HomeMy WebLinkAboutX2017-1209 - Permitsir• IIXIII IAVIII IIuI IIII IIIIVIIIVI VIII III II
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COMB Permit: X�W-12119 °
Project No : 0822-201-7.::
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Issued Date : • e e
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Inspection Area : 3 °
City of Newport Beach - Building Division
654380
Address: 29361 CONEJO ST3
Lic Expire:
100 Civic Center Drive, Newport Beach, CA 92660
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
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Combination Type - SFP
ir• IIXIII IAVIII IIuI IIII IIIIVIIIVI VIII III II
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COMB Permit: X�W-12119 °
Project No : 0822-201-7.::
c
• e
e• n
Issued Date : • e e
• e • e o
Inspection Area : 3 °
Applicant: ALMENDAREZ OSCAR
Con State Lic:
654380
Address: 29361 CONEJO ST3
Lic Expire:
09/3012018
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
- - - - -
• e o ------
BT30043647
Construction
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:
411 RIGEL CIR NIB
Code Edit: 2016
° ° • • ° °
Description:
SFR REMODEL DINING ROOM 70 SF
WIC EXEMPT
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g °"-< "-.a ep rina
Legal Desc.:
TR 4224 LOT 247(AND POR LOT 158 BLK 53
Added /New sq.ft. Bldg: 0
Expire:
Public Works Department -
Added /New sq. ft. Garage: 0
$0.00
Park Dedication :
No of Stories: 2
Building Setbacks
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Owner:
WATSON SCOTT
Contractor: SHOWALTER CONSTRUCTION Architect:''
San Dist:
Left: /
Address:
411 RIGEL CIR
Address: 1791 WHITIERAVE Address:
Flood Zone:
Use Zone: Parking Spaces: 0
NEWPORT BEACH, CA 92660
COSTA MESA CA 92627
Phone:
Phone: 949-673-1645 Phone:
State Lic:
Applicant: ALMENDAREZ OSCAR
Con State Lic:
654380
Address: 29361 CONEJO ST3
Lic Expire:
09/3012018
LAGUNA HILLS, CA 92656
Bus Lic:
BT30043647
Phone: 951-990-4834
Lic Exp Date:
0513112018
Code Edit: 2016
Worker's Compensation Insurance
Type of Construction: V -B
Carrier:
WIC EXEMPT
Occupancy Group: R3/U
Policy No:
(NO EMPLOYEES)
Added /New sq.ft. Bldg: 0
Expire:
Public Works Department -
Added /New sq. ft. Garage: 0
$0.00
Park Dedication :
No of Stories: 2
Building Setbacks
Rear: /
No of Units: 1
$0.00
Front: /
Bldg Height: 0
San Dist:
Left: /
Bldg Sprinklers:
$0.00
Right: I
Flood Zone:
Use Zone: Parking Spaces: 0
11 Construction Valuation: $45.000.00
Building Permit Fee: $642.00
Plan Check Fee: $558.54
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$32.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,272.04
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Engineer:
VENTOCILLAJOSE
Address:
24636 CRESTA CT
Additional Fee:
LAGUNA HILLS CA 92653
Phone:
949-910-0942 State Lic:C-047942
Designer:
ALMENDAREZ OSCAR
Address:
29361 CONEJO ST3
Grading PC Consultant :
LAGUNA HILLS, CA 92656
Phone:
951.990-4834
Special Conditions
Excise Tax:
$0.00
Planning Department -
$37.50
Additional Fee:
$0.00
Plan check Fee
Fire Plan Rev
Grading Bonds Fee:
$0.00
Fair Share:
Grading PC Consultant :
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Refund Deposit
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check :
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee
$596.04 Fee Due at Permit Issuance : $676.00
PUBLIC WORKS APPROVAL:.
PLAN CHECK BY:
APPROVAL TO ISSUE:
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
$596.04 Fee Due at Permit Issuance : $676.00
PUBLIC WORKS APPROVAL:.
PLAN CHECK BY:
APPROVAL TO ISSUE:
•-Ci"ER-BLJIl R DECLARATION
• I hereby affirm uRder 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)
(6ection.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
Me p9hit to file 8 sigpad 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
Prib esSipns Co fte ttpt 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
not mare than five hundred dollars ($500).
211!2s owner pf the property, or my employees with wages as their 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 owner of property who, through employees' or personal effort, builds or improves the property, provided that the
ippioveBlents are Trot 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 AWES not built or
ipiptoveQ for the, Qgrpqt of sale).
J,.4%owner of the ploperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
2pp)ytp9n ownQr gi'ptQperty who builds or improves thereon nd t
s for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' Sta L' ens following reason:
By my signature below I acknowledge that, except for my a nal 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 h t beed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of he B siness and
Professions Code, is available upon request wh n isp catio r at the following Web site:http://www.leginfo.ca.gov/calaw, himl.
Signature of Property Owner or Authorized Agen Dat f51RD
LICENSED CONTRACTOR'S DECLARATIO
I hereby affirm under penalty of perjury that I am licencod 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 effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: 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 ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 8705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
performance of the work for which this permit is issued. Policy No.
❑I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol
insurance carrier and policy number are:
Policy Number
Date
e of Agent—i-none s
ertify that, in the perfor an of o for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compen ation laws of California, and agre
i, if I should become subj ct o the rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. \ —
natureofApplican D
CLARATION REGA ONS CTION LENDING AGENCY
Ireby affirm under pena of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the pro ow er's
I have read this application and the information I have r ided'a ec 7
I agree to comply with all applicable city and county ' antes d at a laws relating to building Construction. y//� ( zZfi
I authorize representatives of this city or cou y n r the ve' ntified property for inspection purposes. e'y� /�1$,�� je Dat
nature of Prooertv Owner or Authorized ADent /�l� Print Property Owner's or Authorized Agent's Nam@
ACTION DATE BYREGULATI 9W0F COMPT 61 LIANCE
4TH CODE AQ OF FEDE
LE
I FOR OFFICE USE ONLY
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1403
PERMIT EXPIRED
PERMITCANCELLED
CERTIFICATE OF
OCCUPANCY ISSUED
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