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HomeMy WebLinkAboutX2018-0040 - Permits (2)" City of Newport Beach- gA Building Division �IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIII II dry. 100 Civic Center Drive, Newrjort Beach°gg6O0 o m® X 2 0 1 8 9 0 4 0 rCr Permit Counter Phone (949)144-4280 e e e e - ar Inspection Requests Phone(949)644-3266 ®e ooe ® e c°e e Combination Type - SFP ELEC MECH PLUM O O 00 O e � eo eo e PgRI(QITS E)CPIRf '110 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hobr3: Ubvdaye-mFerid4y7:00e1.`n.etp-6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work Job Address: 2305 REDLANDS DR NB Description: SFR -REMODEL KITCHEN, MSTR BA & CONV CLOSETS INTO BATH 132 SF & CONV 1 -CAR GAR TO LAUNDRY 68 SF Legal Desc.: N TR 3476 LOT 15 Owner: RYPINSKI DONALD F Address: 2305 REDLANDS DR Record Management: NEWPORT BEACH, CA 92660 Phone: $56.00 Applicant: CREEN CHRISTIAN Address: 65 S PINE AVE #27 Hazardous Mat LONG BEACH CA 90802 Phone: 562-743.5932 Code Edit: 2016 Type of Construction: VB Occupancy Group: R3IU Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $367.00 Plan Check Fee: $319.29 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $56.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $892.19 PROCESSED BY: ZONING APPROVAL: Contractor: COVER ALL CONSTRUCTION Address: 8132 FIRESTONE BLVD #902 Fair Share DOWNEY, CA 90241 Phone: 562.256.7993 Con State Lic: 965105 Lic Expire: 08131/2019 Bus Lic: BT30061837 Lic Exp Date: 01/3112019 Worker's Compensation Insurance Carrier: STATE COMP. INS Policy No: 9064717 Expire: 07/11/2018 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: I Right: I 3arkino Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $25.69 $14.68 $33.03 Plan Check Fee: 0 Architect: Address: COMB Permit: X2018-0040 Project No : 0027-2018 Issued Date: 0111 Inspection Ari Phone: State Lic: Engineer: Address: Phone: State Lic Designer: GREEN CHRISTIAN Address: 65 S PINE AVE #27 LONG BEACH CA 90802 Phone: 562.743.5932 Special Conditions Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee Building Dept Adm Public Works Department - Park Dedication : $0.00 PMI Plan Check : $38.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $394.79 Fee Due at Permit Issuance : $497.40 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: Fire Department $37.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $394.79 Fee Due at Permit Issuance : $497.40 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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 beloMby-thl c7dbkmafk(s) I Aave placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demoLh; or repairany structute�, prigq-tp its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law•(Ch&lA4r 9 (commencing wlttJ Section 7000) of Division 3 of the Business and Professions 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 not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the vIcrk,:dhd the $Quctirill is notjrRerfdet or offered for sale (Section 7044, Business SO Professions Code: The Contractors' State License Law does not apply to an owner of property who, through empioyeos' or personal effort, buds (V 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 compI946n, Zhe.OwnerJuiltlaravill have the burden of proving that it was not built or improved for the purpose of sale). , _ ❑ 1, as ovAer 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 legal 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 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION1) I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00 D'vl 0 3 of the Business and Professions od' amend my license is in full force and effect. License Class License No Date Ii Contractor Signatur WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P, NAL' ES AND CIVIL FINES UP TO ONE HUNDRED TH USAN DOLLARS ($100,000), IN ADDITION TO TH COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty 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 )e((((((rf mance of the work for which this permit is issued. Policy No. an 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' compensatior n ante carrier and policy number are: ,arrier Policy Number Expiration Date Jame of Agent Phone # 71 certify that, in the performanceof the wor 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 agree hat, if I should become subject to the work ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant- Da )ECLARATION REGARDI ONST ION LENDING AGENCY hereby affirm undeup ally of perju III& there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ i Code). -ender's Name Lender's Address 3y my signature below, I certify to Oach 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 provided is Cor t. I agree to comply with all applicable city and county ordinances an s laws relating to building construction. I authorize representatives of this city or county to enter the abo d f led property for inspection purposes. _ 3i nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name i `te ACTION - DATE BY �2ECLARAT N COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULAT ONS PART 610E TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT FINAL /'rJ2 ��/ _ `� 1 �ASBEST SNO IFICA IS NOT APPLICABLE TO CERTIFICATEOF (,� G `/ OCCUPANCYISSUED SIGNATURE.