HomeMy WebLinkAboutX2018-2493 - PermitsCity of Newport Beach - building Division *X2018-2493* COMB Permit: X2018-2493
a 100 Civic Center Drive, Newport Beach, CA 92660
H' `•:, Permit Counter Phone (949)644-3288 Project No: 1990-2018
4nspection Requests Phone (949)644-3255
Combination Type - MFP ELEC Issued Date: 08/27/2018
- Inspection Area : 1
TOTAL FEE: $882.88
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$408.99 Fee Due at Permit Issuance: $473.89
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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: 1421 112 W BAY AVE NB
Description: MFR REPAIR EXTERIOR STAIRS `LIKE FOR LIKE" AND ELEC
PANEL 200 AMPS
Legal Desc.:
Owner: BRYSHAANDRE
Contractor:
OWNER/BLDR
Architect:
•°W"
Address: 1421 1/2 W BAY AVE
Address:
BRYSHA ANDRE
Address:
• °
NEWPORT BEACH CA 92661
Phone: 949-254-3296
Phone:
Phone:
State Lie:
_71
Applicant: BRYSHA ANDRE
Con State Lie:
OIB
Engineer:
9
ALLEN THOMAS CHRISTOPHER
Address: 1421 1/2 W BAY AVE
Lie Expire:
Address:
2 VENTURE 9400
NEWPORT BEACH CA 92661
Bus Lie:
IRVINE CA 92618
Phone: 949-254-3296
Lie Exp Date:.
Phone:
949-477-4001 State Lic:S-005460
°
Code Edit: 2016
Worker's Compensation Insurance
Designer:
LOEBIG BRIAN
®• • ° °
Type of Construction: V -B
Carrier:
Address:
1955 SHERINGTON PL
oomoo°
Occupancy Group: R3
Policy No:
NEWPORT BEACH, CA 92663
Added /New sq.ft. Bldg: 0
Expire:
Phone:
714-793-3022
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: I
Special Conditions: OWNER/BLDR FORM ATTACHED
No of Units : 2
Front: I
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
Flood Zone:
Use Zone: Parkin S aces: 0
Fire Hazard Zone : N
Construction Valuation: $24.000.00
Building Permit Fee: $427.00
Excise Tax:
$0.00 Planning Department -
Fire Department
Plan Check Fee: $371.49
Additional Fee:
$0.00 Plan check Fee :
$37.50 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00 Fair Share :
$0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant:
$0.00 SJH Trans :
$0.00 Demolition Fee
Record Management: $16.00
Grading Permit Fee:
$0.00 In -lieu Housing Fee:
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00 Public Works Department -
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00 Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access: $0.00
PM Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$29.89 San Dist:
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00 NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $882.88
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$408.99 Fee Due at Permit Issuance: $473.89
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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 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 5Nt a 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 ci*],penalty of
not more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
Kroved for the purpose of sale).
ha, ss owner of the property, am exclusively contracting with licensed Co tors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who c Iffitmfts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exemptknomlicensure under the Contractors' State License L f the following reason:
By my signature 4)ebw1 acknowledge that, except fol my personal ce in which I ust have resided for at least one year prior to completion of the improvements covered by this permit, I can t legalll
g�lj a,SQucture tFlat j Gave built as an owner -builder ='t has not e o stce m in its ntirety by licensed contractors. I understand that a copy of the applicable law, Section 70 of the siness nd
Professions Code, -Is available upon request when Is applica' s i d r at e o lowi Web site:http:/lwww.leginfo.ca.gov/calaw.html.
Signature of Properfy Owner or Authorized Agen Date
UCEAED CONTRACTOR'S DECLARAT N
I hereby affirm yRderp$nalty of perjury that I am licensed under provisiol f Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C de, and my licens is in full force
@ne gVect. License Class License No Date Contractor Signature
IKQRKERS' GOWE!NSATION DECLARATION
(V613,1itili°I' FAILUREYO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE
COST OF COMPENSA90N, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
:%eg;affirm under penalty of perjury one of the following declarations:
••••••
e.;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
Performance of tt•e work for which this permit is issued. Policy No.
�••. •
1 have and wit rrfalntain 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' compensatiol
nsurance carrier and policy number are:
Number
Date
ie of Agent Phone #
certify that, in the perjbrtnance of the IN hich this per 't is issued, I shall not employ any person in any manner so as to become subject to the workers' connensation I �s of California, and agre
, if I should become ubject to the wor rs' m ensation visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lature of Applicant Dale
CLARATION RE RDING CONSTRUCTION LEING AGENCY
ereby affirm unde penalty of perjury that there is construction lending agency for the performance of the work for which this permit is issued (Section 309 TICivil Co ).
Ider's Name _ Lender's Address
3y my signature b low, I certify to each of the following:
I am the property owner or authorized to act on the property owner's beha .
I have read this application and the information I hav provided is rre .
I agree to comply with all applicable city and count rdinancesAvee I authorize representatives of this city or county t enter thea
3ignature of Property Owner or Authorized Agent
ACTION DATE BY DECLARA ON OF COMPLD
REGULATIONS PART 61 OF
PERMIT EXPIRED
PERMITCANCELLED
CERTIFICATE OF
OCCUPANCY ISSUED
I SUBMITTED ASBESTOS
relating t uilding construction.
op ri coon purposes. /
ooertv Owner's or Authorized ADent's Name
E WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
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