HomeMy WebLinkAboutX2021-1372 - Permits3t'Or City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1372
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 3 7 2
Project No : 1210-2021
w °� ?; �, �; ' Permit Counter Phone (949)644-3288
y ., Inspection Requests Phone (949)644-3255
`'+ca�a�ay`' Combination Type - MFP ELEC MECH PLUM Issued Date:
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: 2654 VISTA DEL ORO NB
Description: MFR (2) BATHROOM REMODELS 75 SF
Legal Desc.: N TR 6996 LOT 26
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Owner:
ARIZA AUGUSTINE
Contractor:
O C BUILDERS GROUP INC
Architect:
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Address:
2654 VISTA DEL ORO
Address:
600 W SANTA ANA BLVD #114A-499
Address:
NEWPORT BEACH, CA 92660
SANTA ANA CA 92701
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Phone:
Phone:
714-417-7771
Phone:
State Lic: °
Applicant:
VAHAB EVAN
Con State Lic:
1052090
Engineer:
Address:
600 W SANTA ANA BLVD STE 114A499
Lic Expire:
06/30/2023
Address:
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SANTA ANA, CA 92701
Bus.Lir.:
BT30071659
Phone:
951-236-9474
Lic Exp Date:
04/30/2022
Phone:
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State Lic: o
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Code Edit : 2019
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 : 5
Bldg Height: 0
Bldg Sprinklers: N
Construction Valuation:
Building Permit Fee: $331.00
Plan Check Fee: $287.97
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$10.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $748.17
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 9256608
Expire: 06/28/2022
Building Setbacks
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
$23.17
$13.24
$29.79
Designer: CUETO LUIS
Address: 402 ENCLAVE CIR
COSTA MESA, CA 92626
Phone: 714-732-8256
Special Conditions
Planning Department -
Plan check Fee
Fair Share:
SJH Trans :
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$0.00
San Dist :
$0.00
NMUSD Fee:
$0.00
Plan Check Fee: $748A7
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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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
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 ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
m roved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
1pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
1 am exempt fl;p rt licensure under the Contractors' State License Law for the following reason:
3y mysignaturebelow I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
,02 jtructur$ UPI slave 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
'rofessions GUTIe, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html.
iigna$Dre of Property Owner or Authorized Agent Date
.I111214SED CONTRACTOR'S DECLARATION
herAgy affirm`u K%r penalty of perjury that I am licensed under provisions of Cha ter 9 ((commencing with Section 7000) of Division 3 of the Business and Professio ode, a dticense is in full force
InctAFfect. Lic@nse Mass 2) License No (6sot0G.G Date —1i?; .:�, Contractor Signature
VURKERS'Vt3AMNSATION DECLARATION
IRAING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
MiFOi COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm• riclor penalty of perjury one of the following declarations:
OPP111ve 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 the
eAemrance 09r9Wbjk for which this permit is issued. Policy No.
91 have 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
isurance carrier and policy number are: 4n EQvk\ r /,�U
Carrier � �� L.�v:'�c3[\S�-��x j '� Policy Number r%.J b Expiration D to
lame of Agent � r. Phone
JI certify that, in the performance of the work for which th permit is issued, I shall not employ any person in any manner so as to become subject to the wor ers' compensation laws of California, and agree
iat, if I should become subject to the workers' c nsa n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant 7 Date_
CLARATION REGARDING"CONSTRUCTION LENDING AGENCY "
areby affirm under penalty of perjury that there is a construction lending agency for the performance of thevforjc r which this permit is issued (Section 3097, Civil Code).
Ider's Name VA(I ( A- 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 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 this city or county to qp�er the above-identifiA property for inspection purposes. A n, .
Date
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
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PERMIT EXTENDED
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PERMITFINAL
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ASBESTOS NOTIFICATION IS NOT PPLICABLE TO
CERTIFICATE OF
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PROPOSED DEMOLIT I
OCCUPANCYISSUED
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