HomeMy WebLinkAboutX2018-3410 - Permits;� no City of Newport Beach - Building Division
04. 100 Civic Center Drive, Newport Beach, CA 92660 -
'_ -r Permit Counter Phone (949)644-3288
'c Inspection Requests Phone (949)644-3255
Combination Type - MFP ELEC PLUM MECH
COMB Permit : X2018-3410
X 2 1 8 3 4 1 0�� II
Project No: 0696-2018
Issued Date: 11127/2018
Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction 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
Job Address: 7401 SEASHORE DR NIS
Description: MFR *ADDITIONAL SCOPE* CREATE NEW BATHROOM 42 SF
Legal Desc.: SEASHORE COLONY TR BILK N LOT 6
Owner: CLARIZIO DINO -
Contractor:
RYFFEL CONSTRUCTION
Architect:
OATMAN HOMER C
Address: 1412 ORLANDO DR
Address:
907 E BALBOA BLVD
Address:
412 31ST ST
-ARCADIA CA 91006
NEWPORT BEACH, CA 92661
NEWPORT BEACH CA 92663
Phone: 626-277-9673
Phone:
949-310-3295
Phone:
949-675-1755 State Lic:C018254
Applicant: CLARIZIO ORLANDO
Con State Lie:.
766893
Engineer:
BURKE THOMAS
Address: 507 E BALBOA BLVD
Lit Expire:
0 613 012 01 9
Address:
312 OCEAN AVE
NEWPORT BEACH CA 92661
Bus Lie:
BT02081601
LAGUNA BEACH CA 92651
Phone: 949-392-3030
Lie Exp Date:
06/3012019
Phone:
949494-0776 State Lic:S-005088
Code Edit: 2016
Worker's Compensation Insurance
Designer:
Type of Construction: V -B
Carrier:
NORGUARD INS CO
Address:
Occupancy Group: R311.1
Policy No:
RYWC969576
Added /New sq.ft. Bldg: 0
Expire:
0 312 312 01 9
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: I
Special Conditions: REV18-2039
No of Units : 2
Front: I
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right:./
Flood Zone:
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $3.600.00
Building Permit Fee: $136.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $118.32
Additional Fee :
$0.00
Plan check Fee :
$40.00 Fire Inspection:
Overtime Plan Ck: $0.00
Grading Bonds Feer
$0.00
Fair Share :
$0.00. Fire Plan Rev
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management : $10.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00 Building Dept Adm
-Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
Disabled Access: $0.00
P/W Plan Check:
$41.25
Grading Bond:
Hazardous Mat $0.00
Electrical %:
$9.52
San Dist:
$0.00
Building Green Fee : $1.00
Mechanical %:
$5.44
NMUSD Fee:
$0.00
Plumbing %:
$12.24
IITOTAL FEE: $373.77
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $199.57 Fee Due at Permit Issuance $174.20
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION I
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)
)ction 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
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 Business and
)fessions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
siness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
)rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
)roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
)ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
my signature belpw I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall
I a structure H1a$ ►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
Ife�sions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
wature of Ptgp�j<Q Owner or Authorized Agent Date Tom/ "
affirm wider penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section
)t. Ligenso Class License No DatE
Business and
force
AKERS"COMPENSATION DECLARATION I - - / / ✓ � ✓ v /
LANG: FAILURE TO GECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMII JAL PENALTIES AND CIVIL FINES UP TO ONE HUNDdED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
iT.OF compoN ATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
raby affirm urlder penalty of perjury one of the following declarations:
VhVve appd will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi
forTLENI a th*e* 1&k for which this permit is issued. Policy No.
workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
number are:
)e of Agent
certify that, in the perfo ance of the
if I should become S ject to a wo
lature of Applicant
:reby affirm under p$nalty`df pelur7lhat thefe1i r
Ider's Name ll
my signature below, I certify to each of the followi
I am the property owner or authorized to act on t
I have read this application and the information I
1 agree to comply with all applicable city and cou
I authorize representatives of this city or county)
nature of Prooertv Owner or Authorized AGent /
ACTION
PERMITEXPIRED
PERMITCANCELLED
CERTIFICATE OF
OCCUPANCYISSUED
DATE I BY
Policy Number Expiration Date
hied, I sh not mploy any person in any manner so as to become subject to the workers' ompensa ion laws of California, and agre
of Sec' n 370 of the Labor Code, I shall forthwith comply with those provisions.
'
g encyr the performance of the work for which this permit is issued (Section 30 ,Civil Code).
Lender's Address
,,Pproperty owner's behalf.
bve provided is correct. �J
y ordinancesand la la' tg j inspection
construction.
enter t bov - nti prglrty, ( nspection purposes.
"H CODE OF FEDERALI FOR OFFICE USE ONLY
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