HomeMy WebLinkAboutX2018-2524 - PermitsCity of Newport Beach - Building Division
o 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
vF,°r„• Combination Type - SFP ELEC PLUM
'X2018-2524* COMB Permit: X2018-2524
Project No :
Issued Date: 0812312018
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 BATHROOMS (2) REMODEL 200 SF *CITY STANDARD' ....
Legal Desc.: ... •
Owner:
BRAGAJAYNE
Address:
8 SEA TERRACE
NEWPORT BEACH, CA 92657
Phone:
949-510-1993
Applicant:
L M Z'S PERFECT FINISH INC
Address:
3631 PUENTE STREET
FULLERTON CA 92835
Phone:
562-577-0786
Code Edit: 2016
Type of Construction: V-B
Occupancy Group: R31U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation: $36,000.00
Building Permit Fee: $552.00
Plan Check Fee: $480.24
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,162.06
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
L M Z'S PERFECT FINISH INC
Address:
3631 PUENTE STREET
FULLERTON CA 92835
Phone:
562-577.0786
Con State Lie:
896700
Lie Expire:
0713112019
Bus Lie:
BT30064272
Lie Exp Date:
08/3112019
Workers Compensation Insurance
Carrier: EMPLOYEE SERVICE GROUP
Policy No: RWCC66190722
Expire: 0510112019
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: I
Right: I
'arkinc Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$38.64
$0.00
$49.68
Plan Check Fee
Architect:
.. AA °
Address:
°
Phone:
State Lie,
.• °
Engineer:
•••° °
Address:
Phone:
State Lie: k
Designer:
.•
�
Q°eOp.
. .
• •
Address:
.
° • _...
41111- ZAP
Phone:
Special Conditions:
Fire Hazard
Planning Department -
Plan check Fee:
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$37.50
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,162.06
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
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 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
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 oVM(!r'ol 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 m*ft? of property who builds or improves thereon, and who Contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
Q1 am ex.&VT from licensure under the Contractors' State License Law for the following reason:
By My;signatere9Rlow 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 structurethat 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
Wesslons gpdeAis available upon request when this application is submitted or at the following Web site:http:/Avww.leginfo.ca.gov/calaw.html.
Signature offrgl:164 Owner or Authorized Agent Date
higeNSED CON,TRACTOR'S DECLARATION
I hereby affirm undgl•penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of ivisio 3 of the Business and Profe ion ode, 'cense i 'n full force
ah2 effect. L71Sense Class License No Date b 13 1 Y Contractor Signature /—�
EWERS' COMP,I=NSATION DECLARATION
DARNING: FAILUFG iO SETURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN D THOUSAND DOLLARS ($100,000), IN ADDITION TO THI
COST 4 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES.
4*febt affirm un9rpprialty, 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 tl
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 and policy number are:
Policy Number
is of Agent
Date
]I certify that, in the pert rmance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the worker ' compensation laws of California, and agre
iat, if I should become bject t he wo ers' compen ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signatureof Applicant /Qte
tECLARATIONREG DING CONSTRUCTION LENDING AGENCY
hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sectionivil Code).
.enders 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 owners behalf.
I have read this application and the information I Pave provided is correct.
I agree to comply with all applicable city and co ty ordinances and state laws relating to building construction.
' '
I authorize representatives of this city or count to a er t iden d property for inspection purposes.
-I
23/
Signature of Property Owner or, Agent Print Property Owners or Authorized Agent's Name Date
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
UEPA
PERMITEXTENDED
QMD
PERMITFINAL
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BESTOS NO�TI ATION 15 NOT APPLICABLE
CERTIFICATE OF
-1
FoC-.
PROPOSED DEM ITION' %_ /��
OCCUPANCYISSUED
7
SIGNATURE: l �c-f!'�����