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Home My WebLink AboutX2019-2763 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2763 r 6 .100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 7 6 3 Project No: 1965-2019 _ Permit Counter phone (949)644-3288 'cy ar Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM Issued Date : 2019 Inspection Arearea : 5 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 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 456 MENDOZA TER NB Description: SFR BATHROOM REMODELS (2) 180 SF Legal Desc.;. N TR 1237 LOT 140 Owner: DINICOLA MARIANNE Contractor: ONYX CONSTRUCTION INC Architect: �/C� Address: 456 MENDOZA TER Address: 8835 HOFFMAN STREET Address: CORONA DEL MAR, CA 92625 BUENA PARK, CA 90620 Phone: Applicant:- SALAZAR OSVALDO. Address: 8835 HOFFMAN ST BUENA PARK, CA 90620 Phone: 714-305-9461 Code Edit: 2016 Type of Construction: V -B 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 Phone: 662-230-0835 Can Stale Lie: - 1024828 Lie Expire:. 03/31/2021 Bus Lie: BT30068287 Lie Exp Date: 07/3112020 Worker's Compensation Insurance Carrier: EXEMPT Policy No: Special Conditions: Expire:. Building Setbacks Rear: I $0.00 Front: Left: $0.00 Right: Phone:. State Lie: Engineer: Address: Parking Spaces: Phone: State Lie: Designer: SALAZAR OSVALDO Address: 8835 HOFFMAN ST BUENA PARK, CA 90620 Phone: 714-305-9461 Special Conditions: Planning Department - load Zone:: Use Zone: Parking Spaces: 0 Fire R Construction Valuation: $40.000.00 Fire Plan Rev $0.00 Building Permit Fee: $636.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $553.32 Additional Fee : $0.00 Plan check Fee Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans Record Management: $4.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access: $0.00 PAN Plan Check : $0.00 Hazardous Mat $0.00 Electrical %: $44.52 San Dist: $0.00 Building Green Fee ;. $2.00 Mechanical %: $25.44 NMUSD Fee: $0.00 Plumbing %: $57.24 11 TOTAL FEE $1,362.52 Plan Check Fee PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: eae• e o 0meo e eo 0 o m sees m o0mm o m eeeo moo 00 c c 00 0 m 0 0 coo°co $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,362.52 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: oeeo0c 00000 0 0000 00°000 0 0 0 0 coaoo0 0 oeoo Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: eae• e o 0meo e eo 0 o m sees m o0mm o m eeeo moo 00 c c 00 0 m 0 0 coo°co $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,362.52 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: oeeo0c 00000 0 0000 00°000 0 0 0 0 coaoo0 0 oeoo 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 U all of or (_) 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 improved 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 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 CM?FtQCTOR'S DECLARATION 1 hereby affirm undeMpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 f ivision 3 of the Business and Professio nd license is in full force 014401t. License Cless License No Date -(�- Contractor Signature h0R�lERS' C®IAAENSATION DECLARATION WARNING! FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE HUNDR THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST" COMPENS,%40A DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LNPfeby affirm a4dLel 98nalty of perjury one of the following declarations: ® I •have and W4 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 thi V•p • 6*Rnance oflhe Werk for which this permit is issued. Policy No. 1•F1NVg 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' compensatior Insuranse carriercnd Policy number are: • • Policy Number Expiration Date Pf OAgent••• • Phone# rtify that, in•4iie perfor once 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 w/Dat pensation laws of California, and agree I should become But act tot kers' co nsation pro ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant DECLARATION REGA 1 ON CT NDING AGENCY I hereby. affirm` under p alty of pe ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30de). Lender's 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 owners behalf. I have read this application and the information I he provided is correct. I agree to comply with all applicable city and co un ordinances and state laws relating to building construction. I authorize representatives of this city or county a Vbov �n'tified property for inspection purposes. C Signature of Property Owner or AuthorizPrint Property Owners or Authorized Agent's Name ./.Ji XV) cam`%, Gs� .fJ/Dat ACTION DATE BY D ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGj*TIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT CANCELLED PERMIT EMENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED ASBESTOS NOTIFICATION TO IS NOT APPLICABLE