HomeMy WebLinkAboutX2022-0628 - Permits1`�r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-0628
�` 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 6 2 a Project No : 0570-2022
rs Permit Counter Phone (949)644-3288
cl �.,. Inspection Requests Phone (949)644-3255
c"ara�`� '' Combination Type - SFP ELEC MECH PLUM Issued Date : 03107/2022
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0310712025 OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 3:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 3 TURNBERRY DR NB
Description: SFR INTERIOR ALTERATION OF KITCHEN & BATH @ 1ST FL 120 SF (CITY STANDARD)
Legal Desc.: N TR 15387 LOT 21
Owner:
SIMHAMBHATLA MURTHY
Address:
3 TURNBERRY DR
NEWPORT BEACH, CA 92660
Phone:
Applicant:
CUETO LUIS
Address:
17322 YORKSHIRE AV
YORBA LINDA CA 92886
Phone:
714-732-8256
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction
Contractor:
O C BUILDERS GROUP INC
Address:
600 W SANTA ANA BLVD #114A-499
SANTA ANA CA 92701
Phone:
714-417-7771
Con State Lic:
1052090
Lic Expire:
06/30/2023
Bus Lic:
BT30071659
Lic Exp Date:
0413012022
2019 Worker's Compensation Insurance
V-B Carrier:
STATE FUND
R3/U Policy No:
9256608
0 Expire:
06/28/2022
0
Building Setbacks
Rear: /
Front: I
Left: /
Right: I
Use Zone:
Parkin Soaces:
Building Permit Fee: $416.00
Plan Check Fee: $361.92
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: $914.12
PROCESSED BY:
ZONING APPROVAL: q°/^
GRADING APPROVAL:
Architect:
Address:
Phone:
Engineer:
Address:
State Lic:
Phone: State Lic
Designer: CUETO LUIS
Address: 17322 YORKSHIRE AV
YORBA LINDA CA 92886
Phone: 714-732-8256
Special Conditions: , �` ; ; �''"',05 3�6
�t�u�1 3.ei!
Fire Hazard
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan 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 %:
$29.12
San Dist:
$0.00
Mechanical %:
$16.64
NMUSD Fee:
$0.00
Plumbing %:
$37.44
Plan Check Fee :
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
$413.92 Fee Due at Permit Issuance : $500.20
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PUBLIC; Vt!O K$ APPR2`OVA°J_-,°
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PLAN CHECK BY: a `
APPROV.ACTbl!t SUL,
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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)
3ection 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
le 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).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do U 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
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). -
1 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).
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
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://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 provisions of Chapter 9 (commencing with Section 7000 ivi io f e Business and P f tos o , a cense is in full force
nd effect. License Class License No Date Contractor Signatu
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 00,000), IN ADDITION TO TH
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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 t
krformance 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
kVance carrier and policy number are:
ier Policy Number Expiration Date
ie of Agent Phone #
certify that, in the performance of the work for whi h is 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'
if I should become subject tot a or k s' c p rise ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'y,
lature of Applicant Dat� ( °1 10�-�
)ECLARATION REGA ING CO tQ1,11 LE I AGENCY
hereby affirm under penalty of perjury that there is I stmction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
-ender's Name Lender's Address
3y 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 o Inar�cesnnan stat aws relating to building construction.
I authorize representatives of this city of cou t ant thej�bgye- n fie perty for inspection purposes.
signature of Property Owner or Authorized Agent // t \\ Print Property Owner's or Authorized Agent's Nam Wnn� t �t
ACTION
DATE
BY DVLARATION OF CONV19ANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
GULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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