HomeMy WebLinkAboutX2017-2435 - PermitsrJ;.Vrrly City of Newport Beach - Building Division II II IIIIIIIIIII III IIIIIIIIII�IIIIIIIIIII� II COMB Permit - X2017-2435
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 7 2 4 3 5 Project No : 1732-2017
Permit Counter Phone (949)644-3288
_Inspection Requests Phone (949)644-3255
fi,i;r x n` Combination Type - MFP ELEC MECH PLUM Issued Date:
Inspection Arearea :2017
8
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday-Friday7:00 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: 2012 VISTA CAUDAL NB
Description: MFR INFILL OPENING AND INTERIOR REMODEL 56 S 280 SF
'
Legal Desc.: TR 5435 (L.L.84-214024) PAR 12
y"
Owner: MOAD IVAN
Contractor:
OWNERIBLDR
Architect: ART KENT
Address: 2012 VISTA CAUDAL
Address:
MOAD IVAN
Address: 325 2ND ST "A"
- ;_-�n4'
NEWPORT BEACH, CA 92660
HUNTINGTON BEACH CA 92648
Phone: 619-587-4826
Phone:
Phone: 714-969-6306 State Lic:C015748
Applicant: MOAD IVAN
Con State Lic:
O/B
Engineer.
Address: 2012 VISTA CAUDAL
Lic Expire:
Address:
NEWPORT BEACH, CA 92660
Bus Lic,..
-
Phone: 619-587-4826
Lic Exp Date:
Phone: State Lic
Code Edit: 2016
Worker's Compensation Insurance
Designer:
Type of Construction: V-B
Carrier:
Address:
"
Occupancy Group: R2
Policy No:
Added /New sq.ft. Bldg: 56
Expire:
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: I
Special Conditions: I17-2341
No of Units : 4
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers: N
Right: /
Flood Zone: X
Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $32,580.00
Building Permit Fee: $1,148.00
Excise Tax:
$0.00
Planning Department - Fire Department
Plan Check Fee: $927.44
Additional Fee :
$0.00
Plan check Fee : $187.50 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share: $0.00 Fire Plan Rev
$0.00
Investigation Fee: $1,148.00
Grading PC Consultant :
$0.00
SJH Trans : $0.00 Demolition Fee
Record Management: $6.00
Grading Permit Fee:
$0.00
In -lieu 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
WO 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 %:
$80.36
San Dist : $0.00
Building Green Fee : $2.00
Mechanical %:
$45.92
NMUSD Fee: $0.00
$0.00
Plumbing %:
$103.32
- $0.00
TOTAL FEE : $3,648.54
Plan Check Fee:
$1,114.94 Fee Due at Permit Issuance :
$2,533.60
PROCESSED BY:
PUBLIC WORKS APPROVAL:
\ ,\
ZONING APPROVAL:
W
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 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 U 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
Kim rovements 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
roved for the purpose of sale).
as owner 3 :ha 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 owper �f 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 fnLi licensure under the Contractors' State License Law for the following reason:
By my signature. below I acknowledge that, except f my persolial residence in kN-must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
Fe11 a structure that I have built as an owner -builder If it has no een�¢ st ed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 79Kof the Business and
Professions Code, is available upon request whe his applica I In 1 itted or at the following Web site:http://www.leginfo.ca.gov/calaw. html.
Signature of Property Owner or Authorized Agen _ Da
LICENSED CON i RACTOR'S DECLARAT ON
I hereby affirm -under penalty of perjury that I a licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions ode, and my license is in full force
aria etfect. Lica:ise Class License No Date Contractor Signature
COMPENSATION DECLARATION
IAPNING. FAILURE .0 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUS.IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF uOMPENSATION, PAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
he:Cby affirm under penalty of perjury one of the following declarations:
I have and .v;II 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 Cade, for thl
erformance of the work for which this permit is issued. Policy No.
have 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'
ranee carrier and policy number are:
ie of Agent
certify that, in the
, if I should beco
lature of Applican
Policy Number
Date
p rforma ce 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' c pensation laws of California, and agre
msubjec ,to th rkers' c errsat o rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /(;—I D
CARDING tONSTRUCTION LENDING AGENCY
hereby affirm unde( penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 7, Civil Code).
Enders Name / Lender's Address
By 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 h e provi Ed is correct.
I agree to complywith all applicable city and coun ordin es o d state laws relating to building construction.
I authorize representatives of this city or county enter ' ab ve-i a prope y or Inspection purposes.
Signature of PropertyOwner or Authorized Agent Print Property Owners or Authorized Ag
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
LI I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
DEPA
PERMIT EXTENDED
QMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
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BESTOSNO ICATIO IS NQT APPLICABLE TO
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