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Home My WebLink AboutX2021-0803 - PermitsCity of,NdwPort Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 "ermit Counter Phone (949)644-3288 n '1pection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM *X20210803" COMB Permit: X2021-0803 Project No: Issued Date: 0410612021 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/0612024 OR PERMIT WILL BE INVALID 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: 115 VIA UNDINE NB Description: SFR REMODEL GUEST BATHROOM (110 SF) (ij4i1n ' Legal Desc.: N TR 907 LOT 249 Owner: GRAVELINE GEORGE W & AJ Address: 115 VIA UNDINE Record Management: NEWPORT BEACH, CA 92663 Phone: $0.00 Applicant: BEST HOME ADVISOR REMODELING Address: 12312 OXNARD STREET Hazardous Mat NORTH HOLLYWOOD, CA 91606 Phone: 818-355-9419 Code Edit: 2019 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $15.000.00 Building Permit Fee: $331.00 Plan Check Fee: $287.97 Overtime Plan Ck: $0.00 Investigation Fee: $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: $734.42 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Use Zone: Left: / Right: / Parking Spaces: 0 01-L;Trl9 Contractor: BEST HOME ADVISOR REMODELING Architect: Address: 12312 OXNARD STREET Address: NV 000m y NORTH HOLLYWOOD, CA 91606 Phone: 818-355-9419 Phone: e000u Excise Tax: $0.00 Planning Department - Fire Department Con State Lie: 1059330 Engineer: $0.00 Plan check Fee : Lie Expire: 10/31/2021 Address: A' ...... Bus Lie: BT30060103 Fair Share : y A o® Lie Exp Date: 08/31/2021 Phone:State ®A v Lie: SJH Trans : $0.00 � 4Y Worker's Compensation Insurance Designer: $0.00 In -lieu Housing Fee: Carrier: EXEMPT Address: -.10.80 mmmom ° Policy No: $0.00 Public Works Department - General Service Expire: Phone: $0.00 mmm. Building Setbacks Rear: I Special Conditions: m o Front I PAN Plan Check: °°°° Use Zone: Left: / Right: / Parking Spaces: 0 Fire Hazard Zone : N o°oo °p 000m y o m m e000u Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $46.25 Fire Inspection: $0`00 ...... Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm -.10.80 mmmom ° Grading PC Fee: $0.00 Public Works Department - General Service 6.86 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Electrical %: $23.17 San Dist: $0.00 Mechanical %: $13.24 NMUSD Fee: $0.00 $0.00 Plumbing %: $29.79 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $734.42 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 requitethe 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 (_) 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 im 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 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 legally 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.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that f am licensed under provisions of Chapter 9 (commencing with Section 7000) of ision 3 of the Business SO Professions Code, aadjw licen - i I force and effect. License Class License No Da /NSG (U Contractor Si nature WORKERS' COMPENSATION DECLARATION IARNING: FAILURE Td -SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,0001, IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 I have and yAlf Afbyltain 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, rformance of 11"werk for which this permit is issued. Policy No. G$ and Alt 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' compe ituraqce carrier al policy number are: (arfigr. • ' Policy Number Expiration Date for pf Agent `% Phone # ertify 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 if l should become. ubject to the workers' compensate provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provision .. /_ _ � $dre of "l !AfSATION FIE ®VDING CO NG AGENCY )by -affirm underpEValty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 097, Civil Code). ar"Name Lender's Address BXmY Snature tSelgn] certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of IN r coun ter the above -identified property for inspection purposes.G Si nature of Property Owner or A hori gentasss�Print Property Owner's or Authorized s to ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONEY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED LIAQMD PERMITFINAL / ` ESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFIC4TEOF 1V ? DEMOLITION OCCUPANCYISSUED E: 0 N 0 F Ay 00 Sk wo 4 <r W I-1 r1 P4 ww m Gr7�o MO G o c U ® a � U 0 Lf1cs �i �L = a ' � o Q o LU rn cu �t4�es_ O [f i3— d/ 2 C r_-0 CL w 00 ui f 19 O� : i d w ;g s. LIIco tD p m �, p _ Q m fl ci cc N O Q fl �m �� Z3 cao z = U �z LL ®� 0..,c w o� tja CO LU w"c° 2 C) Li` Z3 c��fl fl ti Q J 1-7 O fl 0 < Y T � 0 CLo� 0 C%l° � O$rC ow o C°a i.Lo)