HomeMy WebLinkAboutX2020-0505 - PermitsFreer„4 City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
H n Permit Counter Phone (949)644-3288
m Inspection Requests Phone (949)644-3255
�:<,x>••' Combination Type - MFP ELEC
COMB Permit: X2020-0505 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
Project No : 0397-2020
Issued Date : 0310212020
Inspection Area : 2
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 or Holidays
Job Address:
1701 CLIFF DR NB
Description:
MFR - INFILL CEILING FOR READING
AREA 119 SF
Legal Desc.:
PM 314-12 PAR 1 OF PROJECT 930-50
LOCATED ON AP 049-221-33
TOGETHER
Owner:
AFRASINBI ALEX
Contractor:
NEWAVE CONSTRUCTION
Address:
1701 CLIFF DR
Address:
769 NEWTON WAY
NEWPORT BEACH CA 92663
COSTA MESA CA 92627
Phone:
949-636-5284
Phone:
949-293-9507
Applicant:
MONROE CORY
Con State Lie:
987857
Address:
769 NEWTON WAY
Lie Expire:
10131/2021
COSTA MESA CA 92627
Bus Lie:
BT30069218
Phone:
949-629-5005
Lie Exp Date:
10/3112020
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Construction Valuation: $1:
Building Permit Fee: $296.00
Plan Check Fee: $257.52
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$14.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $629.24
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Workers Compensation Insurance
Carrier: STATE COMP
Policy No: 9084846
Expire: 0110412021
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 10
Front: 20
Left: 4
Right: 4
Architect: INS p
�OR
Address:Phone: State Lie: - - , •
Engineer: WANKET NEAL
Address: 30095 WILLOW DR
RIVERSIDE CA 92591
Phone:
951-506-6507 State Lic:C-068856 ,
Designer:
RICHART JASON
Address:
1041 W 18TH ST #A106
COSTA MESA CA 92627 ;
Phone:
949-422-9191 .....
Special Conditions
$0.00
Planning Department-
Fire Department
$0.00
Plan check Fee :
$40.00
Fire Inspection:
$0.00
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
$0.00
Public Works Department -
General Service
$0.00
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PAN Plan Check : $0.00
Grading Bond:
$0.00
$20.72
San Dist: $0.00
$0.00
NMUSD Fee: $0.00
$0.00
$0.00
$0.00
Plan Check Fee
: $297.84 Fee Due at Permit Issuance :
$331.40
PUBLIC WORKS APPROVAL:
_
PLAN CHECK BY:
APPROVAL TO ISSUE:
�/
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
.he 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
Drofessions 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
tot 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,
3usiness 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
mprovements 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
'mproved 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 4orm,-Iicensure under the Contractors' State License Law for the following reason:
By my signature helrv,) 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 legalll
sell a shvcture that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and
Professions Case, :s available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signat-re of Property Owner or Authorized Agent Date
I ICENSED CONrRACTOR'S DECLARATION
I hereby affirm Linder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Division 3 of the Business and Prof ssions e, and my license is in full force
and effect. Licer,sa Class License No Date — --Zv Contractor S. itur
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATIIN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I'.nereoy.affirm under penalty of perjury one of the following declarations:
111 have and wh1 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
porformamce of thu AD,k for which this permit is issued. Policy No.
KI 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' compensation
s nee carrier and policy number are:
Policy Number
Date
ame of Agent
�I certify 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' co pensation laws of California, and agree
Iat, if I should become SUN ct to orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant Date -3 — �
iECLARATION REGAR CON TRUCTION LENDING AGENCY
hereby affirm under partly of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 ,Civil Code).
ender's Name Lender's Address
y my signature below, 1 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 In
I ha a provided is correct.
1 agree to comply with all applicable city and coun ordinances and state laws relating to building construction.
I authorize representatives of this city or county ente fte above -identified property for inspection purposes. 1,t ,1
linnature of PrODertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name 62 tl�' `or".G� Zte 02
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
DATE I BY
DECLARATION OF COMPLIANCE WITRrOBE--OF FEDERAL I FOR OFFICE USE ONLY
REGdrATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
CERTIFICATEOF II ,Q� ,1 ] ITFINAL /i/ // PR A58EED DEM TOS TI TION/N IS NO APPLICABLE TO
OCCUPANCY ISSUED .(i V vri l/ SIGN URE: