HomeMy WebLinkAboutX2017-2833 - PermitsCity of Newport Beach - Building Division IIIII IIIIIIIIIIIIIIIIIIII II COMB Permit: X2017-2833
100 Civic Center Drive, Newport Beach, CA 92660 x 2 6 1 7 2 8 3 3 Project No: 1975-2017
F 1 Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
� - Issued Date : 02112/2018
Combination Type - SFP ELEC
Inspection Area : 4
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 //days
Job Address:
4 OAKMONT LN NB
i
Description:
SFR SOLID ROOF PATIO COVER 289 SIF
Legal Desc.:
N TR 7223 LOT 115
Owner:
GRAHAM LINDA
Contractor: TONY VALENTINE CONST INC Architect:
'
t`"
Address:
4 OAKMONT LN
Address: 2435 E COAST HWY #2 Address:
'F ''
NEWPORT BEACH, CA 92660
CORONA DEL MAR CA 92625
6 m
Phone:
949-640-5947
Phone: 949-723-6449 Phone:
State Lic:
Applicant:
JEHEBER ROD
Address:
410 32ND ST #202
NEWPORT BEACH, CA 92663
Phone:
949-723-4393
Code Edit: 2016
Type of Construction: V-B
Occupancy Group: R3U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Construction Valuation:
Building Permit Fee: $337.00
Plan Check Fee: $244.50
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$20.00
Energy Compliance:
$0.00
CA Seismic Safety:
$1.13
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $664,72
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic:
467553
Lic Expire:
0413012018
Bus Lic:
BT00021099
Lic Exp Date:
02/28/2018
Worker's Compensation Insurance
Carrier: STATE COMP INS FUND
Policy No: 1794693
Expire: 07/01/2018
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: /
Right: I
Engineer: AHUNA STEPHEN
Address: 25101 VIA PORTOLA
LAGUNA NIGUEL CA 92677
Phone: 949-495-3214 State Lic:C-034264
Designer: JEHEBER ROD
Address: 410 32ND ST #202
NEWPORT BEACH, CA 92663
Phone: 949-723-4393
Special Conditions:
$0.00
Planning Department -
Fire Department
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
$0.00
Public Works Department -
General Service
$0.00
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PAN Plan Check: $0.00
Grading Bond:
$0.00
$23.59
San Dist: $0.00
$0.00
NMUSD Fee: $0.00
$0.00
$0.00
$0.00
Plan Check Fee
: $282.00 Fee Due at
Permit Issuance :
$382.72
_
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
1 t7
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 civil 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 L) all of or L) 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-Builderwill 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 my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalh
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Prop.,tp Owner or Authorized Agent Date
LICENSED CUNTaACTOR'S DECLARATION
I Fe-eby affirm urder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70C!of Division 3 of the Business and Profe;sions no my license is in full force
and effect. License Cluss License No Date 2 �Z.O I Q Contractor Signature/
WORKERS' COMPENSATION DECLARATION
✓DARNING: 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
COST C. COMPEW VTON DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
herLty affirm under penalty of perjury one of the following declarations:
I
LJ I have and will ,nalntain 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
pw m,lance of the work for which this permit is issued. Policy No.
and will mairtain 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'
carrier &ad'policy number are:
Policy Number Expiration Date
of Agent
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
, if I should become subject to the rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �a
Iature of Applicant /�z Dat�2 ` 1 2.-'2o /O
., AI -IA 1 ..vn RC nwc IILIc1e..11.nv I vcrnu.n_ e1...1
)reby affirm under penalty of perjury 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 applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to ent>�the above -identified property for inspection purposes. y t.
nature of Prooertv Owner or Authorized Aaent' Print Property Owners or Authorized Agent's Name / 1; CLl5 ' � A a5kA
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT FINALSIGNATURES NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF % ROPOSED DEMOLITION
OCCUPANCYISSUED
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