HomeMy WebLinkAboutX2014-0003 - PermitsAgwtb4, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
04 0 100 Civic Center Drive. Newport Beach, CA 92660 x 2 0 1 4 0 0 0 3
ti Permit Counter Phone (949)644-3288
U
naz,n,cY's Combination Type - MFP ELEC PLUM MECH
Job Address: 104 OCEAN VISTA NB
Description:SFR - REPLACE (22) WINDOWS/(3) DOORS, REPLACE FIREPLACES, MSTR BATH REMODEL
Inspector Area: 4 Legal Desc.:
TR 9676 LOT 13 UNIT 122 OF PROJECT LOCATED ON AP 442-361-31
TOGETHER
Owner:
DEWITT ANNA LEE
Contractor: OLIVE TREE CONSTRUCTION Architect:
Address:
104 OCEAN VISTA
Address: 1048 IRVINE AVE, STE #167 Address:
NEWPORT BEACH CA 92660
NEWPORT BEACH CA 92660
Phone:
949-718-9865
Phone: 949-378-8456 Phone:
Applicant:
RICHART JASON
Address:
1041 W 18TH ST #A106
COSTA MESA CA 92627
Phone:
949-422-9191
Code Edit:
Type of Construction:
Occupancy Group:
2010
V-B
R3/U
COSTA MESA CA 92627
Added /New sq.ft. Bldg:
0
Added/New sq. ft. Garage: 0
No of Stories:
1
No of Units :
4
Bldg Height:
0
Bldg Sprinklers: -
Flood Zone:
X
Construction Valuation: $25,000.00
Building Permit Fee:
$444.00
Plan Check Fee:
$319.68
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$5.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Fee Increase: Fee:
$0.00
Additional Fee :
$0.00
Hazardous Mat :
$0.00
Building Green Fee:
$1.00
TOTAL FEE: $899.36
PROCESSED BY:
ZONING APPROVAL:
Con State Lie:
523488
Lie Expire:
12131/2015
Bus Lie:
BT30028903
Lie Exp Date:
01/3112014
Worker's Compensation Insurance
Carrier:
GRANITE STATE INS CO
Policy No:
WC009798297
Expire: 09/29/2014
Building Setbacks Rear: /
Front: /
Left: /
- Right: /-
Use Zone: Parking Spa,
Solar System PC : ??
Excise Tax: $0.00
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
$0.00
$0.00
$0.00
$0.00
$31.08
$22.20
$44.40
Plan Check Fee:
0
Engineer:
Address:
COMB Permit: X2014-0003
Project No : 0002-2014
Inspection Requests Phone (949)644-3255
Issued Date : 01/03/2014
State Lie:
Phone: State Lic:
Designer: RICHART JASON
Address: 1041 W 18TH ST #A106
Phone: 949-422-9191
Special Conditions:
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share :
SJH Trans:
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$32.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$351.68
Fee Due at Permit Issuance :
$547.68
PUBLIC WORKS
APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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
ie 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
'rofessions 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
of more than five hundred dollars ($500).-
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved 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
pply 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
Iy 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 Iegall,
ell 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
'rofessions 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 Property Owner or Authorized Agent I Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secpn 70004f.�D�isi_og 3 of the Busine s and ProfesCode license is in full force
nd effect. License Class License No tosio m Contracto nature
IIORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SE1.1-RE 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
CST OF COMPENSATION, DA-.IAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and wid 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
etfcrma.ice of the work for which this permit is issued. Policy No.
l 4e and will mri^tain 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' compensatio
Iswance carrier and policy number are:
Policy Number
or Agent
Date
certifv 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 sh3uld beccme subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
n^.tj-e cf ant .0 E /"' t / • �j / y
CIAR4ilON -CARDING CONSTRUCTION LENDING AGENCY —f
veby affirm under pui.alty 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).
lder'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 tq enter the above -identified property for inspection purposes. �
nature of Property Owner or Authorized Aynnt_-� Print Property Owner's or Authorized Agent's Nr">e`-�(
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