HomeMy WebLinkAboutX2016-2408 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
u Inspection Requests Phone (949)644-3255
F4 Combination Type - MFP
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2016-2408
x 2 0 1 6 2 4 6 6 Project No :
Issued Date : 0 712 0/2 01 6
Inspection Area : 4
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED'
Job Address: 52 RIDGELINE DR NB C %
8 OR
Description: MFR - R/R (12) WINDOWS, LIKE FOR LIKE (CITY STD) �?=
Legal Desc.: TR 9858 LOT 6 UNIT 61 OF PROJECT LOCATED ON AP 461-131-39 TOGETHER
Owner:
JOZI REZA
Address:
52 RIDGELINE DR #61
Phone:
NEWPORT BEACH, CA 92660
Phone:
714-742-6600
Applicant:
JOZI REZA
Address:
52 RIDGELINE DR #61
Lic Exp Date:.
NEWPORT BEACH, CA 92660
Phone:
714-742-6600
Code Edit: 2013
Type of Construction: V -B
Occupancy Group: R3
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
11 Construction Valuation: $
Contractor:
OW NER/BLDR
Address:
JOZI REZA
Phone:
Con State Lic:
0/8
Lic Expire:
$0.00
Bus Lic:
$0.00
Lic Exp Date:.
$0.00
Worker's Compensation Insurance
Carrier:
Fair Share
Policy No:
Investigation Fee:
Expire:
Grading PC Consultant :
Building Setbacks
Rear: /
$0.00
Front: /
$2.00
Left: /
$0.00
Right: /
Use Zone: Parkina Soaces:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions: O/B AUTH ATT
Building Permit Fee:
$138.00
Excise Tax:
$0.00
Planning Department -
Plan Check Fee:
, $120.06
Additional Fee :
$0.00
Plan check Fee
$0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share
$0.00
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans
$0.00
Record Management:
$2.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
$0.00
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access :
$0.00
PAN Plan Check :
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee :
$1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $298.56
BY:
ZONING APPROVAL:
GRADING APPROVAL:
State Lie:
State Lic:
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Plan Check Fee : $0.00 Fee Due at Permit Issuance: $298.56
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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Fire Department
$37.50
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: $298.56
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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N
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)
(Sectio 70315, 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
the p it 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
Pro ssions Code) or that he or she is exempt from Iipensure 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
n more than five hundred dollars ($500). —/l—"/ 1 j
I, as owner of the property, or my employees with wages as thein sole Compensation, will do](�) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an ow r of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements 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
improved 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 from licensure under the Contractors' State License Law for the following reason:
By 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 legallt
sell 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 44 of the Busir s and
Professions Code, is available upon request whe thi lication is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. �v /
Signature of Property Owner or Authorized Agan
LICENSED CQN4fZ3%CTOR'S DECLARAT N
I,hereby- ffirm undenpenalty of perjury that a icensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and -West. License&lass License No Date!!�J __1�( Contractor Signature
kDRIORS' COMPENSATION DECLARATION 7 hV �j
IARNING!FAILURE TOISECURE 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
COST HP COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
,h@jeb%affirm LnVpl p ynalty of perjury one of the following declarations:
❑ 1 have and will.mointain 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 IN
..
Jerfor.m.ance of ihrr.work for which this permit is issued. Policy No.
,m 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
sranoe carrier and eelicy number are:
Policy Number Expiration Date
$fAg )rpt .... Phone#
certify t At, 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' compensation laws of California, and agre
t, if I s uld become subject to the workers' compensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. .+� �� /
n re of Applica t /
LARATION RE&WWzONSTRUCTION LENDING AGENCY
Ireby 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 provide rrec
1 agree to comply with all applicable city and county or ces ands a laws relating to bui truction. /
authorize representatives of this city or county ter the above= entifi y for inspection purpose .
nature of Property Owner or Authorized Ag;<hL% Print Property Owner's or Authorized Agent's N4011(__ Da
TION DATE B DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITFINAL /221 Q l
CERTIFICATE OF t�N j2'v
OCCUPANCYISSUEO 1 ✓V 1
I SUBMITTED ASBESTOS NOTIFICATION TO
DEMOLITION
IS NOT APPUWBLE TO
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