HomeMy WebLinkAboutX2018-1919 - Permits�r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIII II COMB Permit: X2018-1919
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 1 9 1 9 Project No : 1501-2018
n Permit Counter Phone (949)644 i v >� A^��
Inspection Requests Phone (949)644)644-3255 `��+
Issued Combination Type - SFP ELEC MECH PLUM ABIMM Date :
Inspection Arearea :2018
7
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VAUD 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 NB
Description: SFR INFILL 2ND FLOOR FOYER AREA AND ENCLOSED EXISTING BALCONY AT REAR (+238 SQFT); REMODEL KITCHEN, MASTER BEDROOM, MASTER 13ATH, BATHROOM 1,
BATHROOM
Legal Desc.: RIVER SECTION BLK 138 LOT 8 - -_--
Owner: BARRETT JEFF C .�,sm�^^"''Y9i'iA Architect: mar R„a
Address: 12230 CIRCULA PANORA Ad r as: AUTH AGENT: AJe&9ppjicable•
NORTH TUSTIN CA 927Q5 Q• Z OD JEHEBER .. - .
Phone: 714-743-7901 +•.-�• U o �— 15
Ph gp% or C� 10000 � rad j
> fis Div..
Applicant: BARRETT JEFF on State Lic: Olt Engineer: XIAO QIANG,;,
Address: 3811 RIVER AVE CIEL,'m
e. t Address: 1520 BROOKHOLLOW DR #45
NEWPORT BEACH C&926 3 ',{� � to Wi1UMT
Phone: 714-743-7901 a ' hone: 714-662-0510 State Lic:S-00 89Code Edit: 2016 ;� ?-" orkepensation Insurance Designer: JEHEBER ROD "S
Type of Construction: V-B-SPR Comer - ddress: 410 32ND ST STE 202
Occupancy Group: R3/U �V P - NEWPORT BEACH,CA 92663 ay
Added /New sq.ft. Bldg: 238 � �� _Ire ` one: 949-723-4393 Z
Added /New sq.ft.Garage: 0 r�`c v�ta. ma it
No of Stories: 2 riding elm+' 'af 5' - Special Conditions: LIQUEFACTION AREA
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No of Units: 1 LA Front: 10'
Bldg Height: 0 Left: 3'
Y Right: 3'
Bldg Sprinklers: : m d
Flood Zone: UseZone:Park24 a0 Fi ra
Construction Valuation: $277.850.00 - �,� F✓ ' 1 "� - a3+
(rlc) %,r'Jo7 h SL
Building Permit Fee: $2,33100 'r f' $ Planning Department- Fire Department +_"";
Plan Check Fee: $2,013.65 Additional Fe'dA,'ar K Sulbi . Plan check Fee : $160.00 Fire Inspection: -00
Overtime Plan Ck: $0.00 Grading Bonds- Fee: $0.00 Fair Share : $0.00 ',00
Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans .60 Demolitio Fe
Record Management: $64.00 hf Permit Fee: n-lieu Housing Fee, $01 ff� tnttIN11616 $ , o
Energy Compliance: $194.50 rig ee: $0.00 Public Works Departure - �• General Seryy.-. «�.,. $19i�.00
CA Seismic Safety: $36.12 WQ Insp. Fee: $0.00 ca ion: $0.00—." -%eYM osit $664.00
Disabled Access : $0.00 �•��P-Iar oh'eEff`. 1.i§>.00 Grading Bond: $0.00
Hazardous Mat $0.00 Ele ° 4 San Dist: $0.00
Building Green Fee $12.00 echanical W $93.24 NMUSD Fee: $0.00 $0.00
Plumbing %: _. $209.79 $0.00
TOTAL FEE : $9,226.47 Plan Checl' Fee : $2.656.14 Fee Due at Permit Issuance : $6,570.33
PROCESSED BY: \ PUCLIC VrOKKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY: "A
GRADING APPROVAL: APPROVA', TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 7031.5, Business and Professions Cc �u: Arl city or county that requires a permit to construct alter, improve, demolish, nr. ny 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-(o pt ommencing 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. An 1.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500 . _
❑ I, as owner of the property, or my err ployees with wages as it o s� do (_) all of or (_) portions of the work, and the structure is not intended or offer forsale (Section 7044,
5
Business and Professions Code: The Cc _tract rs' State Licens es ppI o an wner of property who, through employees' or personal effort, builds or improves t pro arty, provided that the
v ants are not intended or offere for s-4((:�;Idwever, I e in i pro sold within one year of complet"�rI,Ar�ep�er will have the burden of ving4''hat it was not built or
mprove for the purpose of sale). ' N
❑ I, a wner of theproperty, am excl ivel contractin with lice d Cont tors to construct th pro act Section 7044, Bys�tegyr§t+,� Profe�sl�n �p he C ntrSo rs State icense Law does not
apply an owner of property who builds r imov°s`on, a ontr for projects wlEhaiicefis�`e�C`ohhactor pdFs ludwtkbfAe ntra�toF9�t�Li���.�v). "s-
Yt
6YI am exempt from licensure under th Con ac to Li BE Law, fph II Iltg ireason
By my signature below I acknowledge th t, ex p r ` erso e ' c mt(Styhave residecLfor at least one yyeaE�gp,p� j�wp'c�q lotion of the improvements cove
---
d byAbis permit, I cannot legt
sell a structure that I have built as an o er-bulldef'gf. _ not be n ' cted R ntily bfised�ti)scifTe$tors. Ti3ildel'stanYNthliYtrc , - 'io
704 - the Bus' ass d
Professions Code, is available upon req st when t ' a n submitte he following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Z'
Signature of Property Owner or Authoriz d Ag e
43
_
LICENSED CONTRACTOR'S DEC ION _ v,
�'a
I hereby affirm under penalty of perjury t at I license nde ns,@ ha tsor z g>Wdla;a^et�n 00) Division 3 of the Business and Professions Code
and r license is in full force
and effect. License Class :+' Lic ` Contractor Signature
i+•
'
NORKERS' COMPENSATION DE _ - ;,r
NARNING. FAILURE TO SECURE WORKERS' CO ENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DO
RS{100,000), IN ADDITION TOT
COST OF COMPENSATION, DAMAGES AS PROVI D FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
; F;
hereby affirm under penalty of perjury a of n clarations:
❑ I have and will maintain a certificat of ns tD ' su t9r ri kel?� ti n, issued by the ec f rr (�rd'`u Ida f t ld p�' erica y,A,Section
700. _the Labor Code, for
Derformance of the work for which this p rmit y I §*mod' i_.v �r*.l' EEE +d° f E
❑1 have and will maintain workers' cor pensation insuran(WorrkqeM Pt@d9ion 3700 of the Labor Code, for th(rq0fq,0l o.�tlartl r which this permit is is
ad:4 workers' compensat
nsurance carrier and policy number are: /
barrier Policy Number Expiration Date
4•
Name of AgentNote: Phone #
_-
TLI certify that, in the performance of th work for which this permit is issued, I shall not employ any person in any manner so as to pecome sNbjgcj to the wor 'com s
ion- s o California, and ag
.hal!rif I should become sub' ct t t k Labor C e I shall forthW com IS' GISOSI9piQi��rt�'
signature of Applicant r.
Applicant
mu '
DECLARATION RE RU ION LENDING AGENCY
hereby affirm under penalty of perjury t ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
-ender's Name Lender's Address
3y 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 applicable city and county ordinance nd state laws relating to building construction. TyV T` G
I authorize representatives of this city or coun r ab -identified property for inspection purposes.
3i nature of Property Owner or Authorized Agen _ Print Property Owner's or Authorized Agent's Na
to
ACTION
DATE
BY
KC ION F COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIO PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NO71-CW. IJN TO
_
PERMITC4NCELLED
UEPA
LIAQMD
PERMIT EXTENDED
PERMITFINAL
ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF
PR OSED QEr�OLITIpAI ,
OCCUPANCYISSUED
RIaNAT1IRF• , ,36. r—�--