HomeMy WebLinkAboutX2021-3021 - PermitsCity of Newport Beach - Building Division
t 100 Clvic Center Drive, Newport Beach, CA 92660
�. Permit Counter Phone (949)644-3288
.. Inspection Requests Phone (949)644-3255
x6rr�4:�s Combination Type - SFP ELEC MECH PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-3021
x 2 0 2 1 3 0 2 1 Project No :
Issued Date : 11105/2021
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 1110512024 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: 306 FERNANDO ST NB
Description: SFR MASTER BATHROOM REMODEL (100 SF) "CITY STD"
Leaal Desc.: NEWPORT BAY TR SUB OF BLK C LOT 22
Owner:
SCHNABEL NORBERT P
Address:
306 FERNANDO ST
NEWPORT BEACH, CA 92661
Phone:
Applicant:
MARK GAMBOA CONSTRUCTION LLC
Address:
3347 W FAIRCREST DR
ANAHEIM CA 92804
Phone:
714-797-4129
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 3
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Contractor: GAMBOA MARK
Address: 3347 W FAIRCREST DR
ANAHEIM CA 92804
Phone: 714-797-4129
Con State Lic:
826496
Lic Expire:
08/31/2023
Bus Lic:
BT30061850
Lic Exp Date:
01/31/2022
2019 Worker's Compensation Insurance
VB Carrier:
FALLS LAKE FIRE
R3/U Policy No:
FLA01374801
0 Expire:
03/01/2022
0
Building Setbacks
Rear: /
Front: /
Left: I
Right: I
Building Permit Fee: $314.00
Plan Check Fee: $273.18
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: $704.98
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Architect: � A V 1 E CT
Address:
Phone:
State Lic:
Engineer:
Address:
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Phone:
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Designer:
Address:
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Fire Hazard Zone: N ° p0
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Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$52.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
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
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
WO Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PNJ Plan Check :
$0.00
Grading Bond:
$0.00
Electrical %:
$21.98
San Dist :
$0.00
Mechanical %:
$12.56
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$28.26
$0.00
Plan Check Fee:
$0.00
Fee
Due at Permit Issuance :
$704.98
' PUBLIC WORKS APPROVAL
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION f,
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).
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).
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).
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 legally
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://v w .leginfo.ca.gov/calaw.htm].
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION p
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000.of n 3 of the Busi nd Professjpnvs�ode /and yTcense n full force
nd effect. Licen%t Css License No D� to Contractor I ature �77�t�� f7��i /?
V0014ERS' COMPENSATION DECLARATION
ARNING:FAILURE TO SECWRE 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
dSj OR JOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm undo penalty of perjury one of the following declarations:
ad have and 1ny16"Ihtain 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
e fiance of J"wgrk for which this permit is issued. Policy No.
ve and mll meiniain 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' compensation
Isur nce carrier aild policy number are:
Policy Number
Date
.rafftl y that, jd thp4rformance of the rk for which this per it is issued, I shall not employ any person in any manner so as to become subject to the worke s' compensation laws of California, and agre,
t,. if I should become subject to wor i:rs' co nsation ovisions of Section 37-OOof the Labor Code, I shall forthwith comply with those provisions.
nature o Ap ca 9 to
CLARAZI
T ARD N O ST ION L IN GENCY
veby 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).
Ider's Name 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 ordin es apd staje laws relating to building construction.
I authorize representatives of this city o� tt �n ", h abolr/e-id�fitified pro erty for inspection purposes. „,I� n / 9
nature of ProDertv Owner or Authorized 9aerfC '/1i l ,/f% '7=) A iPrint Property Owners or Authorized Agpf sf'Ydame d�'l A/ L /�di a n A.
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE 01
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED i i I U SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
PERMIT EXTENDED
PERMITFINAL 'jf 7L ,JG�
CERTIFICATE OF
OCCUPANCY ISSUED
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