HomeMy WebLinkAboutX2017-3082 - PermitsE x,V,T City of Newport Beach - Building Division *X2017-3082* COMB Permit: X2017-3082
100 Civic Center Drive, Newport Beach, CA 92660
Project No : 2916-2016
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG Issued Date: 0912512017
Inspection Area : 8
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: 2901 CAROB ST NB
Description: FIREPLACE 8' HI @ REAR YARD *CHANGE OF CONTRACTOR TO 0/8' g r, r. ,,
Legal Desc.: N TR 501 B LOT 102 ^� `�"
Owner: ALEKSANDAR RADOVANOVIC Contractor: OWNER/BLDR Architect: ;
Address: 2901 CAROB ST Address: ALEKSANDAR RADOVANOVIC Address:
NEWPORT BEACH, CA 92660
Phone
Applicant: KURZ WES
Address: 895 DOVE ST
NEWPORT BEACH CA 92660
Phone: 951-805-5241
Code Edit: 2013
Type of Construction:
Occupancy Group: U
Added Mew sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Phone: (S-) -1 -1w I
Con State Lic: O/B
Lic Expire:
Bus Lic:
Lic Exp Date:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks Rear: 6
Front: 20
Left: 6
Right: 6
Phone: State Lic
Engineer: COLLINS JEFFERY
Address: 1201 N. TUSTIN AVE
ANAHEIM CA 92807 ' ^
Phone:
714-630-6114 State Lic:C-080733 ^ ^ ^ ^
Designer:
TLLIPOOL ENGINEERING
Address:
1201 N TUSTIN AVE
ANAHEIM CA 92807
Phone:
714-630.6100
Special Conditions: X2016-4250
O/B AUTH & CANCELLATION
LTR ATTACHED
Flood Zone:
X
Use Zone: R-1-6000 Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation:
$0.00
...
Building Permit Fee:
$0.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $0.00
Additional Fee :
$112.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management:
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access:
$0.00
PAN Plan Check :
$0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee :
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $112.00
Plan Check Fee :
$0.00
Fee Due at Permit Issuance :
$112.00
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: �d PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:--r��-'
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 of the 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 for a permit subjects the applicant to a civil penalty of
goypI9rRthan five hundred dollars ($500).
"�-L�i7�s^''°lwner 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,
Business 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
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
improved 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).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for y pe al r ' en which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall)
sell a structure that I have built as an owner -builder i it"derp
Beucte in its entirety by licensed contractors. I understand that a copy of the applicable law, S tion 7044 of the Business and
Professions Code, is available upon request histted at the following Web site:http://www.leginfo.ca.gov/calaw.html. - C/�� /�
Signature of Property Owner or Authorized A t ate
LICENSED CONTRACTOR'S DECLA TION
I hereby affirm under penalty of perjury that I am licensof Chapter 9 (commencing with Sectio 000) of Division 3 of the Business nd Professions Code, and my license is in full force
and effect. LlcenCC 'ass Contracto nature
NORKERS' COMPENSATION DECLARATION
NA!.h11.C: AILURE TJ ,3ECLRE 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and wf; 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
)nrfermance of the work for which this permit is issued. Policy No.
:11 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
nsurancc carrier and policy number are:
carrier - Policy Number Expiration Date
!�K:f-;
Vd // gent, ----- Phone #
that, in the performance of ork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the wor ers' compensation laws of California, and agre
:hat, if I sno d become Able - h wo ers' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
SignaturXApplicant11' to ?y5 1,7—
DECLARATION REG R I G NS ucKigNLENDING AGENCY
hereby affirm under p of per nstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
-ender's Name Lender's Address
By my signature below, I certilly to each of the following:
I am the property owner or authorized to act on the prope owner's behalf.
I have read this application and the infonnatio I ha vi ad or ct.
I agree to comply with all applicable cityand unt 0 1 a ces nd s ate laws relating to building construction.
I authorize representatives oft ' city or coun to nt r t ab ve-1 entified property for inspection purposes. f/
Signature of Propert Owner o Uthorme, Agent Print Property Owner's or Authorized A ent m ✓L%��L' e J
ACTION /DAIrE BY ECLARA COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
EGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
OEPA
PERMIT EXTENDED
UAQMD
PERMITFINAL
CERTIFICATEOF
OCCUPANCY ISSUED
C^e/'"�7
!•'
yQg�t
n.72 L,Ir
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGINATURF-
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