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Home My WebLink AboutX2019-2068 - PermitsCity of Newport Beach - Building DivisionIIIIIIIIIIIIIIII1111111111111111111111111111IIIIIII COMB Permit: X2019-2068 c1, 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 0 6 811111 Project No :1500-2019 Permit Counter Phone (949)644-3288 6 Inspection Requests Phone (949)644-3255 a,i �* Combination Type - SFP ELEC PLUM Issued Date: 07/01/2019 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: 887 SANDCASTLE DR NB Description: SFR MASTER BATH REMODEL 106 Legal Desc.: N TR 6228 LOT 58 Owner:. HEINECKE JAY & LORI Contractor: Address: 887 SANDCASTLE DR Address: ROOMSCAPES INC Architect: 1723 WESTCLIFF DR Address: CORONA DEL MAR, CA 92625 NEWPORT BEACH CA 92660. ; d 7 ft, * >t Phone: 947-718-9883 Phone: 949.448-9627 Phone: State'Lio r ',j' Applicant: DELLINGER WILLIAM Con State Lie: 791671 Engineer: _o 4 Address: 1723 WESTCLIFF DR. Lie Expire: -. 0212812021 Address: 'j NEWPORT BEACH, CA 92660 Bus Lie: - BT30043973 4' t�• ° Phone: 949-448-9627 Lie Exp. Date: 07/3112019 Phone: State Lie: ° ®° ° „ • ° ° °° a Cade Edit: 2016 Worker's Compensation Insurance Designer: DELLINGER WILLIAM °' ° • • ° °° Type of Construction: V-B Carrier: PREFERRED PROFESSIONAL Address: 1723 WESTCLIFF DR Occupancy Group:.. R31U Policy No: ON0833401 NEWPORT BEACH; CA 92660 = ° ° • ° 00000 Added /New sq.ft. Bldg: 0 Expire: 02/16/2020 Phone: 949.448.9627 . ®• °° ° Added /New sq. B. Garage: 0 No of Stories: 1 Building Setbacks Rear: I Special Conditions: ...... No of Units: 1 Front: I ° Bldg Height: 0 Left: I °O ° ° °•••.° Bldg Sprinklers: - Right: / ° °.. Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $20.000.00 _ Building Permit Fee: $392.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $341.04 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: $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 PM Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00. Electrical %: $27.44 San Dist: $0.00 Building Green Fee [ ,. $1.00 .Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $35.28 $0.00 - TOTAL FEE: $842.76 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $842.76 PROCESSED BY: r PUBLIC WORKS APPROVAL: ZONING APPROVAL: 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) action 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 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 )fessions 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 civil penalty 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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 )mvements 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). 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 )1y 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: 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 legally I 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 lfessions Cpsl%Os available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. (nature of P;gpeay Owner or Authorized Agent Date '6NSED•COWIFLACTOR'S DECLARATION Veby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 f i i 'on 3 of the Business and Pro ns od , and��yy );cense is in full force J gffect. License Class License No - Date Contractor Signature G/�sni j5AERS' CQYLPENSATION DECLARATION R%NG: FAILURE TO$$LCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 6T OF COMPENSQTT9, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Aeby affirm•Lpl�ie`denalty of perjury one of the following declarations: Ugve 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 for mance of the work for which this permit is issued. Policy No. `have and will"TiiQtain 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' compensatiol WTp9ge carrier and policy number are: Vitt • • • ' Policy Number Expiration Date me of Agent Phone # I 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 I, if I should beco�subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / // e nature ofApplicar /c`il/' �� §D/at7e'/ / CLARATION REN CONSTRUCTION LENDING AGENCY ;reby affirm under 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). 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 h ve provided is correct. I agree to comply with all applicable city and cou ty ordinances and state laws relating to building construction. I authorize representatives of this city or county opf�eytl7e abIpwjC�{iv lWoperty for inspection purposes. �j, qI , rIP n DeU 1A q7� 4 1 /q nnhlre of Prnnwrty Owner or Authorized Anent n� :?/ � Print Property Owner's or Authorized Agent's Nam (N LtJ r'v 1 I/�+u- ��C.v I DATE BY DECLARATION OF COMPLIACE WITH CODE OF FEDER REGULATIONS PART61 OFTNTLE 40 AND AQMD RULE AL FOR OFFICE USE ONLY EXPIRED I I XfJ I SUBMITTED ASBESTOS PERMIT EXTENDED ESTOS EST PERITFINAL )'=S CERTIFICATE OF SIGNATURFLIITCATION IS NOPLICABL�TO OCCUPANCYISSUED Gam'-i`/f