HomeMy WebLinkAboutX2018-0235 - Permitswro� City of Newport Beach - Building Division
r 100 Civic Center Drive, Newport Beach, CA 92660
NP,,vr ;Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
ca Combination Type - SFP
IIIIIIIIillillIIIIIIIIIIIIlillilIIIIIIIIIIIIIIIIIII (lCOMB Permit: X2018-0235
x 2 0 1 8 0 2 3 5 Project No : 0204-2018
Issued Date : 0311212018
Inspection Area : 6
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: 37 AVIGNON NB
Description: SFR ALT, REMOVE (2) WINDOWS INSTALL SLIDING DOORS, INCREASE GARAGE DOOR WIDTH
Legal Desc.: N TR 14571 LOT 29 �.�.
Owner:
SPOKOYNY FELIX
Address:
37 AVIGNON
Bus Lie:
NEWPORT COAST, CA 92657
Phone:
11/30/2018
Applicant:
ZONOUZ ALI
Address:
6302 OWENSMOUTH
Front: I
WOODLAND HILLS CA 913657
Phone:
747-265-0079
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height:. 0
Bldg Sprinklers:
Flood Zone:
Contractor: TREEIUM INC
Address: 5352 LAUREL CANYON BLVD
VALLEY VILLAGE CA 91607
Phone: 855.833-8733
Con State Lie:
617148
Lie Expire:
04/30/2019
Bus Lie:
BT30053191
Lie Exp Date:
11/30/2018
2016 Worker's Compensation Insurance
VB Carrier:
STATE FUND
R31U Policy No:
9100432
0 Expire:
06/0112018
0
CA Seismic Safety:
Building Setbacks
Rear: I
$0.00
Front: I
$0.00
Left: I
$1.00
Right: I
Construction Valuation: $20.000.00
Building Permit Fee: $367.00
Plan Check Fee: $319.29
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
, $22.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $746.79
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Excise Tax:
$0.00
Planning Department-
Architect:
HEFNER CHARLES
=Fr'
?00
Additional Fee: ,"
Address:
6320 VAN NUYS BLVD #225
j
$37.50
Fire Inspection:
VAN NUYS CA 91401
C'-;
Phone:
818.997-1030 State Lic:CO23963
s
o
$0.00
Grading PC Consultant :
_
• n
6 ° C
Engineer:°_,.°
$0.00
Demolition Fee
•• c
Address:,o
$0.00
E'i'�4G•
gra;
° °
°
$0.00
Building Dept Adm
b ,,yyDD
0 0
Phone:
State Lie:
General Service
$0.00
WO Insp. Fee:
$0.00
Park Dedication :
Designer:
ZONOUZALI
i'�•°
OOC"O
Address:
6302 OWENSMOUTH
P/W Plan Check :
$0.00
WOODLAND HILLS CA 913657
$0.00
Electrical %:
Phone:
747-265-0079
$0.00
°°°°oo
•° °°�'
$0.00
NMUSD Fee:
$0.00
e o
e°oo
Special Conditions:
Plumbing %:
$0.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Additional Fee: ,"
$0.00
Plan check Fee:
$37.50
Fire Inspection:
$0.00
Grading Bonds Feer
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant :
$0.00
SJH Trans `.
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
WO Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
P/W Plan Check :
$0.00
Grading Bond:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
Plan Check Fee:
$356.79
Fee Due at Permit Issuance :
$390.00
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 thT4ppligable 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 Iequlres 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,
6iness 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
HOvements 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).
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
)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 exerpot'fFft licensure under the Contractors' State License Law for the following reason:
my signature tSbw 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 Iegall�
64 structure that 4 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
ifedSions *08,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
; ASED CQNTI;ACTOR'S DECLARATION
Ireby affirmandet enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of of the Business and Profs deLnd cense is in full force
4q*ct. License lass License No Date Contractor Sig nature
)RIKERS'60MM
.fNSATION DECLARATION
4]WG: 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 ($100,000), IN ADDITION TO THE
IT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
:rebs affirm�gIJ%r,*naIty of perjury one of the following declarations:
644ve 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
fgrQi2nce of ft WbEk for which this permit is issued. Policy No.
• ••
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' compensatiol
irance carrier and policy number are:
Policy Number Expiration Date
of Agent Phone # _
I certify that, in theXub't
f work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' ompensation la of California, and agree
t, if I should become orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.nature of ApplicantoCLARATION REGNS U T DINGAGENCYIreby affirm underrjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 97, Civil Code).
lder'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 pro ' 1 correct.
I agree to comply with all applicable city and count a ce d state laws relating to building construction.
I authorize representatives of this city or county o -identified property for inspection purposes. //�//I ,
nature of Prooertv Owner or Authorized Acent �!a L. i ..e Print Property Owner's or Authorized ADent's Name 4ft1 ` e (Dtn✓ate 3�
ACTION DATE BY/ I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED UI SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
PERMITFINAL Q j'� 1 ESTOSN IFI 10 IS VT APPLICABLE TO
CERTIFICATE OF 1 1 w✓ PROPOSEDD
OCCUPANCYISSUED It l SIGNATURE: !a _ A. �r�
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