HomeMy WebLinkAboutX2019-0445 - PermitsCity of Newport Beach - Building Division *X2019-0445*
Building Permit Fee: ..$636.00
COMB Permit: X2019-0445
Plan Check fee: $553.32.
Additional Fee
Overtime Plan Ck $0.00
d 100 Civic Center Drive, Newport Beach, CA 92660
Fair Share :
Investigation Fee: $0.00
Project No : 0326-2019.
1
$0.00 -
F 1 Permit Counter Phone (949)6443288
Grading Permit Fee:
$0.00
Energy Compliance:. $0.00
'...
Inspection Requests Phone (949)644-3255
'.:
CA Seismic Safety: $0.00
WQ Insp. Fee:
Issued Date :0211212019
j
Combination Type - SFP ELEC MECH PLUM
Park Dedication :
Hazardous Mat - $0.00
Electrical %m:
Building Green Fee : '$2.00
Mechanical%:.
Inspection Area : 8
Plumbing %:
- PERMITS EXPIRE
180 DAYS AFTER ISSUANCE OR LAST
VALID INSPECTION.
-
$000
Construction Hours: Monday - Friday 7:00 a.m. to 8:30 p.m. and Saturday from 8:00
a.m. Yo 6:00 p.m. No work
on Sundays or Holidays
Job Address: 3 THUNDERBIRD DR NB
Description: _SFR KITCHEN REMODEL 200 SF
Legal Desc :. N TR 15390 LOT 35
Owner: DAY PAUL Contractor:
R J CONSTRUCTION
Architect
a
'koo
Address: :.3 THUNDERBIRD DR Address:
6102 E PASEO RIO VERDE
Address:
NEWPORT BEACH, CA. 92660
ANAHEIM HILLS CA 92807
Phone: - Phone:
714-981-6569
Phone:
State Lia:
Applicant: SOSKIN MARK Con State Lie:.
- 928192 -
Engineer: RADVAR SHAHROKH
Address: 6412 TULAQI ST Lie Expire:
06/30/2020
Address: • 5 HODGENVILLE
CYPRESS, CA 90630 Bus Lic:
BT30060603
IRVINE CA 92620 ....
''..
Phone: 714-240-6780 Lie Exp Date:
.09130/2019
Phone: 714-270-6780
State Lic:C-066139 +»»�+•
Code Edit : 2016 Worker's Compensation Insurance
Designer.
+^ +
m+++s
.Type: of Construction: V -B Carrier.
CALIF INS
Address:
° ++
Occupancy Group: R31U Policy No;
4685340001
Added /New sq.ft.. Bldg: 0 Expire:
04/0112019
Phone:
Added/New sq. ft. Garage: 0
No of Stories: 2 Building Setbacks
Rear:. I
Special Conditions:
mo
°+ +
No of Units: 1
Fronk /
m m -m
mmsem
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
Flood Zone: Use Zone: Parkina Soaces: 0
Fire Hazard Zone :. N
..PROCESSED BY:
ZONING APPROVAL:.
GRADING APPROVAL:
$0.00
Building Permit Fee: ..$636.00
Excise Tax:
Plan Check fee: $553.32.
Additional Fee
Overtime Plan Ck $0.00
Grading Bonds Fee:
Fair Share :
Investigation Fee: $0.00
Grading PC Consultant:
$0.00 -
Record Management : $14.00.
Grading Permit Fee:
$0.00
Energy Compliance:. $0.00
Grading PC Feer
CA Seismic Safety: $0.00
WQ Insp. Fee:
Public Works Department -
Disabled Access: $0.00.
$0.00
Park Dedication :
Hazardous Mat - $0.00
Electrical %m:
Building Green Fee : '$2.00
Mechanical%:.
$44.52
Plumbing %:
$0.00
--LL
TOTAL Flit : $1,372.5
/
r
..PROCESSED BY:
ZONING APPROVAL:.
GRADING APPROVAL:
$0.00
planning Department-
$0.00 ''.
Plan check Fee :
$40.00
$0.00
Fair Share :
$0.00
$0.00 -
SJH Trans :'
$0.00
$0.00
In -lieu Housing Fee;
$0.00
$0.00
Public Works Department -
$0.00
Park Dedication :
$0.00
PMI Plan Check':
$0.00
$44.52
San Dist:
$0.00
$2544
:NMUSD Fee:
$000
$57.24
Plan Check Fee: $593.32
PUBLIC WORKS /
PLAN CHECK BY:
APPROVAL TO IS;
Fire Department
Fire Inspection::
Fire Plan Rev
Demolition Fee.
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Fee Due at Permit Issuance
smmmac
m mm m c
1 O C m02S
Bolo
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$779.20
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)
lection 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 th6 applicant for
Ie 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
'rofessions 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
of more than five hundred dollars ($500).
3 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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
nprovements 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
n 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 --.
pply 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:
y: 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, Icannot legally
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi.
ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000 Iwsion 3 of the Business and Prof I�e;,and my license is in full force
nd effect. License Class License No Date . /21� Contractor Signature `L.
✓ORKERS' COMPENSATION DECLARATION 1�
ARNING:-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 ($100,000), IN ADDITION TO THE
PA -F PIfOMPENSIATIOg,115 MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hgreby affirm unddr pelialty of perjury one of the following declarations:
n I leave and will •maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi
V
ce of tj1$ yvprll'.for which this permit is issued. Policy No.
and will xmaiut�in 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' compensatior
U carrieGand.poiicy number are:
n.rrd. • • � • Pohcu plumber Expiration Date
191 certify that, in itie perfprma M wor r which this mit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
V,ffPl**ould bep a Sub' to t work ' compensat visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
....
signature of Ar ft- Date 2r � 21 (e?
)ECLARATION REGA IO
TN L G AGENCY
hereby affirm under pnalty 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).
.ender's Name Lender's Address
3y,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. Q e�
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county or ' and state laws relating to building construction. 2,
I authorize representatives of this city or cou ter the ve-id '' d property for inspection purposes.
signature of Property Owner or Authorized Agent Print Property riz
Owner's or Authoed Agent's Name Date/
ACTION DATE BY N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIREDI SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
CERTIFICATEOF q�' I Jf �" I� SIGNATURE: ITFINALO EMOLITIO NOTIFICATION IS NOT APPLICABLE TO
OCCUPANCY ISSUED
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