HomeMy WebLinkAboutX2009-0201 - PermitsCity of Newport Beach Building Department G � 9 P COMB Permit No: X2009-0207
PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Inspection Requestsrrelephone (949)644-3255
Combination Type - MFP/ / ELEC/ /
Job Address: 9 HAR9OR RIDGE DR NB Description: CHANGE OF CONTRACTOR (X2008.0307)
Project : 0625-2007 0625-2007
Inspector Area:
TOGETHER Legal Desc.: TR 9587 LOT 7 UNIT 42 OF PROJECT LOCATED ON AP 461.074.11
Owner:
MOTSCHENBACHER LOTHAR L & OLIVIA
Address:
9 HARBOR RIDGE DR
Occupancy Group:
NEWPORT BEACH CA 92660
Phone:
949.290-5879
Applicant:
KAMPS CURTIS
Address:
2691 RICHTER AVE#120
No of Units:
IRVINE CA 92606
Phone:
949-863-7020
Code Edit:
2001
Type of Construction:
VN
Occupancy Group:
R3, U1
Added /New sq.ft. Bldg:
25
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units:
2
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
$0.00
Issued Date: 02/n3/2nno
$0.00
Construction Valuation: $0.00
Building Permit Fee: $0.00
Plan Check Fee:
$0.00
Overtime Plan Ck:
$0.00
Investigatin Fee:
$0.00
Record Management:
$1.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Fee Increase: Fee:
$0.00
Additional Fee :
$32.13
Hazardous Mat:
$0.00
Building Green Fee:
$0.00
TOTAL FJF.E ¢33.13
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: OW NER/B LDR
Address: MOTSCHENBACHER OLIVIA
Phone:
Con State Lie: 0113
Lie Expire:
Bus Lie:
Lie Exp Date:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks Rear: /
Front: /
Left: /
Right: /
Use Zone: PC -3
Parking Spaces: 0
San Dist: $0.00
Excise Tax: $0.00
NMUSD Fee: $0.00
Grading Permit Fee
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
i < <
ii
° of
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
FEES
Architect:
KAMPS CURTIS
Address:
2691 RICHTER AVE #120
IRVINE CA 92606
Phone:
949-863.7020 State Lic:CO25872
Engineer:
ABARQUEZ JOSE M
Address:
18 EL CORZO
RANCHO SANTA MARGA CA 92688
Phone:
714-642-5417. State Lic:C-051994
Designer:
Address:
Phone:
Special Conditions:
Planning Department -
Plan check Fee : $0.00
Fair Share : $0.00
SJH Trans: $0.00
Public Works Department -
Park Dedication : $0.00
P/W Plan Check: $0.00
$0.00
Fire Department
Fire Inspection:
Fire Plan Rev
Demolition Fee
Building Dept Adm
General Service
Refund Deposit
Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: _
e'PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$33.13
to
0
I hereby affirm under ppenalty of perjury I
indicated below by the checMark(s) I have PIE
Code: Any city or county, that requires a pperp
Issuance, also requires the ap. phcant for fha I
provisions of the Contractors' State License Lav
Professions Code) or that he or she is exempt I
7031.5 by any applicant for a permit subjects th
❑ i, as owner of the property,.or my employe
work, ao
nd the structure is not Intended or offal
State License. Law does, not apply to an owner
am
next
or
for
to
with wages as their sole compensation, will do (_) all of or( ) portions of the
for sale (Section 7044, Business and Professions Code: The Contractors'
propertwho through employees' or personal effort, builds or improves the
ntended or offered for sale. .If, however, the building or improvement Is sold
r will have the burden of proving that it was not built or improved for the
owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section
and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or
thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License
❑ I am exempt from licensure under the Contractors' State License Law for the following reason:
By myy, signature Deiow i acrenuwinogo ,-—,
prior to completion of the Improvements co'
builder if it has not been constructed in its
Section 7044 of the Business and Profess
following Web site:http://www.leginfo.ca.go%
Signature of Property Owner or Authorized
hat a copy of the aFire
ncaD
application is submit ed or
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty ofperjury 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 and effect.
Lids License No.
Date - Contractor Signature
WORKERS' COMPENSATION DECLARATIONTO
WARNING: FAILURE TO OYER
CRIMINAL PENALTIES AND CIVIL FINERE S UP TO COMPENSATION
SUNLAWFUL, SHALL
HUNDRED THOUSAND DOLLARS(5700000),IN ADDITION TO THELCOST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations: y
Industrial Relations ite provided for by Sectionf3700 of theoLabor Code forworkers'
the performance of the wok for which the
permit is
issued.
Policy No.
❑1 have and will maintain workers' compensation insurance, as requiredby Section 3700 of the Labor Code, for the
performance of the work for which this permit is Issued. My workers' compensation Insurance carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
❑ 1 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 agree that if I should become subject to the
workers' compensation rovislons of Section 3700 of the Labor Code, I sha)I forthwith dompjy with Date
those provisions.
Signature of Applica
DECLARATION RE RIDING CONSTRUCTION LENDING AGENCY
which this permis issued (!Section 30gerfCivil at there is a construction lending agency for the performance of the work for
Lender's Name
Lender's Address
By 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 p ' rrect.
I agree to comply with all applicable city and county o iiian and stats laws relating to building construction.
I authorize representatives of this city or county toe er the ova -1 entified propelfor Inspection purpo A.
Signature of Property Owner or Authodzed Agen �— Date
/ 7n
Print Property Owner's or Authorized
01/01/2009
G.
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL Io•R,12- G�/
CERTIFICATE OF
OCCUPANCYISSUED
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403.
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
FOR OFFICE USE ONLY
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