HomeMy WebLinkAboutX2021-2332 - PermitsArxr� City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
w. E' Permit Counter Phone (949)644-3288
s:. Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2332
x 2 0 2 1 2 3 3 2 Project No :
Issued Date : 09/01/2021
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0910112024 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: 402 BELVUE LN NB
Description: SFR INTERIOR ALTERATION @ 2ND FL BATHROOM 125 SF (CITY STANDARD)
Legal Desc.: N TR 1090 LOT 30
Owner:
JALET III JAMES G
Address:
402 BELVUE LN
NEWPORT BEACH CA 92661
Phone:
Applicant:
DURBOROW CONSTRUCTION
Address:
3419 VIA LIDO #118
NEWPORT BEACH CA 92663
Phone:
949-933-3221
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 : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Construction Valuation:
Building Permit Fee: . $331.00
Plan Check Fee: $287.97
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE : $738.17
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: DURBOROW CONSTRUCTION
Address: 3419 VIA LIDO 9118
NEWPORT BEACH CA 92663
Phone: 949-933-3221
Con State Lic: 885353
Lic Expire:
Bus Lic:
Lic Exp Date:
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10/31/2027{O\
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Worker's Compensay�mlr, urance
Carrier: 3 EVEREST
Poli 111 76000214762 (��
E 04106//2202Jir��t_
uSetbacks Rearw��
ft: I
Right: /
Use Zone: (�� Parkinq Spaces: 0
Architect:
Address:
Phone: State Lic:
Engineer:
Address:
Phone: State Lic
Designer: DURBOROW CHRIS
Address: 3419 VIA LIDO #118
NEWPORT BEACH CA 92663
Phone:
Special Conditions: HIGH DENSITY
� r-uIO INS
Fire Hazard Zone
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
' P1an.check Fee
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant :
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check :
$0.00
Electrical %:
$23.17
San Dist:
$0.00
Mechanical %:
$13.24
NMUSD Fee:
$0.00
Plumbing %:
$29.79
.Fire Department
$52.00 - -----
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $738.17
0 0 F.!UBLI�ee VJOZK6 APPROVAL:
r> „
PLAN CHECK BY:
APP"[ZOV/ ,? TO ISSUE:
o
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
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 U all of or L) 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
�.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
improved 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.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o Divi on 3 of the Business and Prof s o and y license is in full force
and effect. License Class License No Date / `L1 Contractor SignatuElS�/
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
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 the
aprformance 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'
rance carrier and policy number are:
Policy Number
of Agent
Date
I certify 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 agree
Iat, if I should become subj ct to theftcLkerscompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
ignatu re of Applicant DW / I%�/ % $
DECLARATION REGAR G CONSTRUCTION LENDING AGENCY IIVVII"`"''
hereby 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).
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 owners 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 er bay Identified property for inspection purposes.
ionature of Property Owner or Authorized Agent' X Print Property Owner's or Authorized Agent's Name M1Tvi �.l+a
ACTION DATE BY V DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 u+ +s•
PERMITEXPIRED U I SUBMITTED ASBESTOS N8TIFICRTION O� �•
PERMIT CANCELLED EPA • • • • ' r e
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PERMIT EXTENDED , QMD
PERMITFINAL ASBESTOS NOTIFICATION IS NOT A LICABLE TO
CERTIFIC4TEOF PROPOS% MOUTI . + _ • •`�
OCCUPANCY ISSUED SIGNATU
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