HomeMy WebLinkAboutX2017-3875 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
..-- N.. Inspection Requests Phone (949)644-3255
e�nuM*b Combination Type - BLDG ELEC PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2017-3875
x 2 0 1 7 3 8 7 5 Project No: 2714-2017
Issued Date : 01/10/2018
Inspection Area : 1
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: 1509 E BAY AVE NB
Description: SFR LANDSCAPE IMPROVEMENTS (PLANTING, IRRIGATION, GASLINE TO BBQ, FIRE PIT, PIZZA OVEN) WITH HARDSCAPING (X2017-3875)
Legal Desc.: BALBOA TR EAST SIDE ADD LOT 4 BLK 24 ALL -INC S112ABAN ST ADJ ON
Owner:
ROBIN RICHARD AND NURIT
Address:
1509 E. BAY AVE
Bus Lie:
NEWPORT BEACH, CA 92661
Phone:
0212812018
Applicant:
RAUCH ERIC
Address:
415 30TH ST. STE B
Front: /
NEWPORT BEACH, CA 92663
Phone:
949-566-9133
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units: 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Contractor: PRESTIGE BUILDERS
Address: 415 30TH ST, STE B
NEWPORT BEACH CA 92663
Phone: 949-566-9133
Con State Lie:
731545
Lie Expire:
0113112019
Bus Lie:
BT01032001
Lie Exp Date:
0212812018
2016 Worker's Compensation Insurance
Carrier:
STATE COMP INS FUND
U Policy No:
9038275-15
0 Expire:
01/01/2019
0
CA Seismic Safety:
Building Setbacks
Rear: /
$0.00
Front: /
$0.00
Left: /
$2.00
Right: /
Building Permit Fee: $592.00
Plan Check Fee: $515.04
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$6.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,247.26
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Architect
Address:.,,_
$0.00
Planning Department -
Phone:
State Lie:
...1
Engineer:
Fire Plan Rev
Grading Bonds Fee:
Address:
Fair Share
Grading PC Consultant:
$0.00
SJH Trans
Phone:
State Lie:
$0.00
Designer:
BROONER KARI
Grading PC Fee:
Address:
981 HAWTHORNE CT
-
$0.00
SAN MARCOS CA 92078
--
Phone:
714.488-8096
PAN Plan Check :
$0.00
Electrical %:
$41.44
Special Conditions: LIQUEFACTIONA AREA
I
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 %:
$41.44
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$53.28
Plan Check Fee : $552.54 Fee Due at Permit Issuance : $694.72
P < ,PUB I�IC'WORKS APPROVAL:
o r o 0
PLAN CHECK BY:
° '0API1K VAI_ TO ISSUE:
c� o c o o c0c c e
d o
c o o
000 ora uo o « ooe 000
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
Plan Check Fee : $552.54 Fee Due at Permit Issuance : $694.72
P < ,PUB I�IC'WORKS APPROVAL:
o r o 0
PLAN CHECK BY:
° '0API1K VAI_ TO ISSUE:
c� o c o o c0c c e
d o
c o o
000 ora uo o « ooe 000
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
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
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 `) 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
improved 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
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 legally
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.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00 of Dis] 3,ef the Business and Profes io ode, a� lice9pe is in full force
and effect. License Class License No Date ,6 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 ($700,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 tht
3erfDrrnance of the work for which this permit is issued. Policy No.
and witintain 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'
carriers d olicv number are:.
Date
Of
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 agre(
, if I should become subject
/tothe worker pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lature of Applicant// Dia JAW/ S
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
Ider's Name Lender's Address
my signature below, I certify to each of the following:
1 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 countzyto�ete
nr a above-[ Ified property for inspection purposes. q 1
nature of Prooertv Owner or Authorized Acent V,�"� Print Prooertv Owner's or Authorized ADent's Name
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 • ••• • ••• •••
PERMIT EXPIRED 0 SUBMITTED ASBESTOS NOTIFItA ONTO
PERMIT CANCELLED EPA • • •+ • + •• •"
PERMITFINAL P4—r-.. L -I ASBESTOS NOTIFICATION IS NOT APPLICABLE TO�
CERTIFICATEOF �'�—i� ,rpW PROPOSED DEMOLITION +• ••• • " •••
OCCUPANCYISSUED
Oji. SIGNATURE:
Civil Code).
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I.A41125