HomeMy WebLinkAboutx2017-2187 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
�"atrrn•�.. Combination Type - SFP
COMB Permit: X2017-2187 IIIIII�IIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIq II
Project No : 1792-2016
Issued Date : 07113/2017
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:
1729 IRVINE AVE NIB
Description:
SFR FIREPLACE EXTENSIONIMODIFICATION *ADDITIONAL SCOPE*
Legal Desc.:
NEWPORT HEIGHTS LOT 23B POR OF LOT
Owner:
SABO PARIS
Contractor: TRAN BAD
Architect:`'
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Address:
17291RVINE AVE
Address: 2521 IN AVENUE 31
Address:
°"°O6v
NEWPORT BEACH, CA 92660
LOS ANGELES CA 92265
Si r°
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Phone:
Phone: 818-335-2366
Phone: State Lie:
Applicant:
HAMILTON HAL
Con State Lie: 849538
Engineer: SINGH JASBIR
Address:
255 E. SOUTH CLARITA STE 210
Lie Expire: 11/30/2018 -
Address: 16194 EASTRIDGE CT
ARCADIA, CA 91006
Bus Lie: BT30057415
CHINO HILLS CA 91709
J
Phone:
818-335-2366
Lie Exp Date: 12/31/2017
Phone: 909-263-9904 State Lic:C-038767
Code Edit:
2016
Worker's Compensation Insurance
Designer:
Type of Construction:
Carrier: STATE FUND
Address:
o °
Occupancy Group:
Pat N 9119769
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Building Permit Fee: $127.00
Plan Check Fee: $110.49
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $240.49
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
o icy o.
Expire:
12108/2017
Building Setbacks
Rear: /
Front: /
Left: /
Right: /
Use Zone:
Parkino Rnaras-
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
Phone:
Special Conditions:
Planning Department -
Plan check Fee
Fair Share:
SJH Trans :
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $240.49
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: ✓�-
APPROVAL TO ISSUE: ��
OWNER -BUILDER DECLARATION
1 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 items)
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 j
more than five hundred dollars ($500).
I, 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,
;mass 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
Irovements 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
iroved 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
fly 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 an exempt from licensure under the Contractors' State License Law for the following reason:
fn?Zgnature be�ow'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
a structurelltat 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
fessions Code, -is available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html.
nature of Property Gwner or Authorized Agent Date
;EBBED CtflSffia.CTOR'S DECLARATION
;rdl7y affirm ynder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 Div ion 3 of the Business and rofea oneEe,a s i GII force
i-etfect. Licens�glass License No Date Contractor Sign at e
;RKERS' COUPENSATION DECLARATION
SNNG-FAILURE SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
A OF OMPEN$l �l pPAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
�IgW.sffirm under penalty of perjury one of the following declarations:
...
i+nave and yvjll-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,
formance 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' compensatiol
urance-carder and policy number are:
Policy Number
Date
ne of Agent rnone w
certify that, in the pert a he work for whi this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' c pensa ion laws of California, and agree
if I should becom su Jett t e workers' sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant D -
CLARATION REG DI STRUCTI NDING ENCY
:reby affirm under enalt of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 97, 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' behalf.
I have read this application and the information I have provide ' o, B
I agree to comply with all applicable city and c ordina a ands aws relating to building construction.
I authorize representatives of this city or unt o ent r Dove-i fed property for inspection purposes.
nature of PrODerh, Owner or Authorized ent Print Property Owners or Authorized Age NaDate 3
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
PART 61 OF TITLE 40 AND AQMD RULE
SUBMITTED
LJASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY