HomeMy WebLinkAboutX2022-0740 - PermitsCity of Newport Beach - Building Division
` 100 Civic Center Drive, Newport Beach, CA 92660
H % Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP MECH ELEC PLUM
IIIIIIIIIIIIIIIIII�'lllll�lllllll�llllll II COMB Permit: X2022-0740
x 2 0 2 2 0 7 4 0 Project No : 0657-2022
Issued Date: 0412612022
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 601 LIDO PARK DR NB St: 1 Ft: 8 Unit: 8E
Description: MFR BATHROOM REMODEL 200 SF
Legal Desc.: TR 7695 LOT 1 UNIT 7E G-1-28 OF PROJ LOCTD ON AP 47-021-29 yd%"
Owner:
0
QUINTANA KATHERINE
Contractor:
SPARKLE RESTORATION SERVICES INC Architect:
EL BAYAR SAMI M -
k�
Address: 601 LIDO PARK DR #8E
Address:
P O BOX 12188 Address: 22834 BRENFORD ST
NEWPORT BEACH, CA 92663
COSTA MESA, CA 92627 WOODLAND HILLS CA 91364
Phone:
Phone:
714-641-6600
Phone: 310-503.1295
State Lic:CO26080
Applicant: FUERTES CENMAR
Con State Lic:
945830
Engineer:
Address: 3624 W PENDELETON AVE
Lic Expire:
04/30/2024
Address:
SANTA ANA CA 92704
Bus Lic:
BT30078601
Phone: 949.689-5133
Lic Exp Date: 04/30/2023
Phone:
State Lic
'
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction: I-A-SPR
Carrier:
STATE FUND
Address:
Occupancy Group: R21U
Policy No:
9159498
Added /New sq.ft. Bldg: 0
Expire:
04/0112023
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 10
Building Setbacks
Rear: I
Special Conditions:
No of Units : 55
Front: I
Bldg Height: 0
Left: I
-
Bldg Sprinklers: Y
Right: I
Flood Zone: X
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $45,000.00
Building Permit Fee: $739.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $642.93
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: $14.00
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 %:
$103.46
San Dist: $0.00
Building Green Fee : $2.00
Mechanical %:
$81.29
NMUSD Fee: $0.00
_
$0.00
Plumbing %:
$66.51
$0.00
TOTAL FEE : $1,701.19
oPlan CGeck; ee
:e `„ $69;4953 Fee Due at Permit Issuance :
$1,006.26
PROCESSED BY:®'PUBLIC
WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
`
;,, APPROVAL TO ISSUE:
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
;he 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
lot 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 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
'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
mproved for the purpose of sale).
ZI 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 legal
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://w .leginfo.ca.gov/calaw.htm].
Signature of Property Owner or Authorized Agent Dat?,
LICENSED CONTRACTOR'S DECLARATION c --
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) o Divi ion 3 of the Business and Pr fession o an my'license is in full force
and effect. License Class License No Dat Contractor Sig nature
WORKERS' COMPENSATION DECLARATION _—_�—
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI I L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL 00,000), IN ADDITION TO TH
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:
I hap 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
plTance of thework for which this permit is issued. Policy No.
have and ill m intain w e ' 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' compensatiol
prance carr r andpolicy n6m a are: _
rier " _: . 1 oli umber Expiration Date
7e of Agen Phone #
certify that, in the perfor -- �cfol 1 Is pe�m�Issued II not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
if I should became s lact to the IS ompens tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
iature of Applican
•� eoennu oer_ Harr_ nnNICTDI Ir InY -!$RV
:reby affirm under/enalty of perjury that there Instruction lending agency forthe performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider'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 tour ord7n as and state Is relating to building construction.
I authorize representatives of this city or count enter the ` oveJl'dentified roperty for inspection purposes.
nature of PrODertv Owner or Authorized Agent 1 i---—Pnntlargperty Owner's or Authorized Agent's Nam
ACTION I DATE
WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGL IONS PART 61 OFTITLE 40 ANDAQMD RULE
1403 ••• +•` • se
PERMITEXPIRED ISUBMI ED ASBESTOS NOTIHCC TIONjD • ' • •+•
PERMITC4NCELLED EPA • ' • • +
PERMIT EXTENDED QM
PERMITFINAL LO 3� J A BEST SNOTI •I � -T • •.•
CERi1FIC4TE OF ROPO
31 S D 0 TION I i • • • + _+ •_=_�•
OCCUPANCYISSUED SIGN RE: - ��i—s ••_e