HomeMy WebLinkAboutX2021-1987 - Permits„r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1987
�:. 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 9 8 7
F, ', Permit Counter Phone (949)644-3288 Project No : 1738-2021
�7..s 1r Inspection Requests Phone (949)644-3255
�'ai�era x Combination Type - SFP ELEC MECH PLUM Issued Date : 08/23/2021
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0812312024 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: 10 CATANIA NB
Description: SFR POOL BATHROOM ADDITION 38 SF W/SKYLIGHT **STOP WORK 121.1993**
Legal Desc.: N TR 15705 LOT 21
Owner: RATHOD ANITA
Contractor:
SOUTHWINDS C D D LLC
Architect:
/�
Address: 10 CATANIA
Address:
12430 HAZELTINE DR
Address:
0
NEWPORT COAST, CA 92657
TUSTIN, CA 92782
Phone: 216-650-4089
Phone:
949-854-0540
Phone: State Lic:
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Applicant: CIMABUE CHRISTINE
Con State Lic: 999467
Engineer: BLACK IAN
°
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Address: 7000 MARINE
Lic Expire:
P
12/31/2022
Address: 19401 OLANA LANE
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IRVINE, CA 92613
Bus Lic:
BT30076357
HUNTINGTON BEACH CA 92646
• e
Phone:
Lic Exp Date:
08/31/2022
Phone: 714-593-4125 State Lic:S-
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10
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Code Edit : 2019
Worker's Compensation Insurance
Designer: LEGENDS DE
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Type of Construction: V-B
Carrier:
EVANSTON INSURANCE CO
Address: 7000 MARINE WAY
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Occupancy Group: R3/1.1
Policy No:
3AA397143
IRVINE, CA 92618
Added /New sq.ft. Bldg: 38
Expire:
05/15/2022
Phone: 949.854.0540
° ° • m
......
Added /New sq. ft. Garage: 0
°
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions:
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No of Units : 1
Front: /
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Bldg Height: 0
9
Left: /
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000000
m 0
Bldg Sprinklers: N
Right: /
• .....
....
Flood Zone: X
Use Zone:
Parking Spaces: 0
Fire Hazard Zone : N
0
Construction Valuation: $21,000.00
Building Permit Fee: $836.00
Excise Tax:
$0.00 Planning Department -
Fire Department
Plan Check Fee: $642.00
Additional Fee :
$0.00 Plan check Fee :
$208.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00 Fair Share :
$0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00 SJH Trans :
$0.00 Demolition Fee
Record Management: $22.00
Grading Permit Fee:
$0.00 In -lieu Housing Fee:
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00 Public Works Department - General Service
$0.00
CA Seismic Safety: $2.73
WQ Insp. Fee:
$0.00 Park Dedication :
$0.00 Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check,
$50.75 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$58.52 San Dist:
$0.00
Building Green Fee : $1.00
Mechanical W
$33.44 NMUSD Fee:
$0.00
$0.00
Plumbing %:
$75.24
$0.00
TOTAL FEE : $1,929.68
Plan Check Fee : $961.75
Fee Due at Permit Issuance:
$967.93
PROCESSED BY:
PUBLIC WORKS APPROVAL:
1
ZONING APPROVAL:
PLAN CHECK
BY:
GRADING APPROVAL:
APPROVAL TO ISSUE: __ r/
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
is 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 ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
nproved for the purpose of sale).
1 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalh
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Prpp2rVQwner or Authorized Agent Date
.ICEN$ED COP117RACTOR'S DECLARATION
herebt affirm under -penalty derpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of f the Business and Professio SC�
nd effecode, and Ice ee ism full force
t. License Crass License No Date Contractor Signature/
;@V1@ERS' COMPENSATION DECLARATION
'ARNING: FAILURE40 SlOURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T116USAND DOLLARS ($100,000), IN ADDITION TO THE
51T dk•COMPENSJjIdN, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
her@Dy affirm ynderpenalty of perjury one of the following declarations:
5•1•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 th
glillAance of the work for which this permit is issued. Policy No.
Fand�rih rrj2iItain 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' compensatioi
aland
carrier a d policy number are:
IS of Agent
certify that, in the performer
if I should become subject
iature of Applicant /
Policy Number
the work for which
Date
issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
,is of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p, 1
�P Data/
hereby affirm under penally o�rjury 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
y 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 ordin ces and s e I s-relating-to, wilding construction.
I authorize representatives of this city or county toe ter a ove- prope y for insp tion purposes.
ignature of Property Owner or Authorized Agent Print P party Owner's or Authorized Agent's Name
ACTION DATE BY DE LA N LIANCE WITH CODE OF FED QL FOR OFFICE USE ONLY
REG ONS PART 630E TITLE 40 AND AQMD RULE
EXPIRED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
NOTIFICATION TO
TO
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