HomeMy WebLinkAboutX2022-0261 - PermitsWf City of Newport Beach - Building Division
160 Civic Center Drive, Newport Beach, CA 92660
t. Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
COMB Permit: X2022-0261
Project No : 0232-2022
Issued Date : 01/28/2022
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0112812025 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: 307 FERNANDO ST NB
Description: SFR KITCHEN & (3) BATH REMODEL 320 SF "STOP WORK" "CITY STANDARD"
Legal Desc.: NEWPORT BAY TR SUB OF BLK C LOT 29
Owner: BERK DEVELOPMENT LLC
Contractor:
TURNAROUND CONSTRUCTION Architect:
B A
Address: 428 OLD NEWPORT BLVD
Address:
14103 BRIGHTON
AVE Address:r;:t�
NEWPORT BEACH CA 92663
GARDENA CA
90249
-�
Phone:
Phone:
562-322-4456
Phone:
State Lie:
Applicant: PADILLA FABIAN
Con State Lic: 1048883
Engineer:
'o,
Address: 14103 BRIGHTON AVE
Lie Expire:
01/3112023
Address:
GARDENA CA 90249
Bus Lie:
- BT30077287
Phone: 562171417664
Lie Exp Date:
11/3012022
Phone:
State Lie:
Code Edit : 2019
Worker's Compensation
Insurance
Designer:
° °
Type of Construction: VB
Carrier:
EMPLOYEE SERVICE GROUP Address:
....
Occupancy Group: R3/U
Policy No:
WC038366435
' ... go
Added /New sq.ft. Bldg: 0
Expire:
07/01/2022
Phone:
°
Added /New sq. ft. Garage: 0
°
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions:
No of Units : 1
Front: /
Bldg Height: 0
Left: /
°
Bldg Sprinklers:
Right: /
jO
Flood Zone: A01
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $78,000.00
Building Permit Fee: $1,033.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $898.71
Additional Fee :
$0.00
Plan check Fee : $52.00
Fire Inspection:
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00
Fire Plan Rev
$0t00
Investigation Fee: $1,033.00
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
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 %:
$72.31
San Dist: $0.00
Building Green Fee : $4.00
Mechanical %:
$41.32
NMUSD Fee: $0.00
$0.00
Plumbing %:
$92.97
$0.00
TOTAL FEE : $3,229.31
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$3,229.31
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
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AA �
PLAN CHECK BY:
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GRADING APPROVAL:
APPROVAL TO ISSUE:
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7
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, alsmmquires 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).
111, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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).
❑ I 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 Iegall,,
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 00) f/ p Division 3 of the Business and Profess',�si20B€a d m license is in full force
and effect. License Class License No Da Lily 22 Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO 94RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND 99�OUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF.COMPENSAINOri DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
. •..•
Ihereby affirm er penalty of perjury one of the following declarations:
Q I nive 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 thl
p ante of tHb work for which this permit is issued. Policy No.
Rslaveand-Al majntain 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' compensatio
I sLPance carrierand•policy number are:
�aTrlel • •• •• Policy Number Expiration Date
rN�agme of Agent • Phone #
L'JI Mrtify that in TV 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 agre
Sf at, if I shoCIg become subject to to th� compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Eigneture o1:Rpp�jQ
�-- _ _ Date �i orZ i
DECLARATI®GIN CY
I hereby affirm u of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade).
Lender's Name Lender's Address
By 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to a ideRHfia y for inspection purposes. �.
Sionature of Prooertv Owner or Authorized ADenV Print Property Owner's or Authorized Agent's Name t
ACTION DATE 'B1 REGULATIONS PART 610E TITLE 40 ANDOAOMD RU ERAL I FOR OFFICE USE ONLY
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
LJAQMD
PERMITFINAL
451
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BESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
PROPOSED tMO
OCCUPANCYISSUED
SIGNATURE.•/