HomeMy WebLinkAboutX2020-1412 - Permitsrgwpf}4 City of Newport Beach - Building Division
q 100 Civic Center Drive, Newport Beach, CA 92660
h a Permit Counter Phone (949)644-3288
Pj Inspection Requests Phone (949)644-3255
'Combination Type - MFP ELEC MECH PLUM
II�IIIIIIIIIIIIIIIIIIulllllllllllllllllllllllllll II COMB Permit: X2020-141
9 Project No: 1094-2020
Issued Date :06/2612020
Inspection Area illy
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST
VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/27/2023 OR PERMIT WILL BE INVALID
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: 1247 SANTA BARBARA DR NB
Description: MFR INTERIOR REMODEL (264B SF)
Legal Desc.:
Owner: VOLAS SUSAN Contractor:
OWNER/BLDR
Architect: OLDHAM RYAN
cc
Address: 1247 SANTA BARBARA Address:
VOLAS SUSAN
Address: 2651 E. CHAPMAN AVE #110
NEWPORT BEACH CA 92660
FULLERTON, CA 92831
Phone: Phone:
734-604-6820
Phone: 714-482-8296 State Lic:CO29715
'
Applicant: OLDHAM RYAN Con State Lic:
Ole
Engineer:
Address: 2651 E. CHAPMAN AVE #110 Lic Expire:
Address:
FULLERTON, CA 92831 Bus Lic:
Phone: 714482-8296 Lic Exp Date:
Phone: State Lic:
�-7J
Code Edit : 2019 Worker's Compensation Insurance
Designer: '
Type of Construction: VB Carrier:
Address:
Occupancy Group: R2IU Policy No:
Added /New sq.ft. Bldg: 0 Expire:
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 4 Building Setbacks
Rear: I
Special Conditions:
No of Units : 14
Front: I
• '
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: I
Flood Zone: Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $203,840.00
Building Permit Fee: $1,831.00 Excise Tax:
$0.00
Planning Department - Fire Department
Plan Check Fee: $1,592.97 Additional Fee:
$0.00
Plan check Fee : $41.50 Fire Inspection: $0.00
Overtime Plan Ck: $0.00 Grading Bonds Fee:
$0.00
Fair Sham: $0.00 Fire Plan Rev $0.00
Investigation Fee: $0.00 Grading PC Consultant :
$0.00
$0.00
SJH Trans : $0.00 Demolition Fee
In -lieu Housing Fee : $0.00 Building Dept Adm $24.00
Record Management: $8.00 Grading Permit Fee:
Energy Compliance: $0.00 Grading PC Fee:
$0.00
Public Works Department - General Service $197.00
CA Seismic Safety: $11 00 WO Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit $564,00
Disabled Access : $0.00
PAN Plan Check: $42.50 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %:
$479.36
San Dist: $0.00
$0.00
Building Green Fee : $9.00 Mechanical %:
$376.64
NMUSD Fee: $0.00
Plumbing %:
$308.16
$0.00
TOTAL FEE : $5,474.13
Plan Check Fee:
$1,676.97 Fee Due at Permit Issuance : $3,797.16
PROCESSED BY:
ZONING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: 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)
(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 vivil penalty of
not more than five hundred dollars ($500). '
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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
oved 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 ContractorsState License Law does not
appl 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).
J 1 am exempt from licensure under the Contractors' State Li se Law for the followi ason:
y my signature below I acknowledge that, except for my p so residence i mu t have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
ell a structure tip_. s an owner -builder if i no en construe e I s tirety, b icensed contractors. I understand that a copy of the applicable law, Section 7044 the Business and
'rofessions w avails e u on request whe a lication is s mitte or t of ing eb site:http://www.leginfo.ca.gov/calaw.html. _ q
AeD
"'at!
o Prooerty Owner or uthorized ant Date Ot tl
.ICENo— ED v OR'S DEC A%TI
'iereby affirm under penalty of perjury t I am I an un r provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cod ,and my license is in full force
no nfrect. License Class icense No Date Contractor Signature
'.'OR:(ERS' COMPCNSATION DECLARATION
'AFU WG: FAILURE TO 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
OST OF COMPENS., iUN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm ender penalty of perjury one of the following declarations:
I I have and will 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,
emorm3nce of.the wore for which this permit is issued. Policy No.
Z lava 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' compensatior
;Trance carrier and policy number are:
arrier Policy Number Expiration Date
lame of Agent Phone #
�I certify that, in the pe nce o e ork for which this e i s issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
eat, if I should beco sub' ct to w ers' co ensatio isio of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Apple nt Dat
DECLARATION R GAR ING CON T TION LENDING AGENCY
hereby affirm unde GAR
of ury th there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 , 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
I have read this application and the information I ha,
I agree to comply with all applicable ci n t
I authori sen a KI f this ci�y or countyto
ii nature f Pr perty Owner or luthoriz d Agent
ACTION ATE B —T
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
owner's behalf.
and state 11 re ling to wilding construction.
eve,ident" y for i spection purposes.
Print Prooertv Owners or Authorized AD
OF COMPLIANCE WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AND POND RULE
I SUBMITTED ASBESTOS
IS NOT
I FOR OFFICE USE ONLY
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