HomeMy WebLinkAboutX2019-1747 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach,CA 92660
H +3 „Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)6443255
ys xaT Combination Type - SFP PLUM
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PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPEI
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 5:00 a.m, to 6:00
Job Address: 3 BARRENGER CT NB
Description: SFR BATHROOM REMODEL 45 SF "CITY STANDARD* -
Legal Desc.: N TR 11450 LOT 21
COMB Permit: X2019-1747
Project No:
Issued Date : 06/0312019
Inspection Area : 8
p.m. No work on Sundays or Holidays
Owner. MOREINA DON
Contractor:
J D I STONE & TILE
Architect:
Address: 3 BARRENGER CT
.Address:.
1846.SEASTAR WAY
'. Address:
NEWPORT BEACH, CA
$2.00
SAN DIEGO CA 92139
$0.00
Phone:
Phone:
714-605-6255
Phone: -
Applicant: J D I STONE & TILE
Con State Lie:
747540
Engineer:
Address; 1846 SEASTAR WAY
- Lie Expire:
03/3112020.
Address:
SAN DIEGO CA 92139 -
Bus Lie:
BT30057561
Phone: .714-605-6256
Lic. Exp Date:
•06/30/2020
Phone:
Code Edit: 2016
- Worker's Compensation
Insurance
Designer:
Type of Construction: V -B
Carrier:
EXEMPT NO EMPLOYEES
Address:
Occupancy Group: R31U
Policy No:
$0.00
e o o.
Added /New sq.ft. Bldg: 0
Expire:
-
Phone:
Added/New sq. ft. Garage: 0
-
om000
$0.00
No of Stories: 2
Building Setbacks
Rear: I
Special Conditions:
No of Units : 1
San Dist:
Front: I
°
Bldg Height: 0
000eam
Left: I
$0.00
Bldg Sprinklers:
$0.00
Right: /
Construction Valuation: 911.980.00
Building Permit Fee:
$264.00.
Plan Check Fee: $229.68
Overtime Plan Ck:
$0.00
Investigation Feer
$0.00
Record Management :
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $560.44
PROCESSED BY:.
ZONING APPROVAL:
GRADING APPROVAL:
Excise Tax:
$0.00.
Planning Department-
Fire Department.
is c'1; �
1 Fti epi
$0.00
Plan check Fee:
� s e
$40.00..
Fire Inspection:
seem
Grading Bonds Fee:
State Lie:
•°�•
;'°°°°
$0.00
Fire Plan Rev
0
Grading PC Consultant:
$0.00
e °
°
• c e
emeo
oe °
In -lieu Housing Feer
• e
e °
Building Dept Adm
mmeo
m°.e
State Lie:
e
o
General Service
•
WO Insp. Fee:
$0.00
e o o.
om000
eo mm.
e
om000
$0.00
o
Grading Bond:
$0.00
Electrical %:
om0000
San Dist:
° m
°
000eam
° o
$0.00
o
$0.00
eommoo
Plumbing%:
o. oo
o000
ooco�
Excise Tax:
$0.00.
Planning Department-
Fire Department.
Additional Fee :
$0.00
Plan check Fee:
$40.00..
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share: '.
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0,00
In -lieu Housing Feer
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
WO Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00.
P/W Plan Check,
$0.00
Grading Bond:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing%:
.$23.76
$0.00
Plan Check Fee:
$0.00
Fee Due at Permit Issuance
$56044
PUBLIC WORKS APPROVAL: I
PLAN CHECK BY:
APPROVAL TO ISSUE: (7.
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) 1 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
he 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
lot more than five hundred dollars ($500).
1, 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,
3usiness 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
Tlprovements 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
reproved 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
Ipply 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 flop licensure under the Contractors' State License Law for the following reason:
3y my signaturebeffow•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
rail a s(tucture tlTdI1 hve 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
4ofass4ons Codi@!i3 %ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Prepe*-owner or Authorized Agent Date
,fQEIVSED CONTRACTOR'S DECLARATION
'her@tTy, affirm uadac penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of D'vl i 3 of the Business and Prof ci Cc , an my cense is in full force
and effect. Lic@gsp.QAss License No Date Contractor Signature
AORKERS' QOMPENSATION DECLARATION
/AHNM& FAILURCTeW6RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUN ED T USAND DOLLARS ($100,0001, IN ADDITION TO THE
WJ Q` COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LA90R CODE, INTEREST, AND ATTORNEY'S FEES.
riVia4rUaffirm under pe.nalty of perjury one of the following declarations:
11 I havC and 4414M1Ai$tain 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 IN
witaramce of the work for which this permit is issued. Policy No.
pp • •. •.
Jt 11@de and w111aalataln 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 workerscompensatlor
nsurance carrier and policy number are:
:arrier Policy Number Expiration Date
flame of Agent Phone #
{�^ertlfy that, iAenalt
e of the work or hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' c pensation law�alifornia, and agre,
hat,lfl should bth work pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of AppDate
)ECLARATION N RUCTION LENDING AGENCY
hereby affirm uerjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309-/, 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 he a provided is correct.
I agree to comply with all applicable city and count dinances and state I fsrelating to building construction.
or
I authorize representatives of this city county to nter In ova-' entl d property for inspection purposes.
Signature of Property Owner or Authorized A ant Print Prope Owner's or Authorized A enfs Name Da
ACTION DATE BY UECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIREDI SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED LIEPA
PERMITEXTENDED Z QMD
PERMIT FINAL `` RESTOS N CATION IS N APP LE TO
CERTIFICFITE OF f�Z4s P OSEDD O ION i
OCCUPANCYISSUED 1 SIGNATUR
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