HomeMy WebLinkAboutX2019-1625 - Permits'City of Newport Beach - Building Division
100.Civic Center Drive, Newport Beach, CA 92660
} I Counter Phone (949)644-3288
it Inspection Requests Phone (949)644-3255
Combination Type - SFP
*X2019-1625* COMB Permit: X2019-1625
Project No: 1153-2019.
Issued Date :05/28/2019
Inspection Area : 2
ostrutnPERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
CY FROlgT NB 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
JobAddress: 1106 S BAY FRONT NB
Description: - SFR . RPR DECK BEAM,RIRRTRELLIS STRUCTURE LIKE FOR LIKE
Legal Desc.: BALBOA ISLAND SEC 3 SLK 6 LOT 4 -
Owner:
ANDERSONSCHOEPE
Engineer. • «.. °
NEWPORT BEACH CA 92658
Phone: 9949-24640865
Bus Lic: 'BT02081601
Address:
1106 S BAY FRONT
Contractor:
Address'
RYFFEL CONSTRUCTION
Architect: WALKER BARRY
d
V -B
Occupancy Group: U
NEWPORT BEACH CA 92fi62
-
907 E BALBOA BLVD
Address: P.O. BOX
Phone:
.Expire: 03/23/2020
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Phone: ° `., °
NEWPORT BEACH, CA 92661.
• e
Construction Valuation000 00
: _ S12
Use Zone:
Phone:
949-310-3295
BEA
NEWPORT BEACH CA 92658
Building Permit Fee: $264.00 `
Plan Check Fee: $229.68
Applicant'
WALKER BARRY
Planning Department -
Phone: 949.246-4085 State Lic:C019637
....
A
$0.00
Con State Lie
766893
Investigation Fee:
Record Management:
.
duress. P.O. BOX 11658
2
Lic Expire: 06/30/2019
Engineer. • «.. °
NEWPORT BEACH CA 92658
Phone: 9949-24640865
Bus Lic: 'BT02081601
Address:
• ' ° e
° • a
Bldg Height:
Lic Exp Date: 06/30/2019
Phone:
Code Edit: s 2016
Type of Construction:
Worker's Compensation Insurance
p
State Lic:
•
V -B
Occupancy Group: U
Carrier: NORGUARD INS CO
Designer. 4 ° °
Address: °
Added /New sq.ft. Bldg:p
Policy No: RYWC047626
0.
Added /New sq. ft. Garage: g
.Expire: 03/23/2020
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Phone: ° `., °
No of Stories
• e
No of Units :
1
Building Setbacks
Rear: /
Front:
Special Conditions:
LIQUEFACTION AREA
Bldg Height:
0
/
Bldg Sprinklers:
Left: /
Flood Zone:
Right: /
Construction Valuation000 00
: _ S12
Use Zone:
Parkin - S aces:
0 Fire Hazard Zone :
N
Building Permit Fee: $264.00 `
Plan Check Fee: $229.68
Excise Tax:
$0.00
Planning Department -
Overtime Plan Ck
$0.00
Additional Fee:
o
Grading Bonds Fee:
$0.00
Plan check Fee : $40.00
Fire Department
Fire Inspection:
Investigation Fee:
Record Management:
$0.00
$2.00
. Grading P Consultant:
$0 00
$0.00
Fair Share : $0.00
SJH Trans :
Fire Plan Rev
Energy Compliance:
$0.00
Grading Permit Fee:
Grading PC Fee:
$0.00
$0.00
In -lieu Housing Fee $0.00
Demolition Fee
Building Dept Adm
CA Seismic Safety:
$0.00
WO Insp. Fee:
$0.00
$0.00
Public Works Department -
General Service
Disabled Access :
$0.00
Park Dedication : $0.00
Refund Deposit
Hazardous Mat
Electrical °/n:°
$0.00
P/W Plan Check : $0.00
Grading Bond:
Building Green Fee :
$�.00
Mechanical /a
$0.00.
San Dist: $0.00
Plumbing %:
$0.00
NMUSD Fee: $0.00
TOTAL FEE : $536.68
Plan Check Fee :
$269.68
.Fee Due at Permit
Issuance
PROCESSED BY:
PUBLIC WORK APPROVAL:
ZONING APPROVAL:
PLAN CHECK :
Y
GRADING APPROVAL;
APPROVAL TO ISSU
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$267.00
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OWNER -BUILDER DECLARATION thiLee
I herby affirm under penalty of perjury g Code: Any y exempt f rcin the ounly hat requires a permit to construct, License Law ra alter, improve,ldemol demolish, orrepair tany structure, (prio priorits lsotrequires lthe �app cant for
'Section 7031.5, Business and Profession
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business an
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
44.
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structur is not intended improves offered for spa,provided
(Section that
improvements and are not intended eor offered for sale. State Livens, the Law do ng ori prhe
es not aplo ement sy to an nsolder fwithin o e year of complet oproperty who, through ln, the Owner -Builder fwi I havle the burden of proving that itwas not builttorr
Ir�m-+Iproved for the purpose of sale).
rs to construct the project apply to an owner11 as of the
property,
perty who buildsexclusively
contra ting with
licensed
who contracts for the projects with a licensed Contractor pus uant to he Contractors' Slate License ode: The rLaw)s State License Law does no
ves
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By
a structure below I acknowledge built aowner-builder except for
of i has not been constructed dence in in itsich lentirety by licensed must have resided for
I understand that a copy of theapplicable aw,tSection 7044s covered bytof the Business and
not lega
Professions Code, is available upon request when this application is submitted or at the following Web site:http:tlwww.leginfo.ca.gov/calaw.html. Date
Signature of Prrop2rry'Qwner or Authorized Agent li n is' full force
LICENSED COOT DECLARATION
LICENSED ander penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SecDoon 7 00 ivisio f ta I he Bfactor SignatProfe o , a
And effdtt. Lic$n5•e.G ass
License No
tnRKERS' COMPENSATION DECLARATION
ARNIIA: FAILURE 5O SWWRF WES AS PROVIDED FORTION IN SECTION GE IS UNLAWFUL AND F THE LABOR CODE, LL SUBJECT
T, AND ATTORNEY'S TO CRI INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5'100,000 , IN ADDITION TO THE
S.
COST ON COMPENSATION,
Ile-reby affirm undo penalty of perjury one of the following declarations:
• i hgve and will•raaintain 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 t
nce of the work for which this permit is issued. Policy No.
T
150 and ill- Mein 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' compensatle
irlsuran ca i rid• umber are: Expiration Date
• • • Policy Number Phone #
NEMe & Agent • • • • • �s to aws of California, and agrl
that, f Itlshou d become subject ubject to thethorkork'f omplc thlon provli ! sit
6ns act!3700of the LaboPCode,erson ll shall forthwith complyn any manner so as to withhose pecome l ovtis oths .worker' com�pje�sJatie�g /( C
Date
Signature of Applica prmance
DECLARATION R ARDING C UCT L NO AGENC
I hereby affirm and r penalty of perju t here is construction I agency for the erfo Address of the work for which this permit is issued (Section 3097, Civil Code).
r's
Ider's Name
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 d sta a
I authorize representatives of this city or c n o e e1i1I ve-i ti
mature of Property Owner or Authorized A ent
CANCELLED
EXTENDED
CERTIFICATE OF
OCCUPANCY ISSUED
REGULATIONS
Sting to building construction.
arty for inspection purposes.
Print Property Owners or Authorized Ag
NITH CODE OF FEDERAL FOR OFFICE USE ONLY
40 AND AQMD RULE
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
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