HomeMy WebLinkAboutX2015-1590 - PermitsOwner:
ROVSEK DAVID
Address:
216 ABALONE AVE
NEWPORT BEACH CA 92662
Phone:
949-673-1999
Applicant
ROVSEK DAVID
Address:
216 ABALONE AVE
NEWPORT BEACH CA 92662
Phone:
949-673-1999
Code Edit : 2013
Type of Construction:
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: AE
City of Newport Beach - Building Division IIIIII�IIIIIIIIIIIIIIIIIII II COMB Permit: X2015-15E 0
vT� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 5 1 5 9 0 Project No
ti r Permit Counter Phone (949)644-3288
x m Inspection Requests Phone (949)644-3255
Issued Date : 06/08/2015
Combination Type - SFP Inspection Area : 2
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION,
INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED
Job Address: 216 ABALONE AVE NB
Description: SFR/ DRYWALL REPLACEMENT IN LIV RM, 2ND FL SHOWER LATH DUE TO WATER LEAK "WORK IN PROGRESS" ,
Legal Desc.: BALBOA ISLAND SEC 5 BILK 6 LOT 9 p R� 7� 5ts9
State Lic:
State Lic: ;
Contractor: OWN ER/BLDR
Address: ROVSEK DAVID
Phone
Con State Lic: O/B
Lic Expire:
Bus Lic:
Lic Exp Date:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks Rear: /
Front: /
Left: /
Right: /
Use Zone: Parking Spaces: 0
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions: O/B AUTH ATT
C2015-0113
Hazard Zone :
Construction Valuation:
$3 u.ou
Building Permit Fee:
$114.00
Excise Tax:
$0.00
Planning Department -
Fire Department
$0.00
Plan Check Fee:
$0.00
Additional Fee :
$0.00
Plan check Fee : $0.00
$0.00
Fire Inspection:
Fire Plan Rev
$0.00
Overtime Plan Ck:
Investigation Fee:
$0.00
$114.00
Grading PC Consultant :
$0.00
Fair Share :
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
$0.00
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
$0.00
General Service
Refund Deposit
$0.00
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
Disabled Access :
$0.00
P/W Plan Check : $0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist: $0.00
$0.00
Building Green Fee :
$1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
TOTAL FEE : $229.00
Plan Check Fee
: $0.00 Fee Due at Permit Issuance:
$229.00
PUBLIC WORKS APPROVAL:
PROCESSED BY:
ZONING APPROVAL:
PLAN CHECK BY:
}y
GRADING APPROVAL:
APPROVAL TO ISSUE:
Il
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)
(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
the 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
1n-olt more than five hundred dollars ($500).
u 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,
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
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
im 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
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 1 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 legall,
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, Secti n 7044 of the Business and
Professions Code, is available upon request this app1 tion is submi d or the following Web site:http://v�.leginfo.ca.gov/calaw.htmi.
.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Aix
/�,-✓/
LICENSED CON;'U,CTOR'S DECLARATION -
I hereby affirm under p-nalty of perjury that I am licensed 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
sn,( =ffect. License Class License No Date Contractor Signature
NORKERS' COMPENSATION DECLARATION
NNFU'ING:'AILURE 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
: )ST CF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
h�rebg affirm wider pe,lalty of perjury one of the following declarations:
ZI I have and wilt meintain 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 the
Jerrbrmance of the 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'
,ancr carrier end pNicy number are:
Policy Number
of Agent
Date
certify that, 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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date_ _
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
areby 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 provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or c�o�,y�7t(y� toe th above -id ntifie property for inspection purposes.
Iature of Property Owner or Authorized Ag;rx-- Print Property Owner's or Authorized Agent's
At.7kW DATF I BY
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FECERAL REGUL4TIONS PART 61 OF TITLEAO AND
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