HomeMy WebLinkAboutX2019-3629 - Permitsrw rfk_ 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 ELEC MECH PLUM
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COMB Permit: X2019-36
Project No : 2491-2019
Issued Date : 1111312019
Inspection Area : 5
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 45al WAYNE RD NB
Description: SFR - KITCHEN 8 BATHS ALTERATION 443 SF
Legal Desc.: N TR 3519 LOT 110 I N S 1b/^ E
Owner: DE CARRIER JOHN Contractor: CARROLL RONALD L GEN CONTRACTORS INC Architect:
Address: 7642 W IRVINE PARK RD
NORRIDGE IL 60706
Phone: 847-343-2234
Applicant: JEHEBER ROD
Address: 410 32ND ST STE 202
NEWPORT BEACH CA 92663
Phone: 949-723-4393
Code Edit : 2016
Type of Construction: V-B
Occupancy Group: R31U
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:
Flood Zone: X
Construction Valuation:
$35,500.00
Building Permit Fee:
$592.00
Plan Check Fee: $515.04
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$18.00
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
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Address: P O BOX 7829
HUNTINGTON BEACH CA 92615
Phone: 714-749-0622
Con State Lic:
662756
Lic Expire:
10131/2020
Bus Lic:
ST30069597
Lic Exp Date:
1113012020
Worker's Compensation
Insurance
Carrier:
WIC EXEMPT
Policy No:
(NO EMPLOYEES)
Expire:
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: I
Front: I
Left: I
Right: I
)arkina Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$41.44
$23.68
$53.28
Plan Check Fee
Address:
Phone:
Engineer:
Address:
State Lic:
Phone: State Lic
Designer: JEHEBER ROD
Address: 410 32ND ST STE 202
NEWPORT BEACH CA 92663
Phone: 949-723-4393
Special Conditions
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PM Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$555.04
PUBLIC WORKS
PLAN CHECK BY
APPROVAL TO I:
Zone: N
Fire Department
$40.00
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
Fee Due at Permit Issuance : $730.40
V
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 items)
Section 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
to 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
'rofessions 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved 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
pply 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 for the following reason:
ly 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 legally
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm].
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7Q000 of Division 3 of,Ohe Business and Prof de, 'and m li eis, s in full force
.nd ^f`€c'. License Class License No Date XJ%7. Contractor Signature
VORKERS' COMPEtISATION DECLARATION
L. RIJNG:.-AILURE TO SECURE WORKERS' COMPENSATION COVERAGES UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
'LIST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm ul,uer pa.,alty of perjury one of the following declarations:
3 1 have and v ill 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 thl
erformance of tre work for which this permit is issued. Policy No.
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'
rancc carrier ,and pc'icy number are:
Policy Number
of Agent .
Date
c Ify that, in the pertorma of the work for which the 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
I should become sub c rk/e�rs'ggco6mp/ep§�'�f/I provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Sr �!///!/®aa Sd/ Date
CLARATION REGAIR IN 'CON ENDING AGENCY
�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:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and co rdi n as and state laws relay to building construction.
I authorize representatives of this city or county t ab ve- entJ'fi%d y or inspection purposes. ^n� /�`��,�
mature of Prooertv Owner or Authorized Alien Print Property Owner's or Authorized Aqent's Name. 1yJ1J�! C-A� D3te1
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE I BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL .J FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS
PROPOSED
ISNOTAPPLIPnLE TO
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