HomeMy WebLinkAboutX2022-0183 - PermitsCity of Newport Beach - Building Division
v� 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
c: Inspection Requests Phone (949)644-3255
Combination Type - SFP MECH ELEC PLUM
IIIIIIIII�IIIIIIII�IIIIIIIIIIIIIII II COMB Permit: X2022-0183
Project No : 0173-2022
Issued Date : 02111/2022
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BYOV1112025 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: 8 HARBOR ISLAND NB
Description: SFR INTERIOR ALT 334 SF. REPLACE (E) FRENCH DOORS WI WINDOW.
Legal Desc.: TR 802 LOTS ALL -INC BET SAME & HIGH TIDE LINE -
Owner: DELPONTE REG & MICHELLE
Contractor:
OLIVE TREE CONSTRUCTION INC Architect:
Address: 8 HARBOR ISLAND
Address:
1048 IRVINE AVE, STE #167 Address:
NEWPORT BEACH, CA 92660
NEWPORT BEACH CA 92660
Phone:
Phone:
949-378-8456
Phone:
State Lic:
Applicant: RICHART JASON
Con State Lic: 523488
Engineer:
Address: 1041 W 18TH ST #A-106
Lic Expire:
12/3112023
Address:
COSTA MESA, CA 92627
Bus Lic:
BT30028903
Phone: 949-422-9191
Lic Exp Date:
01/31/2023
Phone:
State Lic:
Code Edit : 2019
Worker's Compensation Insurance
Designer: RICHART JASON
Type of Construction:
Carrier:
INS CO OF THE
WEST Address: 1041
W 18TH ST #A-106
Occupancy Group: R3IU
Policy No:
WSD506228800
COSTA
MESA, CA 92627
Added /New sq.ft. Bldg: 0
Expire:
0912812022
Phone: 949-422-9191
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: I
Special Conditions:
HIGH DENSITY ZONE
No of Units : 1
Front: I
LIQUEFACTION ZONE
Bldg Height: 0
Left: /
Bldg Sprinklers: N
Right: I
Flood Zone: X
Use Zone:
Parking Spaces:
0 Fire Hazard Zone :
N
Construction Valuation: $72,560.00
Building Permit Fee: $993.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $863.91
Additional Fee :
$0.00
Plan check Fee : $52.00
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: $10.00
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
WO Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access : $0.00
P/W Plan Check: $0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$69.51
San Dist: $0.00
Building Green Fee : $3.00
Mechanical %:
$39.72
NMUSD Fee: $0.00
$0.00
Plumbing %:
$89.37
$0.00
TOTAL FEE : $2,120.51
Plan Check Fee
: $0.00 Fee Due at Permit Issuance :
$2,120.51
PROCESSED BY:
PUBLIC WORKS APPROVAL:
y
d
ZONING APPROVAL:
i
PL,ANetiHE;:';<BY:
GRADING APPROVAL:
9 ` APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 (_) 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
improvements 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 legall,
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.htmi.
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 00 of Di3 of the Business and Profession ode, and my license is in full force
-vision
and effect. License Class License No Date a1 Contractor Signatur@�
WORKERS' COMPENSATION DECLARATION
NARNING: 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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
performance of the work for which this permit is issued. Policy No.
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'
carrier aAffTolicv number ara _ . I
ne of Agent
certify that, in the performance of the
, if I should become subj ct to tthheewwo
nature of Applicant
Date
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 agre
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
W_�� DTta
%Ai , cu MIXFn Acvury
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 count to ;the property for inspection purposes.
'icnature of Property Owner or Authorized Agent X i�� �r�— Print Property Owner's or Authorized Agent's Namx�fs-e, ac-,
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE I BY
OF COMPLIANCE WITH CODE OF FEDEI
PART 61 OF TITLE 40 AND AOMD RULE
3L4 TO
FOR OFFICE USE ONLY
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