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HomeMy WebLinkAboutX2018-0488 - Permits (2)City of Newport Beach -Building Division IIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2018-0488 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 0 4 6 a Project No Permit Counter Phone (949)644-3288 N v n �nsp on Requests Phone (949)644-3255 Issued Date: 02/20/2018 c s nx� Combination Typ@.- SFZPLUM ELEC rea : 6 i ;� PERMITS EXPIRE. 180 DAYS AFTER ISSUANCE OR Lr� T,�1((�!!pp ION. Construction Hours: Monte -fit cTdj 7OUa.m. to�:30 p.m. and Saturday from 8!00`Otir9'tb )'m1. No work on Sunday orI Job Address: 19 RENATA NB Description: SFR-STUCCO/SFf AR QUA PLUC LECsXracy JFTQJ9& 3ti:u'i ❑ 80% or 100% refund ' Legal Desc.: N TR 15488 LOT 5^j RE' Owner: MATINPOUR HAM/ 0tC tp�C 1J>�91� Address: 19 RENATA Address. 4955 E. HUNTER AVE Address: I NEWPORT BEACH SCA 92657 ANAHEIM CA 92807. Phone: 949-279-8601,: Phone: .State ic: Applicant: OAKWOOD CONS UC EXP[Fo Engineer: HELFRICH STEVEN Address: 4955 E. HUNTER A E .Address: 30fi40 KRISTIN CT ANAHEIM CX9280 Bus Lic: - REDLANDS CA 92373 Phone: 714-529-8300ir Lic Exp Dater 02/28/2018 Phone: 909-389-7316 State icI;-0 Code Edit: �1fi Worker's Comp sation Insurance * Designer: '. Type of Construction x!9 Li 0 `meq Iic N 028 O 783 STA O d g,�,,,. Occupancy Group: F9IU �,a' 1@iIan Added /New sq.ft. Bldg Expi 07/0112018 I ha, Added /New sq. ft. Garage ):: (work Started (no N/Or�( �Wgmio No of Stories: 2 1,_.. Building Setbac s Rear pe ' s: y'� No of Units: 1y: Front T - Bldg Bldg Height 0�Ir1'�e; Left / Bldg Sprinklers: q Flood Zone: Use Zone: Parking Spaces: 0 Fire HagaEq Zone : N eae• Construction Valuation: a e Bomb - • __-_____,�� e 0 o• • ma••oo • • a' e o • •• 0 0 m . • o $112.00 o• 0 •• e Planning Department- m o m o 0 o mm o m n Additional Fee : •• c emmm Fire Inspection: 0 0 00000 occc o Grading Bonds Fee: 00000 e Fire Plan Rev - $0.00 e mom oo Investigation Fee: $0.00 coon am m 0 0 Demolition Fee eoomoa Construction Valuation: t 2 55 0.dd'- - • __-_____,�� e • Building Permit Fee: $112.00 Excise Tax: $0.00 Planning Department- Plan Check Fee: $97.44 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Cki $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev - $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans': $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNd Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %•: $7.84 San Dist: - $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $10.08 $0.00 TOTAL FEE : $228.36 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $226.36 -. PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: l GRADING APPROVAL: APPROVAL TO ISSUE: DECLARATION 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) action 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 DiviAM 3 61 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 U all of or (_) 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 )rovemenls 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). am exempt from licensure under the Contractors' State License Law for the following reason: 11 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 improvemASectlon p r it, I cannot legally a stmcturethat 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 lusiness and Ifessions Code, is available upon requestwhen this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of Property Owner or Authorized Agent LENSED COgIUCTOR'S DECLARATIONneby affirm under enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 of Division 3 of the Business and Profesense is in full force 1 effect. License �Tass License No Dat — 4 a (Sf Contractor Signature )RKERS' COfPENSATION DECLARATION tNINO. 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 i1•qF•dbMPENSATI8N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Ireby affirm ugderpboalty 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 thi "nce of W4 Mkfor which this permit is issued. Policy No. .. ham . and will rrlain.tain workers' compen4atttM Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' cdmpensatior deans® carrier and policy number ar , Tier • • • • Policy Number Expiration Date certify that, Al ilie.pZW for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co nsation laws of alifornia, and if I should become compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ''7 lature of Applicant Date v< ��`� 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 folloAprw I am the property owner or authorized to act oehalf. I have read this application and the informatiorect. I agree to comply with all applicable city and ctate laws relating to building construction.I authorize representatives of this city or countentified property for inspection purposes.. _ . _ . .. . .. ,....- __ X� /,E.e W 111 F lAiil Vvt n�re PERMITEXPIRED DATEDECLAMATION OF CMPLIANCE WITH CODE OF FEDE I BY I REGULATIONS PATO 61 OF TITLE 40 AND AQMD RULERAL I FOR OFFICE USE ONLY ASBESTOS PERMITFINAL IVASBESTOS NOTIFICIX APPLICABLE TO CERTIFICATE OF OCCUPANCY SUED SIGNATURE . 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