR
NEWPORT BEACH CA 92660
Phone:
Applicant:
ARZONMANIAN KHAJAG
Address:
9 PALAMEDES
IRVINE CA 92604
Phone:
949-266-7899
Code Edit :
2010
Type of Construction:
VB
Occupancy Group:
R21U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units :
3
Bldg Height:
0
Bldg Sprinklers:
Flood Zone:
11 Construction Valuation:
$32,000.00
Building Permit Fee: $513.25
Plan Check Fee: $369.54
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$3.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Fee Increase: Fee:
$0.00
Additional Fee :
$0.00
Hazardous Mat:
$0.00
Building Green Fee:
$2.00
TOTAL FEE : $1,031.96
PROCESSED BY:
ZONING APPROVAL:
Legal Desc.:
Contractor:
PRINCIPLE DESIGN 8, CONST
Architect:
Address:
9 PALAMEDES
Address:
IRVINE CA 92604
Phone:
949-266-7899
Phone:
Con State Lic:
971306
Engineer:
Lic Expire:
Address:
Bus Lic:
BT30042194
Lic Exit, Date:
01131/2014
Phone:
Worker's Compensation Insurance Designer:
Carrier: EXEMPT Address:
Policy No:
Expire: Phone:
Building Setbacks Rear: /
Front: /
Left: /
Right: /
Solar System PC : $0.00
Excise Tax: $0.00
Grading Permit Fee: $0.00
Grading PC Fee: $0.00
WQ Insp. Fee: $0.00
Electrical W $35.93
Mechanical %: $25.66
Plumbing %: $51.33
Special Conditions:
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share
SJH Trans:
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
11VSP4E�CTOA,
State Lic:
State Lic:
Fire Department
$31.25
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Plan Check Fee : $0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INS
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,031.96
INSTALL OR VERIFY SMOKE AND CARBON MONOXIDE DETECTORS ARE EXISTING PER CRCR 314.1 8 315.2
V 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
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 Iicensure 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 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,
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-Builderwill have the burden of proving that it was not built or
improved 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
apply 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).
❑ 1 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.html.
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 7000) of Division 3 of the Business and Professions Code, a d my license is in full force
Lice
and eff Class a License No / /f3 `' Da� / �� Contractor Signature J
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000(, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
thereby affirm under penalty of perjury one of the following declarations:
1PI have rrd 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,
nF:rformance of the work for which this permit is issued. Policy No.
❑I have vnd 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' compensatiol
'nsurance carr,er and policy number are:
of Agrrt
certify that, in the performance of the
if I shocld become subjeq >>I e wo
Policy Number
Date
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
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Ignature of Applican
>ECLARATION IF EG ION L LNG AGENCY
hercty Prfirm under penal f er ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
snder's Name Lender's Address
iv 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 nd state laws relating to building construction.
I authorize representatives of this city or couritv.to�e ve-identified property for inspection purposes.
3cnature of Prooertv Owner or Authorized Aqent - Print Property Owner's or Authorized Agent's NArrj &'{%1 C AGE R�2AUlM�h-'t
GATE
/1.6y
DECLARATION OFCOMPIIANCEMTH CODEOF
FOR OFFICE USE ONLY ,
ACTION
J
FEDERAL REGULATIONS PART 61 OFT17LE40 AND
AQMD RULE 1403.
❑ 1 SUB60TTEDASBESTOS NOTIFICATION TO:
❑ EPA
- AQMD
PERMIT FXPVRED
PERMITCANCELLED
PERMITEXTENDED
xBE TOSN 71FIC TIONIS NOT APPLICABLE TO
PERMIT FINAL
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CERTIFICATEOF
OCCUPANCYISSUEDA^