HomeMy WebLinkAboutX2021-1679 - PermitsCity of Newp-, __.. --wilding Division
100 Civic Center Drive, Newport Beach, CA 92660
•; Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
*X2021-1679* COMB Permit: X2021-1679
Project No : 2236-2020
Issued Date : 0711212021
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/12/2024 OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 904 VIA LIDO NORD NB
Description: SFR "ADDITIONAL SCOPE* REMODEL (5) BATHROOMS AND NEW OUTLETS R LIGHTS
Legal Desc.: TR 907 LOT 335
Owner:
NEAL ROBERTIBERNARD
Address:
904 VIA LIDO NORD
NEWPORT BEACH, CA 92663
Phone:
Applicant:
SALIB MAGGIE
Address:
P.O. BOX 4594
LAGUNA BEACH CA 92652
Phone:
714/717-7788
Code Edit, 2019
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Construction Valuation:
Building Permit Fee: $799.00
Plan Check Fee: $695.13
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,762.68
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
ROBINSON BUILDERS INC
Address:
31232 BROOKS STREET
LAGUNA BEACH CA 92651
Phone:
949-338-2477
Con State Lic:
594216
Lic Expire:
05/31/2022
Bus Lic:
BT30062083
Lic Exp Date:
02/2812022
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 1515709
Expire: 04/01/2022
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: /
Left: I
Right: I
�arkine Soaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$55.93
$31.96
$71.91
Plan Check Fee
Architect:
Address: NO CONSTRUCTION WORK
Phone:
State Lic:
Engineer: ow..•
Address: ON SATURD/'1 lAvS'a a . a
c.a•
Phone: State Lic: ,•
Designer: SALIB MAGGIE ° •• °°a
® oa
Address: P.O. BOX 4594 a ®° ° a •
LAGUNA BEACH CA 92652
Phone:
a
. ®am• Dames
Special Conditions: REV21-1006 ° a W ,:, •
90 � .JP}JO
o a
` amaaa.
Fire Hazard Zone : N
Planning Department -
Plan check Fee :
Fair Share
SJH Trans:
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$50.75
San Dist:
$0.00
NMUSD Fee:
$0.00
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
$784.38 Fee Due at Permit Issuance : $978.30
PUBLIC WORKS APPROVAL:
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
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 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 legally
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:/Aw .leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent D e
LICENSED CQIJIILA.CTOR'S DECLARATION /J
I hereby affirm fig4eryAenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 0 i it f the Business and Pro ions �4'm�6lieen52 is in full force
and effect. License Class License No Dat (/ Contractor Signature
WORKERS' iQMPENSATION DECLARATION
WARNING: FAILURE TQQ 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
tO&JjfCOMPENSX ON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I I ereby affirm penalty, of perjury one of the following declarations:
±r7r"r,7
I11 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(
work forwhich this permit is issued. Policy No.
Paintain 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
IS� ''—�^'V Policy Number Expiration Date
NYswv rNAr.cn1 Phone #
...
)'certify that, .
in•the.pal
it, if I should become q
mature of Aool'.
this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation la s of California, and agre
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date
IECLARATION REGJ(RDfNG CONSTRUCTION LENDING AGENCY
hereby affirm under penalty 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).
Ender's Name Lender's Address
ly 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 pKeb
orrect.
I agree to comply with all applicable city and coun� or s e laws relating to building construction.
I authorize representatives of this city or coup ente entified property for inspection purposes.
SnnaNUe of Pronerty Owner or Authorized ADen Print Property Owner's or Authorized Agent's Name
PERMIT EXPIRED
the work
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
PERMIT EXTENDED AQMD
PERMITFINAL SBESTO NOJFFI O 1 NOT PLICABLE TO
CERTIFICATE OF at\qI) PRO EDD LITI N
OCCUPANCY ISSUED III R`'^I SIGNATURE:
Ic