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Home My WebLink AboutX2018-2745 - Permits1aD City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIUIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-2745 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 2 7 4 5 Project No: 2191-2018 t+ Permit Counter Phone (949)644-3288 a" Inspection Requests Phone (949)644-3255 e"><awrw• Combination Type - SFP ELEC MECH PLUM Issued Date : 0 911 312 01 8 9 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 Holidays Job Address: 21 HILLSBOROUGH NB Description: SFR KITCHEN REMODEL (390 SF)LegalECTOR Owne Desa: GRENER JSEPHAH 3Contractor: ROOMSCAPES INC Architect: t , Address: 21 HILLSBOROUGH Address: 1723 WESTCLIFF DR Address: Code Edit: 2016 Type of Construction: VB Occupancy Group: R3/U 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: Building Permit Fee: $758.00 Plan Check Fee: $659.46 Overtime Plan Ck: NEWPORT BEACH CA 92660 Phone: $0.00 Applicant: ROOMSCAPES INC Address: 1723 WESTCLIFF DR CA Seismic Safety: NEWPORT BEACH CA 92660 Phone: 949-448-9627 Code Edit: 2016 Type of Construction: VB Occupancy Group: R3/U 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: Building Permit Fee: $758.00 Plan Check Fee: $659.46 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $26.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 TOTAL FEE: $1,635.56 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: PREFERRED PROFESSIONAL Policy No: ON0833401 Expire: 02116/2019 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: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $53.06 $30.32 $68.22 Designer: NASSETTA RICK Address: 1723 WESTCLIFF NEWPORT BEACH CA 92660 Phone: Special Conditions Planning Department - NEWPORT BEACH CA 92660 Plan check Fee Phone: 949-448.9627 Phone: State Lie: Con State Lie: 791671 Engineer: Lie Expire: 0212812019 Address: Bus Lie: ST30043973 $0.00 Lie Exp Date: 07/3112019 Phone: State Lie: Worker's Compensation Insurance Carrier: PREFERRED PROFESSIONAL Policy No: ON0833401 Expire: 02116/2019 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: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $53.06 $30.32 $68.22 Designer: NASSETTA RICK Address: 1723 WESTCLIFF NEWPORT BEACH CA 92660 Phone: Special Conditions Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 PIN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: •••• • Fire Department $37.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm 0 General Service ° ° oo°oo Refund Deposit � Grading Bond: Plan Check Fee: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: •••• • •eoo 0 00 ♦ O e O C OOe00( O Ce 00 • ( o 0 0 co°•oa ° 0 0 & ° • 0 m c ° ° oo°oo oo••o • � •oioo r c 000soo OpAOGO O J ° '" O L oe common 00 oV •eon $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,635.56 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 1e 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 (_) all of or (_) 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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, 1 cannot legal) 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.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirmI Tcrf penalty of per ury that I am licensed under provisions of Chapter 9 (commencing with Section 700j� o Division 3 of the usiness and Profess' s license is in full force nd iffect. LIO�As'e Class License No °7 Q t t'T 1 r rate. • f C for Signature VVItKERS4.'GMVENSATIO DECLARATION IARjJING: FAILUAE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CI FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE PST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Weby affirm unde7enalty of perjury one of the following declarations: ....• I Itave and will Aaintain 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 the ormance of tre Wprk for which this permit is issued. Policy No. rirw• .. .. e anrj'wlll 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' compensation Isyrppce carner'and policy number are: ArrieE .:...: Policy Number Expiration Date g.of Agent -non • . .. ;ertify that; jp'tpg pe ce ofta ►grf_�rk for which this permit is issued, I shall not employ any person in any manner so as to become if I Shauld-BeGorn b' tw t�1e��de�.rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with tho CLA TION REGARDI -OBSTRUCTION LENDING AGENCY ereby a d penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued 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 co &o, d state laws relating to building construction. I authorize representatives of thi ounty to entified property for inspection purposes. nahlre of Prnneriv Owner nr uA M�zr. ent Print ProDertV Owner's or Authafrzed Aq6 s Nam PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 1 LJ I SUBMITTED ASBESTOS NOTIFICATION TO WE TO compensation laws f California, and I Civil Code).