HomeMy WebLinkAboutX2019-1752 - Permits1�p City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
r: n Permit Counter Phone(949)644-3288.
Ar Inspection Requests Phone (949)644-3255
Combination Type - BLDG
e
PERMITS EXPIRE 180 D4Y
Construction Hours: Monday - Friday 7:00 a.m. to 6:30°p
Job Address: 2407 BUCKEYE ST NB
Description: IRON TRELLIS 8'6" HIGH
Legal Desc.: N TR 4893 LOT 101
Owner: ZEHNER RICHARD/BARBARA
Address:.
2407 BUCKEYE ST
REDWOOD FIRE
NEWPORT BEACH, CA 92660
Phone:
Investigation Fee: $0.00
Applicant:
KESKEY EDDIE
Address:
10841 BLOOMFIELD ST
Front: / tp'
LOS ALAMITOS CA 90720
Phone:
562-795-5755
Code Edit: 2016
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0.
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee: $359.00
TOTAL FEE: $665.00
PROCESSED BY:
ZONING APPROVAL:
Contractor:
Address:
Phone:
Con State Lie:
Lie Expire:
Bus Lie:
Lie Exp Date:
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COMB Pamit : X2019-1752
Project No : 1256-2019
Issued Date : 06/1112019
Inspection Area : 8
a.t. to 6:00 p.m. No work on Sundays or Holidays
KESKY EDDIE GENERAL CONTRACTOR INC
10841 BLOOMFIELD STREET
LOS ALAMITOS CA 90720
562-795-5755
768265
09/30/2019
BT30057336
1113012019
Worker's Compensation Insurance
Plan Check Fee: $261.00
REDWOOD FIRE
Overtime Plan Ck $0.00
EDWC10587
Investigation Fee: $0.00
01/01/2020
Record Management : $4.00
Rear: /401
Energy Compliance: $0.00
Front: / tp'
CA Seismic Safety: $0.00
Left: l
Disabled Access: $0.00
Right: I UJ.I
Hazardous Mat $0.00
-
Building Green Fee : $1.00
TOTAL FEE: $665.00
PROCESSED BY:
ZONING APPROVAL:
Contractor:
Address:
Phone:
Con State Lie:
Lie Expire:
Bus Lie:
Lie Exp Date:
1IIII�N�I'115III� II� II
m m e o e m o c o m
eme. o e e eea ae
mm m o m o
COMB Pamit : X2019-1752
Project No : 1256-2019
Issued Date : 06/1112019
Inspection Area : 8
a.t. to 6:00 p.m. No work on Sundays or Holidays
KESKY EDDIE GENERAL CONTRACTOR INC
10841 BLOOMFIELD STREET
LOS ALAMITOS CA 90720
562-795-5755
768265
09/30/2019
BT30057336
1113012019
Worker's Compensation Insurance
Carrier:
REDWOOD FIRE
Policy No:
EDWC10587
Expire:
01/01/2020
Building Setbacks
Rear: /401
$0.00
Front: / tp'
Left: l
$0.00
Right: I UJ.I
Use Zone:
Parkins Snares: n
Address:
Phone:
Engineer
Address:
Phone:
Designer:
Address:
Phone:
Architect:
State Lie
MONTGOMERY MARTELL B
2226 FARDAY AVE
CARLSBAD CA 92008
760-931.0290 State Lie C-050344
Special Conditions:
Fire
Excise Tax:
$0.00
Planning Department -
$40.00
Additional Fee:
$0.00
Plan check Fee:
Fire Plan Rev
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant:
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Refund Deposit
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
P/W Plan Check:
$0.00
Electrical %:
$0.00
San Dist :
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %m:
$0.00
Plan Check Fee : $301.00 Fee Due at Permit Issuance : $364.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
FA Yr -
GRADING APPROVAL: APPROVAL TO ISSUE:
Fire Department
$40.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$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
Plan Check Fee : $301.00 Fee Due at Permit Issuance : $364.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
FA Yr -
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION... . . .. .. ...
I hereby affirm under penalty of perjury that I am exempt from the Contractors 4atealceilss Law {or the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
lection 7031.5, Business and Professions Code: Any city or county that requires alperma tQ cQnsturt, Otter, imyrove, 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 pro0illoRSP of the Contfactore' State -License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business. 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation will du/.) ad of or (!rpnrt he 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 aptly to an bwnor of pjoperty WA§, t(Ircogh 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%Rrq hent !%%old l yin one yearef completion, the Owner -Builder will have the burden of proving that it was not built or
nproved for the purpose of sale).
1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale 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).
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 legally
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, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000 of Div-isio 3 of the Business and Profe 'eris e e d (cense is in full force
nd effect. License Class License No Da Contractor Signatu
VORKERS' COMPENSATION DECLARATION
DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAN OLLARS ($100,00D(, IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have 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 IN
IrgWrance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
Date
ne of Agent mune x
certify that, in the performance of the or r which i er s Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agreE
I, if should become subject to a 'comps ;on p visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
*Q._J
nature of Applican _ D o /
CLARATION REGARDIN STRUCTION NDIN GENCY -
ireby affirm under penalty of perjury that there is a c struction 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:
1 am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provide or
I agree to comply with all applicable city and county ordi n an tate laws relating to building construction. / % )
I authorize representatives of this city or countYY.�to en r t abo =dentified property for inspection purposes. ,J��_LL� (% ! L
nature of Prooertv Owner or Authorized Agent{�L Print Property Owner's or Authorized Agent's Name Date
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EMENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
BY v Rffl_ IR NS OF COM LIANCE WI4TH CODE OF RUDERAL FOR OFFICE USE ONLY
EGU
T 61
I SUBMITTED
TO
f�lIa ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
,1 PROPOSED DEMOLITION