HomeMy WebLinkAboutX2019-1525 - Permitsqr,, City of Newport Beach- Building Division I IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1525
` 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 5 2 5 Project No : 1086-2019
Permit Counter Phone (949)644-3288
'v. Inspection Requests Phone (949)644-3255
eM� sna+* Combination Type - MFP ELEC MECH PLUM Issued Date: 05114/2019
0
Inspection Area : 6
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7.00 a.m. to 630 p.m. and Saturday from 8:00 a.m, to 6:00 p.m. No work on Sundays or Holidays
Job Address: 15 CLASSICO DR NB
Description:. MFR -INTERIOR ALTERATION OF 3 BATHROOMS 200 SF'
Legal Desc.:.
Owner: PRINTER HOSHI & SANDY
Address: 15 CLASSICO
NEWPORT COAST CA 92657
Phone:
Applicant: TALLEY BRANCH
Address: 27071 CABOT RD #124
LAGUNA HILLS CA 92653
Phone: 949-273-6044
Code Edit: 2016
Type of Construction: V -B
Occupancy Group: R2
Added /New sq.ft.. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units: 5
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation: $40.000.00
Building Permit Fee:
$636.00
Plan Check Fee:. $553.32
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$8.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,366.52
PROCESSED BY:
ZONING APPROVAL: RLIA
GRADING APPROVAL:
Contractor: - PEGASUS REMODELING
Address: - 27071 CABOT RD #124
LAGUNA HILLS CA 92653
.Phone: 949-226-4545
Con State Lie:
968686
Lie Expire:
1213112019
Bus Lie:
BT30067311
Lie Exp Date:
05131/2020
Worker's Compensation Insurance
Carrier:
STARNET INS CO
Policy No:
BNUWC00143279
Expire:
02126/2020
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: I
Right: I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$44.52
$25.44
$57.24
Planning Department -
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lie
AMMARI BASIL FAWAZ
202 AMBLING DR
BREA CA 92202
714-257-9616 State Lic:C-052030
Special Conditions:
Plan check Fee:
Fire Department
Fair Share:
Fire Inspection:
SJH Trans
Fire Plan Rev
In -lieu Housing Fee:
Demolition Fee
Public Works Department -
Park Dedication :
$0.00
P/W 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:
f P1P,,
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,366.52
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:
Plan Check Fee : $0.00 Fee Due at Permit Issuance:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
f P1P,,
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,366.52
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(:)an
lection. 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 applict for.
ie 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).
1 1, 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
n roved 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).
1 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, I cannot legally
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 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:/Avww.leginfo.ca.gov/calaw.html.
'ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000), of i' on 3 of the Business and Professions Code, a d i e is in full force
nd effect. License Class License No Date s 1 Contractor Signstpt �/
YORKERS' COMPENSATION DECLARATION V
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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
gr_%ance„ of the work for which this permit is issued. Policy No.
I 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'
and policy number are:
Policy Number
Date
ie of Agent vnone a
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 agree
if I should becomes lett tot_jee�workers' co�m�tfennnss tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �G p
latureofApr licantw .. /�/+"z'I"��+ 0'�%'�"""'Y Dat �Jy
11 L hl�. ✓
hereby 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 3097, Civil Code)
ender's Name Lender's Address
ly 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 ordinancesand stat laws relating to building construction.
I authorize representatives of this city or county to an he abov -i tifi d roperty for inspection purposes.
linnsture of Prooertv Owner or Authorized ADen Print Prooertv Owner's or Authorized Agent's Narff&/ tJ f?ft M -rAUG7 Date
DATE BY DECLARATION OF I / I REGULATIONS PART COMPLIANCE1 OF T E 40 AND ACMD RULE
PERMIT EXPIRED
PERMITC4NCELLED
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
I SUBMITTED ASBESTOS NOTIFICATION
IS NOTABPLICABLE TO
FOR OFFICE USE ONLY