HomeMy WebLinkAboutX2017-0976 - Permitster City of Newport Beach - Building Division
c4 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
s ay Inspection Requests Phone (949)644-3255
Combination Type - MFP ELEC
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yDUPLICATE
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST
Construction Hours: Monday - Friday 7:00 a.m, to 6:30 p.m. and Saturday from8. 0t
Job Address: 2705 HILLTOP DR NB
Description: MFR "AS -BUILT" REMOVE BEARING WALL AND CLOSE OFF ACCESS TO UNPERMI OFT AREA
Legal Desc.: TR 8787 LOT 5 UNIT 47 47P 47B 47D OF PROJECT LOCATED ON AP 458-551-10
Owner:
TORFI HABIB
Address:
2705 HILLTOP DR
$0.00
NEWPORT BEACH, CA 92660
Phone:
949-636-9863
Applicant:
BLACKMORE JASON
Address:
20122 SANTA ANA AVE #2B
$0.00
NEWPORT BEACH CA 92660
Phone:
949-274-6585
Code Edit : 2016
Type of Construction: V -B
Occupancy Group: R2/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 4
Bldg Height: 0
Bldg Sprinklers: N
Construction
Building Permit Fee:
$367.00
Plan Check Fee: $319.29
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$16.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$1.00
TOTAL FEE: $766.48
PROCESSED BY:
ZONING APPROVAL:
Contractor:
Address: ..r
Con State,�u
Lic �Exprr€
13 a Lic
Lie Exp DaW.
PORT
WICIC EXEMP
(NO E L E
$0.00
Fr 1
L
Right: I
Fire Plan Rev
king Spaces: _0
_"�00
Excise Tax: ; ''c bn F1nMg Department
Grading
Fee 1 $ U�� Plan check Fee
Grading Bonds Fee: $0.00 k"N Fair Share
Grading PC Consultant : $0.00 SJH s
Grading Permit Fe $0.00 - ieu Housin
Grading PC Fee: $0.00 Public Wo
WOlnsp. Fee: O,yL0.0 P ed�' n:
`v AISn Check:
Electrical %: $25.69 Dist :
Mechanical %: NMUSD Fee:
Plumbing %:q,.00�`
Plan Check Fee : $766.48
COMB Permit: X2017-0976
Project Nw!'4646�2017
Issued Date :
Inspection P
to 6:00y6 o r workgogklays or
VpQO'o OC 0 1
tec
ass- 10®
State Lic
Engineer: DEIHIMI DAMIR HOSSEIN
Addr>23.,17U2 PLAZA POINTE DR STE 145
GNA HILLS CA 92653
ie; -954-7244 State Lic
§rb6r: BLACKMORE 3ASO
'li"ddress: 20122 SANT
A91
Phone:9- V 5 •�,C
Specs I Co ions:0Q mot
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
Fire Inspection:
$0.00
O:00'
Fire Plan Rev
$0.00
_"�00
Demolition Fee
. $0.00
Building Dept Adm
$0.00
int -
General Service
$0.00
$0.00
Refund Deposit
$0.00
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance:
$0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: 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 oYthe 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 fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500). -
❑ I, as owner of the property, or my employees with wages as their sole compensation, will ck (_) all of rt w portions of the work, and the structure is not intended r offered for sale (Section d7044,
that
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds a 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
im roved 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
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).
I 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 lega
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.htmi. Date
,Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury 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. License Class License No Date Contractor Signature
ORKERS' COMPENSATION DECLARATION
WARNING: 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 (E700,0001, IN ADDITION TO TI
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
d t' I Relations as provided for by Section 3700 of the Labor Code, for
have and will maintain a certificate of consent to self -insure for workers' compensation. Issued by the Director of In us ria e
Tnance of the work for which this permit is issued. Policy No.
have and will maintain 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 and policy number are:
;o, Policy Number
Date
le of Agent
loy any person in any manner so as to become subject to the workers' compensation laws of California, and
certify that, in the performance of the work for which this permit is issued, I shall not emp
.1if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date_
nature of Applicant -
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
areby 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, Civil Code).
Ider's Name Lender's Address
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 enter the above -identified property for inspection purposes.
--:--... -. - n..,.,e.'e nt Aufhedocd AnAnfs Name
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
FOR OFFICE USE ONLY
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXPIRED
PERMITCANCELLED
k3- %S
EPA
PERMIT EXTENDED
CMD
PERMITFINAL
CERTIFIC4TEOF
OCCUPANCY ISSUED
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
Date