The URL can be used to link to this page

Home My WebLink AboutX2017-3477 - PermitsCity 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 MECH ELEC PLUM III IIIIIIVIII0 VIII III VIII VIII VIII VIII A II COMB Permit: X2017-3477 Project No : Issued Date: 10/27/2017 Inspection Area : 6 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: 37 AVIGNON NB Description: SFR REMODEL 616 SF (KITCHEN, (3) BATHROOMS) CITY STD PLAN, COPPER RE -PIPE (16) FIXTURES Legal Desc.: N TR 14571 LOT 29 Owner: SPOKOYNY FELIX E Contractor: TREEIUM INC Architect: Address: 37 AVIGNON Address: 5352 LAUREL CANYON BLVD Address: Disabled Access: NEWPORT COAST, CA 92657 Hazardous Mat VALLEY VILLAGE CA 91607 Building Green Fee : Phone: $0.00 Phone: 855-833-8733 Phone: State Lie: Applicant: SHARAFI NIRIT Con State Lic: 617148 Engineer: Address: 5352 LAUREL CANYON BLVD #200 Lie Expire: 04/30/2019 Address: VALLEY VILLAGE CA 91607 Bus Lie: BT30063191 Phone: 855.833.8733 Lie Exp Date: 11/30/2017 Phone: State Lie: Code Edit : 2016 Type of Construction: VB Occupancy Group: R31U 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: X Building Permit Fee: $723.00 Plan Check Fee: $629.01 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 TOTAL FEE: $1,539.11 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9100432 Expire: 06/01/2018 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: l Front: I Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $50.61 $28.92 $65.07 Designer: Address: Phone: Special Conditions: SPECIAL FIRE PRTOTECTION AREA 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 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $1,473.94 Fee Due at Permit Issuance : PUB/ -IC WORKS APPROVAL: 4 ALAN Q'1ECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: a o coe au c e ix s a ova Euo eo $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $65.17 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: Plan Check Fee : $1,473.94 Fee Due at Permit Issuance : PUB/ -IC WORKS APPROVAL: 4 ALAN Q'1ECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: a o coe au c e ix s a ova Euo eo $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $65.17 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 ie 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 (_) all of or (_) 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). 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 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). 1 am exempt from licensure under the Contractors' State License Law for the following reason: iy 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 legall) 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.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 70 0) I n rff the Business and PrQfesskms Code, nd ray lien Is in full force nd effect. License Class License No DateN ontractor Signatu It VORKERS' COMPENSATION DECLARATION IARNING: 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 OST 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: 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 th Isrformance of the work for which this permit is issued. Policy No. have and wialntain 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' rance carrier n policy numbare: ier n - '1 ?olI[y Aumber _. Expiration 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 to the )orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Applicant I hereby affirm under penalty of perj4y that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code) ender's Name Lender's Address ,y 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 county to a r the atl p�,Identified property for inspection purposes. 'innature of PmnerIv Owner or Authorized Apent X \ 1 Print Property Owner's or Authorized Aqent's Na ACTION DATE BY DECLARATION Of.C-OWLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS P RT fit OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIKEU U I SUBMITTED ASBESTOS NOTIFICATION•T" • ` • • • • s ` + � � �• PERMITCANCELLED EPA • : PERMIT EXTENDED qMD ` +• +T PERMITFINAL 11 ASBESTOS NOTIUCATI IS NOTAPPLICABLE TO CERTIFICATE OF •1 zJ PROPOSED'QEM TI N OCCUPANCY ISSUED SIGNATURE: •• +••