HomeMy WebLinkAboutX2020-1819 - Permits�$wro City of Newport Beach - Building Division 11111111111111111111111111p11111p11111111111lilJillCOMB Permit: X2020-1819
a� 100 Civ.c Center Drive, Newport Beach, CA 92660 X 2 0 2 0 1 8 1 9 Project No: 1415-2020
Permit Counter Phone (949)644-3288
u Inspect on Requests Phone (949)644-3255
�acrrunyv Combination Type - MFP ELEC MECH PLUM Issued Date: eH212020
Inspection Area : 4
PERMIT E XPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 08/13/2023 OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 8:30 p.m. and Saturday from 8:00 a.m, to 6:00 p.m. No work on Sundays or Holidays
Job Address: 5 NORTHAMPTON CT NB
Description: MFR REMODEL KITCHEN & (3) BATHROOMS (500 SF)
Legal DeSG.: TR 10987 LO-.-1 UNIT 103 OF PROJECT LOCATED ON AP 442-351-08 TOGETHER
Owner:
HABEEB KAREEM A
Contractor:
R J H CONSTRUCTION
Architect:
JONSSON JEFFREY
Address:
5 NORTHAMP-rON CT
Address:
23831 VIA FABRICANTE #301
Address:
946 CALLE AMANECER #C
NEWPORT BEACH, CA 92660
MISSION VIEJO CA 92691
SAN CLEMENTE CA 92673
Phone:
Phone:
800.524-1612
Phone:
949-412_3955 State Lic:CO27314
Applicant:
HAGAN RICH/.RD
Con State Lie:
605852
Engineer:
Address:
23831 VIA FABRICANTE
Lie Expire:
11130/2020
Address:
MISSION VIEJO CA 92691
Bus Lie:
BT30072691
Phone:
800-524-1612
Lie Exp Date:
08/3112021
Phone:
State Lie:
Code Edit: 2319
Worker's Compensation Insurance
Designer:
Type of Construction: 4 B
Carrier: STATE FUND
Address:
Occupancy Group: F3/U
Policy No: 9020683
Added /New sq.ft. Bldg: 0
Expire: 08110/2021
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks Rear: I
Special Conditions:
T A
No of Units: 6
Front: /
INSPE
�C (\.J�
R
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
Flood Znne: X
Use Zone: Parkinq Spaces: 0
Fire Hazard Zone : N
Construction Valuation:
Building Permit Fee:
Plan Check Fee: $0.00
Bit:
$62 000.00
$305.00
Excise Tax:
Additional Fee :
Grading Bends
$0.00
$0.00
$0.00
Planning Department -
Plan check Fee :
Fair Share
$0.00
$0 00
Fire Department
Fire Inspection:
Fire Plan Re
$0.00
$n nn
Overtime Plan
Investigation Fee:
$0
$0.00
as:
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management:
$0.00
Grading Permit Fee:
$0.00
- In-lle`u Housing Fee :
$0.00
Building -Dept Adm
$0.00
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access :
$0.00
PNV Plan Check :
$0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$63.35
San Dist:
$0.00
Building Green Fee :
$3.00
Mechanical %:
$36.20
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$81.45
$0.00
TOTAL PEE: $1,089.00
PROCESSED BY:
ZONING APPROVAL:
Plan Check Fee :
$0.00 Fee Due at Permit Issuance : $1,089.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: _ _ - APPROVAL TO ISSUE:
I hereby affirm under penalty of perjury that 1 am exempt Iman the Contractors' State License Law for the reason(s) Indicated below by the checkmark(s) I have placed next to tro. applicable 11 in ) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repafrany structure, prior to its Issuance, also I quires 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 Seclfor 7000) of Divisi :n 3 of the Business and
il
Professions Code) or that he or she Is exempt tram licensure and the basis tar the alleged exemption. Any violation of Section 7031_5 by any applicant for a permit subjects the app cantto a cBupenalty 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 U all of or U portions of the work, and the structure is not intentled or offered for s :le (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 pro; tidy, provided that the
Improvements are not intended or offered for sale. It, however, the building or improvement Is sold within one year of completion, the Owner -Builder will have the burden of proving "rat it was not built or
5Im roved for the purpose of sale).
1, as Owner Of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State .icense 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' Slate License Law).
1 am exempt from licensure under the Contractors' Stale License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at (east one year pr(Or to cempleoon of the lmpmvemenis covered by', its permit, i Cannot legal(
sell a structure that I have built as an owner -builder if it has nor been constructed in Its entirety by licensed contractors. i Understand that a copy of the applicable law, Section 7044 If file Business and
Professions Code, Is available upon request when this application Is submitted or at the following Web sile:http7Avww.leglnfo.ca.govfcalavt.himl.
Bign-ature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION —
hereby affirm under penalty of ury that I am licensed under provisions otPliapter 9_[commencmg with Sectio 7000) of Division 3 at the Business and Profess ode, and c ,lice once
and effect. Cleanse Class License No ff ' k_ Dalw Contractor Signatur�� -/ folN
NORKERS' COMPENSATION DECLARATION
CRUNALPENALT4te ANDMILRIIESUPTOONEHUNDRMTHOUSANDJgnL1AR5l:',ea00 N
hereby affirm) 09,,1ty of perjury one of the following declarations:
I h, . III mMnfaln a certificate of consent to self -Insure for workers' compensation, Issued by the Director of Industrial Rotations as provided for by Section 3700 I the Labor Code, for
5rliie worK forwhich this permit Is Issued. Policy No.
kve and Will maintain workers' compensation insurance, as required by Section 3700 of the tabor Code, for the performance at the work for which this permit Is issued. 1, y workers' compensatiro
rance canner and policy number are:
ter Policy Number Expfmtfon Date
to or Agent Phone S
certify that, In the ped an, of the work for which this perm ued, I shall not employ any parson in any manner so as to become subject to the workers' compensation ia.- s or California, and agree
if I should become subj I f the Mers' compensab ovistons or Section 3700 of the Labor Code,1 shall rorthwtih comply with those provisions. q
lature of Apples ,� Dal/ (l
:LARATION HwAHVINU CONSTRU TI NPEENDING AGENCY 'Jr —
ireby affirm untler penalty of perjury III hb%is awnstmclUm lending agency for the performance of the work for which this Permit is Issued (Section 3097, Gvl! Code)
Ider's Name ! Loner's Address
my signature below, I certly to each or file following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the Informailon 1 have provided Is correct
I agree to comply with all applicable city and county Inances and state laws relating to building consWction.
I authorize representatives of this city or couq t the abcv .itlenllflad pr inspection purposes. 'y(
ONLY
OFTITLE 40 AND AQMO RULE
1403
ul/r1/[1 ���'�^'] Y�r'n]at]IV]NUIIFICAIIlJN lS NOTAPPIICABLE TO
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