HomeMy WebLinkAboutX2021-0731 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIII�III�IIIIII�IIIIIIIIIIIIII II COMB Permit: X2021-0731
4
100 Civic Center Drive' -Newport Beach, CA 92660 X 2 0 2 1 0 7 3 1 Project No:
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
q� aatsu•��'' Combination Type - SFP ELEC MECH PLUM Issued Date : 03/2912021
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/29/2024 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: 4 WINGED FOOT LN NS
Description: SFR KITCHEN AND (4) BATH REMODELS
1000 SF "STOP WORK* 121-0843 (CITY STANDARD)
Legal Desc.: N TR 7638 LOT 79
Owner: BBB COASTAL PROPERTIES LLC
Contractor:
OWNER/BLDR
Architect:
I N P IZU I U R
Address: 4 WINGED FOOT LN
Address:
DECINCES DOUGLAS
Address:
NEWPORT BEACH, CA 92660
Phone:
Phone:
Phone:
State Lic:
Applicant: DECINCES DOUGLAS
Con State Lic: OIB
Engineer:
-
Address: 4 WINGED FOOT
Lic Expire:
Address:
NEWPORT BEACH, CA 92660
Bus Lic:
Phone: 949-417-4280
Lic Exp Date:
Phone:
State Lic:
Code Edit: 2019
Worker's Compensation Insurance
Designer:
ROVE
Type of Construction: V-B
Carrier:
Address:
833 DOVER DR
• ....
Occupancy Group: R3/U
Policy No:
NEWPORT BEACH CA 92663
m m ......
Added /New sq.ft. Bldg: 0
Expire:
Phone:
949-973-1814
° • • ° , ; • °
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: I
Special Conditions:
m o m o
• • °
No of Units : 1
Front: I
° • m m
mO°
Bldg Height: 0
Left: I
°° °•m° o
Bldg Sprinklers:
Right: /
Flood Zone: 1(
Use Zone:
Parkin S aces: 0
Fire Hazard Zone : N
m00O0m mmm°...
Construction Valuation: $149,000.00
°
• •. • ° °
Building Permit Fee: $1,531.00
Excise Tax:
$0.00 Planning Department-
Fire Department
00 0 • m
Plan Check Fee: $1,331.97
Additional Fee :
$0.00 Plan check Fee:
$46.25 Fire Inspection:
• $0.Q0 ......
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00 Fair Share :
$0.00 Fire Plan Rev
• •$0.00 • • • °
Investigation Fee: $1,631.00
Grading PC Consultant:
$0.00 SJH Trans :
$0.00 Demolition Fee
Record Management: $2.00
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: $0.00
WQ Insp. Fee:
$0.00 Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access: $0.00
PAN Plan Check :
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$107.17 San Dist:
$0.00
Building Green FerOTAL
Mechanical. %:
$61.24 NMUSD Fee:
$0.00
$0.00
Plumbing %:
$137.79
$0.00
EE : $ 754.42
Plan Check Fee : $1,827.14
at Permit Issuance :
$2,927.28
PROCESSED BY:
PUBLIC WO
KS APPROVAL:
ff\
ZONING APPROVAL:
PLAN CHEC
BY:
GRADING APPROVAL:
.APPROVAL To I
OWNER -BUILDER DECLARATION F-,
r
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 icensure 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
Amore than five hundred dollars ($500).
'J I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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
Tprovements 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
poly 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).
] I am exempt from licensure under the Contractors' State License Law for the following reason:
y 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 legal
=_II a structure that I have built as an owner -builder if i een nstruqed4aJts e i ety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Br siness nd
rofessions Code, is available upon request when his tic I ubmitt f owin Web site:hltp:l/www.leginfo.ca.gov/calaw.htmi.
ignature of Property Owner or Authorized Agent Date
ICENSED CONTRACTOR'S DECLARATION/
hereby affirm under penalty of perjury that I am licensed under prob' Ions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
1ORKERS'COMPENSATION DECLARATION
VING: FAILURE Tp A9EC�URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE
r OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
eby affirm under penalty of perjury one of the following declarations:
..
hav>s and iiJJ 4q�ilttain 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 thr
irrr%ce of the work for which this permit is issued. Policy No.
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
Lance carrieCWM,Vcy number are:
Policy Number
Date
� 4 jfy that, in the of t e wor or which is is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation I ws of alifornia, and agref
t I should been r • e u ' h orker ' o e ion provisio f Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
rfeture of Applicant Date\� U
CATION gDING CON T LITION LENDING AGENCY 7�
3reby affirm unde penalty of perj at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
lder'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 cou rdinances nd1late law�/ lating to building construction.
I authorize representatives of this city or count ty o�ran, r ve j{IRrI/I+y6Rerty for inspection purposes. `^L 1 !I �]
of 01nn.Hv flumnr nr A.,fhnriv<rl Annnf X� �.✓ l(%/(( j/1J (j/�c.-( Print Prooertv Owner's or Authorized Aoent's Name 7� (/ fiCj Date �!
DATE BY I I REGG�TIOMN NS OF CO M LIANCE WIT40 H DE OF FEDEFEDERAL it FOR OFFICE USE ONLY
TO
PERMIT EMENDED
PERMITFINAL
CERT/FICATEOF
OCCUPANCYISSUED
TO