HomeMy WebLinkAboutX2018-0369 - PermitsCity of Newport Beach - Building Division *X2018-0369* COMB Permit: X2018-0369
100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0303-2018
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 Issued Date : 02/07/2018
Combination Type - SFP ELEC PLUM MECH
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 Sundays or Holidays
Job Address: 3811 RIVER AVE NIB
Description: SFR INTERIOR REMODEL AND REROOF 304 SF *STOP ORK• - -Ic
Legal Desc.: RIVER SECTION BLK 138 LOT 8 Owner: BARRETTJEFFr.( NER/BLDR If ��ry#b1e: i �= '�Address: 3811 RIVER AVE ��7750
l.� RETT-dEFF- dtlress:
NEWPORT BEACH, A 92 fi3 S2 r��/ n J{5
Phone: Phong ,� ❑ ` 140/0 Or 10�% rs sW
Applicant: BARRETTJEFF �on4Li`.O�B „ r Engineer:
Address: 3811 RIVER AVE °+? sic ,park, ` r �L ' n', ,.� µ 10 tftem� '1
NEWPORT BEACH, A 9 zg,,,y pBtt 6c L'� -
Phone: 714-743-7901 �ru Lic Exp Date: Phone: Code Edit : 2016 �;,; �r'o i�iF@In rD WILLIAMS MIC
Type of Construction: V-B t+c Caac f✓ ,n '°4
Occupancy Group: R31�1U
m ` 1Pol ;r r Added /New sq.ft. Bldg: 0 LW re
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units: 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Construction Valuation: $37
Building Permit Fee: $572.00
Plan Check Fee: $497.64 -
Overtime Plan Ck:
$0.00
Investigation Fee:
$572.00
Record Management:
$10.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
PROCESSED BY:
Building Setbacks Rear: /
Front: /
Left I
asigner. '
Address: 3070 N CLEVELAND ST w ,
ORANGE CA 92866
Phone:
Special Conditions:
'3
i a v a
p Fire Ha;ard Zone,
C2018-0016
(WoirF\ ..'. i:.:. ice-.
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee:5Il.------
No e: Gradino Bonds
A0.00-------'.
f-e
$0.00
Grading PC Consultant :
$0.00
SJH Trans
Grading Permit Fee:
$0.00 ____....__.
an -lieu Housing -Fee-:-
ee: -
$0.00
Public Works Department------
ti rtr{:nsp=.Pee===•=_ -"''""
$0.00
Park Dedication : $0.00
PAN Plan Check: $0.00
Electrical %:
$40.04
San Dist: $0.00
Mechanical %:
$22.88
NMUSD Fee: $0.00
Plumbing %:
$51.48
TOTAL FEE: $1,805.54
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
Fire
Bui2ing Dept AC
General Service
Refund Deposit
Grading Bond:
$0.00'
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$635.14 Fee Due at Permit Issuance : $1,270.40
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 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
more than five hundred dollars ($500).
1 1, as owner of the property, or my uymoll
Bu iness and Professions Codes The ontr
improvements are not intended or offeled fi
improved for the purpose of sale).
❑ I as owner of.the property, am ex lusiv
apply to an owner of property who bui' Is or
❑ I am exempt from licensure underihe C
By my signature below I acknowledge hat,
sell a structure that I have built as an hwnei
Professions Code, is available upon Piques
Signature of Property Owner or Auth ized-�
LICENSED CONTRACTOR'S D&Lk,
I hereby affirm under penalty of per)u� the
and effect. License Class ,-
WORKERS' GOMPENSATION DECLE
YARNING. FAILURE TO SECURE WORKERS' COMPS
CJJ. Jr COMPENSATION, D IMAGES AS PROVIDED
hereby affirm under penalty of perjury one)
ann wages as so a structure is not intended or offered for sale (Section 7044,
State Licen La d [ pYy-Ib an r of property who, through employees' or persona e olas ithe property, provided that the
'�f, however, 'din i pr em nt i old within one year of completion, the Owner -Builder will have the burden o provii(b that it was not built or
If applicable:
tracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contract4 Sf License Law does not
es thereon .andvuho contracts for the projects -with a licensed ntracto r t e r to Li ense La
% reTund .ors' State license Law for the following reason: -
for my personal residence in which I must have resided for at least one year prior to completion of the improvements co red 6y this permit, I cannot lec
r If`It has not b�en�constructed In its entirety by Ilcensed..contractors.,applicable law, Se n 7044 of the Business and
this z�plicati S S' Ubmltte cr at -the ollowing Web sifi::hifp /fwvi& ginTd'ca'.0 bwiddIII html -
_ _ P`'�--fit �--� � �
A I I V IY I'i'tWFIR. ,.
am licensed under provisions of Chapter 9 (commencing with.Sectlon 7080) of Division 3 of the Bu 'n s and Professions
License No Date COntr r Signature
RATIO"`� -
iATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES URAD-QtE HUNDRED THOUSAI
?R IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
f theofoll g declarations:
1 have and will' maintain a,certlffcat f o en If- o w o ation Issued by the Director of Industrial Relations as provided for by Set
'onnance of tha .ncrk for which this rtlr "fl`-is sue o on $,.� w-i�
ho-e and will maintain workers `compensation ins l�l �rS�s ' �L:1 gection 3700 of the Labor Code, fo the performance of the ^worA for whh � permit
Farce carries ano policy number_are: / (no work started)
pier - Policy Number Expiration Date
'Afae'pt:rf rmance of the for which this permit is issued, I shall not employ any person in any manner so aa the
me s ec t/�e w k visions of Section 3700 of the Labor Code I shall forthwith co I with trios g,prpvisions.
nlirenr/R-•n-.s� __..IE,4J. ItllTfiatS:
CLARATION REG D G CON TRI/CTION LENDING AGENCY - "�""""�-- -- -
:reby affirm under p n Ity of perj that there is a construction 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:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all appl' able city and cou ty o�dq es and stating to building construction. /
I authorize representative this city or county t t above= nti roperty for inspection purposes. A/,� r
ACTION
PERMIT EXPIRED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BY °./ DECLARATION OF COMPLIANCE WITH CODE OF FEDEI
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
SUBMITTED ASBESTOS
ISNOTAPPLICABLE TO
Owner's or Authorized AD
I FOR OFFICE USE ONLY
my license is in full force
($100,000), IN ADDITION TO THE
3700 of the Labor Code, for
issued. My workers'
laws of California, and
0