HomeMy WebLinkAboutX2019-0468 - Permitsraw City of Newport Beach - Building Division
o 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
U. Inspection Requests Phone (949)644-3255
�zxeirs� Combination Type - SFP ELEC PLUM
*X2019-0468* COMB Permit: X2019-0468
Project No:
Issued Date : 0211212019
Inspection Area : 6
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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 SEA TERRACE NB
Description: SFR -BATH REMODEL 40 SF PER CITY STANDARDS
Legal Desc. f.
Owner. BRAGA JAYNE & MATT.
Contractor:
- L M Z'S PERFECT FINISH INC
Architect:
Address: 8 SEA TERRACE
Address:
3631 PUENTE
STREET
Address:
.
li
NEWPORT COAST CA 92657
FULLERTON CA 92835
Phone: 949-510-1993
Phone:
562-577-0786
Phone:
State Lic:
Applicant: ZUKER LEWIS
Con State Lic:
896700
Engineer:�
Address: 3631. PUENTE STREET
Lic Expire:.
0713112019.
Address:
'..
FULLERTON CA 92835
Bus Lic:
BT30064272
Phone: 562-577-0786
Lic Exp Date:
08/31/2019
Phone:
State Lic
Code Edit : 2016
Worker's Compensation Insurance
Designer:
Type of Construction: V13
Carrier:
EMPLOYEE SERVICE GROUP
Address:
Occupancy Group: R31U
Policy No:
RWCC65190722
Added /New sq.ft. Bldg: 0
Expire:
0510112019
Phone:
Added /New sq. ft. Garage: 0
....
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions:
No of Units : 1
Front: 1
Bldg Height: 0
Left: /
s °
Bldg Sprinklers:
Right: /
Flood Zone:
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $9,000.00
_
_
• :
Building Permit Fee: $216.00
Excise Tax:.
$0.00
Planning Department
-
Fire Department
°
Plan Check Fee: $187.92
Additional Fee'.
$0.00
Plan check Fee:
$40.00
Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$5.00
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans [
$0.00
Demolition Fee
W ° , , ° •
° ;
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
°
..... °
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
16.®0
° 0,00
Disabled Access : $0.00
P/W Plan Check:
$0.00
Grading Bond:
$0.00,
Hazardous Mat $0.00
Electrical W
$15.12
San Dist: -
$0.00
Building Green Fee : $1.00
Mechanical %: -
$0.00
NMUSD Fee:
$0.00 -
$0.00
'.
Plumbing %:
$19.44
�,
$0.00
TOTAL FEE : $481.48
Plan Check Fee:
$0.00
Fee Due at Pentnit Issuance\:
$481.48
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
PUBLIC WORKS APPR
1
PLAN CHECK BY: \
APPROVAL TO ISSUE:
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
is 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).
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,
Iusiness 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
n roved 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
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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly: my signature below I acknowledge that, except for my personal residence in which Lmust have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall,
ell a structure that 1 have built as an owner -builder if it has not been constructed in its erfirety 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.
signature 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 70 ) of 1 'sio}'3 of the Business and Prq[e�C ns ode, an y rise full force
nd effect. License Class License No Dates Contractor SignatureX 1
VORKERS' COMPENSATION DECLARATION /
IARNING: 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 ($100,000[, IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
e� ce of tUd @Afk for which this permit is issued. Policy No.
workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
number are:
Policy Number Expiration Date
Pr°er% that, id 4tl@Wormance Of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
It, ifllshould bepm% subject to the workers' com nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
mature of Appliean � � �/ Date �f�----
!tMATION REG RDING CONSTRUCTION LENDING AGENCY
?r$df Iffirm unrjer egalty 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).
rider's Name ...... Lender's Address
cryrsignature below, I certify to each of the following:
Banc the properlmmer 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. r
I authorize representatives of this city or county to,ofi[erlhe ate -identified 99?l5erty for inspection purposes. A
of
ACTION DATE BY DECLARATION OF REGULATIONS LATIONS PART0MPLIANCE WITH CODE OF 61 OF TITLE 40 AND OMD RULE AL IFOR OFFICE USE ONLY
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EMENDED
PERMITFINAL �/ Dn.•+
CERTIFICATE OF �r F� FOt-
OCCUPANCY ISSUED A--rhe,
ASBESTOS NOTIFICATION TO
LWASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION 0
SIGNATURE: '
1_e4zl/�r