HomeMy WebLinkAboutX2020-0972 - Permitswwlraq City 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
Combination Type- SFP
IIIIIIIIIIIIIIIII�IIUIIIIIIIIIIIIIIIIIIIIIIII� IICOMB Permit: X2020-0972
x 2 0 2 0 0 9 7- Project No : 0701-2020
Issued Date: 0411612020
Inspection Area : 2
PERMIT EXPIRES.180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY OR PERMIT WILL BE INVALID
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: 522 RIVERSIDE AVE NB
Description: SFR - SOLID ROOF PATIO COVER 98 SF
Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS LOT 6 BILK 35
Owner:
CEREDA JEFF &GINA
Address:
522 RIVERSIDE AVE
Record Management:
NEWPORT BEACH, CA 92663
Phone:
9491836.4303
Applicant:
RICHELIEU MICHAEL
Address:
3542 CAZADOR LON
Bus Lie:
FALLBROOK CA 92028
Phone:
760-275-4576
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Contractor:
CARDINAL CONSTRUCTION
Address:
3542 CAZADOR LANE
Record Management:
FALLBROOK CA 92028
Phone:
760-275-4576
Con State Lie:
486007
Lie Expire:
06130/2021
Bus Lie:
BT30064845
Lie Exp Date:
10/3112020
2019 Worker's Compensation Insurance
Carrier: STATE FUND
U Policy No: 9244818
0 Expire: 01/26/2021
Construction Valuation: $8.300.00
Building Permit Fee: $359.00
Plan Check Fee: $261.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$6.00
Energy Compliance:
$0.00
CA Seismic Safety :
$1.08
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $668.08
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Building Setbacks
Use Zone:
I SI EG
11
Architect:
APPROVAL TO ISSUE:1
e...
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Address:
$0.00
Planning Department -
Phone:
State Lie:
9538
Engineer:
BIEDENBACH CHRISTOPHER JAMES
..8.
Address:
1201 N TUSTIN AVE
e3ce °
$0.00
ANAHEIM, CA 92807
$0.00
Phone:
State Lic:S-074003
9 a a a d. °o
Designer:
Fire Plan Rev
e..
Address:
$0.00
oo '�
SJH Trans :
o foo'
Phone:
Grading Permit Fee:
Building Setbacks
Use Zone:
Rear: 5
Front: 20
Left: 4
Right: 4
Parking Spaces:
0
Special Conditions:
Fire Hazard Zone : N
APPROVAL TO ISSUE:1
e...
°..o..
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$40.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$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
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PAN 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 : $0.00 Fee Due at Permit Issuance : $668.08
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:1
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1 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)
:cion 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, atter, improve, demolish or repair any structure, prtorto 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 far a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500).
L as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
siness 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 forthe 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 legal
I a structure thaMtrevebuilt 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 Cor%« is.avaflable upon request when this application Is submitted or at the following Web sfte:http:/lwww.leginfo.ca.gov/calaw.htmi. "\
,rWtA of Prgpe(jy Owner or Authorized Agent;, D e
TENSED CONIMCTOR'S DECLARATION '
)reby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profess' n C e m If rise is In full force
teffpct. License Class G-27 G-2�_License No til (, Oh`i Date t�-•1 "1-0 Contractor Signature:
)WERS' ComPERISATION DECLARATION
vaur: FAILURE 70 sEcuRE WORKERS' COMPENSATION COVERAGE IS uNLAWFuL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES up To ONE HUNDRED THOUSAND DOLLARS 19700,000), IN ADDITION TO TH'.
mbyaffirm under penalty of perjury one of the following declarations:
6 babe and wfirmaintain 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 thl
'OrmVice of V* %del( for which this permit is issued. Policy No.
Have and wiltmainfain wgrkers' 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
oro ca (2A icy ngmber are: , ]u �� �j -J �
tier C ' Gt e-7��— Policy Number w'1—t D L"' Expiration Date
ne of Agent IMP • Phone #
certify that, in the performance of the work for which this permit is Issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
, if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date
: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:
1 am the property owner or authorized to act on the property owner's half.
I have read this application and the Information I have pro d is re
I agree to comply with all applicable city and county o Ina stat laws relating to building construction. /
I authorize representatives of this city or county to �.'ajyj', t 0 kI for inspection. purposes.
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