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HomeMy WebLinkAboutX2017-3355 - Permits (3)'Awrr, City of Newport Beach - Building Division II IIII I IIII I IIIIIII hI';i�llllll ZOMB Permit: X2017-3355 k 7� � ,7� 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 7 3 3 5 511 � . � : Project No: 2337-2017 Permit Counter Phone (949)644-3288 v $ C Inspection Requests Phone (949)644-3255 Issued Date : Combination Type - SFP ELEC PLUM MECH Inspection Arearea :2018 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 orIfolidays Job Address: 806 CEIBA PL NB § ,' Description: SFR EXTEND WALK IN CLOSET INTO BATHROOM- 100 SF, RE -TILE SHOWER, ADD BATH FANS `. Legal Desc.: N TR 5018 LOT 30 A Owner: ANASTOS DAVID G Contractor: SCHMIDT MICHAEL Architect: Address: 806 CEIBA PL Address: 18544 SAN FELIPE STREET Address: NEWPORT BEACH, CA 92660 FOUNTAIN VALLEY CA 92708 Phone: Phone: 714-397-5911 Phone: State Lic: Applicant: CONTERAS FELIPE Address: 3837 E. 7TH ST LONG BEACH, CA 90804 Phone: 562-879-3756 Code Edit: 2016 Type of Construction: V-B Occupancy Group: R3 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: $15,000.00 Building Permit Fee: $292.00 Plan Check Fee: $254.04 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $642.94 PROCESSED BY: ZONING APPROVAL: Con State Lic: 842620 Lic Expire: 07131/2018 Bus Lic: BT30059043 Lic Exp Date: 03/31/2018 Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9025484 LONG BEACH, CA 90804 Expire: 10101/2018 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: / Front: I Left: I Right: I >arkino Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20,44 $11.68 $26.28 Plan Check Fee Engineer: Address: Phone: Designer: CONTERAS FELIPE Address: 3837 E. 7TH ST Phone: 562-879-3756 Special Conditions: Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 State Lic: Fire Department $37.50 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 $291.54 Fee Due at Permit Issuance : $351.40 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER I hereby affirm under penalty of perjury that I SIT. 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 p,,rsuar.t to the p•cviE'ons 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 lice -cure a,id the basis for ine wiesed 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 ,vn0es 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, 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 improved for the purpose of sale). ❑ I, as owner of the property, am exclusivelycontractingwith 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 legall, 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.htm]. 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) o Division 3 of the Business and Pro ssioy P`and Fny lice rL, full force and effect. License Class License No Da Contractor Signatur d 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 THOUSAND DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 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 Trance of the work for which this permit is issued. Policy No. 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' carder and policy number are: Policy Number of Agent certify that, in the performance of the work for which this permit is If I should becorre subject to the erscompetrsation provisic lature of ApplicE tt eo� Date I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre ction 3700 of the Labor Code, I shall forthwith comply with those provisions. )) %/ Dated/ 9/IS�' areby 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). ider'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 entei:A E above-identi properly-br inspection purposes. ./ innh,ru nr ornnaNw n,.,nor nr A„fhnrl>ori Anon+ \ /�//%/.i ce orm+ o�,.�oN� nu,nor� �r A„rh�H,od A�.nv� MIA AC K- -SLIIWh ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE I BY /j-3 TION OF COMPLIANCE WITH CODE OF FEDERAL IONS PART 61 OF TITLE 40 AND AQMD RULE 1 SUBMITTED ASBESTOS NOTIFICATION TO NOTIFICATION IS NOT APPL10A7E TO TV nl ITIMM I C FOR OFFICE USE ONLY