HomeMy WebLinkAboutX2018-3461 - PermitsCity of Newport Beach- Building Division
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COMB Permit: X2018-3461
100 Civic Center Drive,Newport Beach, CA 92660
X 2 0 1 8 3 4 6 1
Project No: 2682-2018
Permit Counter Phone (949)644-3286
es . Inspection Requests Phone (949)644-3255
,#Reuvc> Combination Type - SFP MECH ELEC PLUM
Issued Date: 1
Inspection Area
a
:2018
2
- 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: 4 LINDA ISLE NB
-
Description: SFR REMODEL 377 SF (KITCHEN, WET BAR,. BATHROOM)
-
Legal Desc.: N TR 4003 LOT 4
Owner: BERLINGER STEVENITONI Contractor.
ROOMSCAPES INC .Architect:
Address: 4LINDA ISLE Address:
1723 WESTCLIFF DR Address:.^'
�•^
r'
NEWPORT BEACH, CA 92660
NEWPORT BEACH CA 92660`'°°"'4
Phone: Phone:
949.448.9627
Phone:
State Lic:
ter.,
Applicant: DELLINGER WILLIAM Con State Lic:
791671
Engineer:
F71b I
Address: 1723 WESTCLIFF DR Lic Expire:
- 02/26/2019
Address:,,;
NEWPORT BEACH CA 92660 .Bus Lic:
BT30043973
a
Phone:. 949-448-9627 Lic Exp Date:
07/3112019
Phone:
State Lic:
Code Edit: 2016 Worker's Compensation Insurance
Designer:
NASSETTA DEBBIE
l
Type of Construction: VIB Carrier:
PREFERRED PROFESSIONAL Address:
1723 WESTCLIFF DR
-. Occupancy Group: R3/U Policy No:
ON0833401
NEWPORT BEACH CA 92660
Added /New sq.ft. Bldg:: 0 Expire:.
02/16/2019
Phone:
949-448-9627
►'" «
Addeo /New sq. ft. Garage: 0
No of Stories: 2 Building Setbacks
Rear: I
Special Conditions: LIQUEFACTION AREA
No of Units: 1
Front: /
Bldg Height: 0
Left:. f
Bldg Sprinklers: N
Right: /.
Flood Zone: 0.2 Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $82.000.00
Building Permit Feer $987.00 Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Feer $858.69. Additional Fee :
$0.00
Plan check Fee:
$40.00 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:. $0.00 Grading PC Consultant:
$0.00
SJH.Trans :
$0.00 Demolition Fee
Record Management: - $26.00 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 WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access : $0.00
-
PAN Plan Check: $0.00
Grading Bond:
$0.00
Hazardous Mat. $0.00 Electrical %: `
$69.09
San Dist: $0.00
Building Green Feer $4.00 -'Mechanical %:::
$39.48
NMUSD Fee: $0.00
-
$0.00
Plumbing %:
.$88.83:.
$0.00
TOTAL FEE: $2,113.09 Plan Check "Fee:
$898.69 Fee Due at Permit Issuance :
$1,214.40
PROCESSED BY:.
f
<' ` ,`, •
O `C 6
' • robBLIC WORKS APPROVAL:
ZONING APPROVAL:.
PLAN CHECK BY:
-s
GRADING APPROVAL: �c ` `� o `� ,. ° <
< ° " o 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 -Builder will have the burden of proving that it was not built or
im 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 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 legall)
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 Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of i ' n of the Business and Pro,�fe�stop� Code, and my lic%nse is in full force
and effect. License Class License No Dat€ _. Contractor SignatureY 3 �. 92 .4
rte. _�..
NORKERS' COMPENSATION DECLARATION
NARNING: 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
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37DG OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES
hereby affirm under penalty of perjury one of the following declarations:
:11 have and will 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,
)elbrmance of the work for which this permit is issued. Policy No.
have and will maint n orkers' 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'. compensatiol
nsurance carrier and poli n bar are: -
carrier Policy IVes� n Expiration Date
Jame of Agent C Phone #
a
-1I 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,
hat, if I should becomesubjectto tba workers' c pensati 6provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �,
signature of Applicant 1L /7 ^ i Date /
)ECLARATION REG DING CONSTRUCTION LENDING AGENCY.
hereby affirm under enalty 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).
_ender's Name Lender's Address
3y 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. -
1 authorize representatives of this city or county tp erpobe abovejdentifi ,property for inspection purposes. -laij i y q„A I1 i , AJZ 2 ,. 1 %la -1/1R
ACTION
DATE
BY - DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
••• ••• •••
PERMIT EXPIRED
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PERMIT CANCELLED
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STOS OTIFICATION IS NOT APPLICABLE TO
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