HomeMy WebLinkAboutX2018-0420 - Permitswt City of Newport Beach - Building Division
''. 100 Civic Center Drive, Newport Beach, CA 92660
F _ Permit Counter Phone (949)644-3288
v. Inspection Requests Phone (949)644-3255
Comr ination Type - MFP ELEC
*X20180420"
COMB Permit: X2018-0420
Project No: 0569-2016
Issued Date:
Inspection P
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE D VALID INS.
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Satur om 8:00 a`r� p .m. No bot,
Job Address: 2705 HILLTOP DR NB - S t` V
Description: MFR "*CHANGE OF OWNERIBLDR•" "AS -BUILT" ADD 65 SF STORAG (NON -HABITABLE) REMODEL, R,EIpI�V�r( KYLIGHT
Legal Desc.: TR 8787 LOTS UNIT 47 47P 47B 47D OF PROJECT LOCATED 458-551-10 r�
Owner: HABIB TORFI ractor: OWNE e%;Addv:\N
chitect: yr^� CHRIST
Address: 2705 HILLTOP DR #47 Address: TORFI h LEHIGH AISLE
NEWPORT BEACH CA 92660 V,` Ve6 IRVINE CA 92612
Phone: O' Eh e. Phone: 949-701-9505
Applicant:'e
Address:
Phone:
MCLEOD CHRISTOPHER ®� Con ic: IMB ' eer: WICKSTROM ERIC
39 LEHIGH AISLE
IRVINE CA 92612
949-701-9505
Code Edit:
2013
Type of Construction:
VB
Occupancy Group:
R2/U
Added /New sq.ft. Bldg:
$0.00
Added /New sq. ft. Garage:
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
X
Construction Valuation
Building Permit Fee:
$0.00
Plan Check Fee: $0.00
"w
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$0.00
TOTAL FEE: $33.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
or
State Lic:C031185
d s: 28581 VIA PRIMAVERA
( j{gtf
Front: / 9 \" _ OIB AUTH ATTA
Left: /
Riaht.9l i
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SAN JUAN CAPISTRANO CA 92675
- 949-454-8045 Stat L��StU6�989
Designer:
Address.
a
e@ $� �taCtedl
tarp �,�rk
is[ C "d 'REPLACE PERMIT X16- 9�
�6ao�Zp�
Exci Ta �/
Addit nal Fee : $33.00 1c
Gradi Bonds Fee: Z��• $0.00
Gradin PC Consultant:
Grading a t� $0.00
Grading Ce'" $0.0�
WO lnsp. as: .00
Electrical % $0.00
Mechanical o':" $0.00
Plumbing %: $0.00
Plan Check Fee
140
Fee :
--In;jmA4ffsing Fee
8I is Works Department -
Park Dedication : $0.00
P/W Plan Check : $0.00
San Dist: $0.00
NMUSD Fee: $0.00
$0.00 Fee Due at Permit Issuance : $33.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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$0:g0
Fire Inspection:
$Q 00�
$0.00
Fire Plan Rev
•$0.00 o
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $33.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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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
1e 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 Wysiness 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
orethan-five hundred dollars ($500).
, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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).
7 1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 legal'.
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, Sec on 7044 of the Business and
'rofessions Code, is available upon requesbwh n is-a�li is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. �.�� -
signature of Property Owner or Authorized Ag D
.ICENSED CONTRACTOR'S DECLA TI N
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ti 7 MSH 3 of the Business rofes�si s de, and my license is in full force
nd effect. License Class _... License No Sontractor Signa ure
COMPENSATION DECLARATION N
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU13JECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OST OF COMPENS&JpN, DAMAGES AS PROVIDED FOR IN. SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby aff'Irm-wMer penalty of perjury one of the following declarations:
I h have ah 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
Ice Hfthe work for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code,
caJaeranel policy number are:
Policy Number
for the performance ofthe work for which this permit is issued. My workers'
Date
that is 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
ould •: rge subject o the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
SE41RATIOM REGARDING CONSTRUCTION LENDING AGENCY '
:Feby affirm'yp'der 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 ity and county ordinances and state laws relating to building construction.
I authorize representedci
nty or county to e t r§he above -identified property for inspection purposes.
nahvd.r
n of PmnPv Own d Anent Print Prooertv Owner's or Authorized Aaepff Name
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIREDI SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
ISNOTAPPLICABLE TO
CERTIFICATE OF
OCCUPANCVISSUED
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