HomeMy WebLinkAboutX2018-0734 - Permits4wfra�� City of Newport Beach - Building Division II IIIII IIIIII IIIII IIII III IIIII IIII II
Z 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 6 0 7 3 4
F a i r. Permit Counter Phone (949)644-3288
T,y � 4-t 4 Inspection Requests Phone (949)644-3255
`''ira„wx•�' Combination Type - SFP
COMB Permit: X2018-0734
Project No: 0303-2018
Issued Date : 0311412018
Inspection Area : 1
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
Job Address: 3811 RIVER AVE NB
Description: SFR R/R SIDING "LIKE FOR LIKE" (ENTIRE HOUSE)
Legal Desc.: RIVER SECTION BLK 138 LOT 8
Owner:
BARRETTJEFF
Address:
3811 RIVER AVE
NEWPORT BEACH, CA 9',
Phone:
714-743-7901
Applicant:
BARRETT JEFF
Address:
3811 RIVER AVE
NEWPORT BEACH, CAA
Phone:
714-743-7901
Code Edit: 2016 _
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units
Bldg Height. 0
Bldg Sprinklers:
Flood Zone:)
Construction Valuation: $10 000
Building Permit Fee: $217.00
Plan Check Fee: $0.00
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 :
$1.00 „
TOTAL FEE: $218.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: OWNER/BLDR cnrtecr Ar_ ___,_
Address.-.-._-BARRETF-J€F --,_,_.m _ Address:
e Phetf:appllcable: State Lic:
on- fate Lic: OIB Engineer: 0 (��% refund
Lic E ire +t Add egsso �0 or ❑
Bus Lic '� ^,, d 0, � � LPhon;a:
Lic ExpDate �''°' State Lic:
rker's Compensation Insun ? esi�jrvUbom
o Carrier. Address:
Policy No:E
Expire^ , r'' R
)one:
liuildin 4"`cksF&`�.j"�eat @' ecial Conditions: O/B AUTH ATTACHED
LLeft: I
Right: /
- Use Zone: Parking Spaces: 0 Fire Hazard Zone : N -
gas_ a
rf_trN
T 5..,° 0� `ram"� Planning ent - Fi Department
Rdd,i,!.�or�la :,,,, 99�� �,, 0 Plan check Fee : (no vj()okostar ted ire Inspection:
ig Bo WF-i;k Slcxr LL45 Fair Share: $0.00 Fire Plan Rev�€'�
Grading PC Consultant : $0.00 SJH Trans : $0.00 Demoliti
GGrading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 B '
OnPCB to nn - arttfl€ = Ge ral ce
WQ Insp. Fee: $0.00 Park Dedication : $0.00 i`s Re , si_ _
_ p/W Plan gheck: $0.00 Gradin
ec rica o:
$0.00 San Di I :. $0.00 ..:.1:k _ ____....:w........
MUSD-Fee: $0.00
Plumbing %: $0.00
Plan Check Fee
Awk mw i i�
tow 4Arm
r:'
-�0.00
*.0o
'30.00
10.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $218.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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)
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).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
;iness 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
pved for the purpose of sale).
L9,/I, as owner of the property, am exclusive
apply to an owner of property who builds or i.
❑ 1 am exempt from licensure under the Cc
By my signature below I acknowledge that, e
sell a structure that I have built as an owner -
Professions Code, is available upon request
Signature of Property Owner or Authorized A
LICENSED CONTRACTOR'S DECLAR
I hereby affirm undrrr penalty of perjury that I
and effect. License Class -
votwERS' COMPFENSATION DECLA
NARNING: FAILURE TO Se1.6RE WORKERS' COMPEN
CWT Or COMPENSATION, DAMAGES AS PROVIDED F
I hereto/ affirm under penalty of perjury one c
7. J I have and will maintain a certificate of
oerfoln,ance of the work forwhich this permi
I havE and will naentain workers' romper
nsurance carrier and policy number are:''+r
a of Agent
Prtfry that, )rfthb performance of
if I should baco%Tre subject to the
signature of Applicant
IECLARATION REGARDING CONSTRUfoffo=m
hereby affirm under penalty of perjury tha
ender's Name
sy my signature below, I certify to each of,
I am the property owner or authorized.
I have read this application and the information I
I agree to comply with all applicable city and co
I authorize representatives of this city or cou
ignature of Property Owner or Authorized A.
DVRxyahsrsonal Les e n wmcn maarn resl0eo Tor at least one year pngrltQ:tp ptet..W ors Improvements coverer
if it h of been co s r ed In Its entire y by licensed contractors. I understand that a copy of the applicable law, Section 7
his li ti 's u t ad or at the fol ' Web site:http://www.Ie in fo.ca.gov/ea8,0b1mI.0 ❑ 100% re ed
„J LJJ VV
Wnsro`Ions of Cha ter 9 cbrlrit�lzklcl '� otr� pf t�
p p ( rrt,with_JSe cn 7000 f Divisi L 1,N mess and Professions Code,ense No - "�? �y`ti CCdtaa. t
AND SHALL SUaJEGT4N EMPLDyER_TO CRI I4 - ED'strial
ND CIVIL FINES UP TO ONE HUNDRED THOUSAND D<
� CODE, INTEREST, ANb:ATTORNEY'S FEES
r3�
Drkers' coropeosation, HEsaed c_the: Dit�ffio Relations as provided for by Section
insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
ACTION
PERMIT EXPIRED
DATE I
this Pe
p1=I gye�fl�,l�lL Irat' omf the any person in any manner sC�;-jo l ip FthW wR b�j�gt?f@,},yq workers' compensation
ation pr I 91df �[fd��'Iddof the Labor Code, I shall forthwith bMlSly'IXiI'tti thDs Y841'S16Pf3/
Date_
agency for the performance
Lender's Address
(Section 3097,
is correct.
and state laws relating to building construction.
ve-1 Ile 'property for inspection purposes.
Print Property Owner's or Authorized Aaent's Name
OF COMPIMCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS
PERMIT EMENDED QMD
PERMITFINAL ASBESTOS NOTIFIC TIONI gdTAPPLICABLE TO
CERTIFICATE OF PROPOSED 19EMOLhTIO
OCCUPANCYISSUED arIVATURP• ///IIIlllfffffffVV���fVV�
License Law does not
hIs4Sermit, I cannot legalll
of t�vusiness and
/ X
Iy license is in full force
H00,1100), IN ADDITION TO THE
f the Labor Code, for th
rly workers' compensatiol
Ns of,California, and agree
Date ✓