HomeMy WebLinkAboutX2018-1263 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288 .
Inspection Requests Phone (949)644-3255
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COMB Permit: X2018-1263
Project No : 0380-2018
Issued Date : 0413012018
Inspection Area : 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 or Holidays
Job Address: 2607 ALTA VISTA DR NB
Description: SFR PEX RE -RIPE (19) FIXTURES
Legal Desc.: N TR 4893 LOT 109
Owner:
BAKER TOMIMADELINE
Contractor:
A -RISING BUILDERS INC
Architect:
Address:
2607 ALTA VISTA DR
Address:
1711 WHITTIER AVE
Address:
Disabled Access :
NEWPORT BEACH, CA 92660
Hazardous Mat
COSTA MESA CA 92627
Building Green Fee :
Phone:
$0.00
Phone:
949.386.2356
Phone: State Lie:
Applicant:
A -RISING BUILDERS INC
Con State Lic:
785812
Engineer:
Address:
1711 WHITTIER AVE
Lie Expire:
05101/2019
Address:
COSTA MESA CA 92627
Bus Lie:
BT30068321
Phone:
949-386-2356
Lie Exp Date:
03/31/2019
Phone: State Lie:
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R31U
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:
Construction Valuation: $6.000.00
Building Permit Fee: $157.00
Plan Check Fee: $0.00
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: $172.13
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9055066
Expire: 05101/2018
Building Setbacks Rear: I
Front: I
Left: I
Right: I
Excise Tax:
$0.00
Additional Fee:
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant:
$0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WO Insp. Fee:
$0.00
Electrical %: $0.00
Mechanical %: $0.00
Plumbing %: $14.13
Designer:
Address:
Phone:
Special Conditions:
Planning Department -
Fire Department
Plan check Fee:
$0.00
Fair Share
$0.00
SJH Trans
Fire Plan Rev
In -lieu Housing Fee
$0.00
Public Works Department -
Park Dedication :
$0.00
PM Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $172.13
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Fire Department
$0.00
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
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $172.13
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PLAN CHECK BY:
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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) -
Iction 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
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
Ifessions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages 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,
ainess 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
)rovements 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
)roved for the purpose of sale).
1;='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
)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:
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
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
Ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
nature of Property Owner or Authorized Agent Date
TENSED CONTRACTOR'S DECLARATION
:reby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) qf ivision 3 of the Business and Pro a o , and y license is in full force
teffect. License Class License No Date. L — ionContractor Signature
?RKERS' COMPENSATION DECLARATION
INING: 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 ($700,000), IN ADDITION TO THE
IT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
ifeby 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 the
(ormance of the work for which this permit is issued. Policy No.
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have and willmai fain 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
uance carrier and 'cy number a, e.
Tier Number Expiration Date
Te of Agent Phone #
certify that, in the erformance of the w w ch 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
I, if I should become s ject to the c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicants
CLARATION REGARDI�RS&ION LENDING AGENCY I
;reby 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 ?rr:eI agree to comply with all applicable city and county ordinan andaws relating to building construction./�I authorize representatives of this city or county tenter' a ab ied property for inspection purposes. //_3c
—furs of PrnnaAu numar nr Aufhnri7ad Anan} x Print Pmnertv Owner's or Authorized Acent's Name V 1�jM A- Vt /Y✓T i _ Date
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY -
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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PERMITEXPIRED
0 1 SUBMITTED ASBESTOS NOTFI(ATION TO
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