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HomeMy WebLinkAboutX2021-0854 - Permits1� City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288- - u.. Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM *X2021-0854* COMB Permit: X2021-0854 Project No : 0792-2021 Issued Date, 0411212021 Inspection Area: 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0411212024 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: 1712 ANTIGUA WAY NB Description: SFR (2) BATHROOM REMODEL 100 SF Legal Desc.: N TR 4224 LOT 280 Owner SCHULEIN MARK Address: 1712 ANTIGUA WAY NEWPORT BEACH, CA 92660 Phone: Applicant: YAHAV MICHELLE Address: 14 HUGHES IRVINE, CA 92618 Phone: 949-241-1577 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $889.00 Plan Check Fee: $773.43 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 : $3.00 TOTAL FEE: $1,891.48 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: TRUE HOME BUILDERS INC Address: 67 EDGEWOOD IRVINE, CA 92618 Phone: 310-465-4586 Con State Lic: 1073280 Lic Expire: 02128/2023 Bus Lic: BT30074726 Lic Exp Date: 03/30/2022 Worker's Compensation Insurance Carrier. ACCREDITED SURETY Policy No: 1ATCA16004667 Expire: 03101/2022 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: I Left: I Right: I irking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $62.23 $35.56 $80.01 0 Architect: �' Address: a..a Phone: State Lic: ...... Engineer: .... Address: ..a• Phone: State Lic: • •, g o Designer: YAHAV MICHELLE Address: 14 HUGHES IRVINE, CA 92618 Phone: 949-241-1577 Special Conditions 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 Plan Check Fee: $0.00 Fire Department $46.25 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: .a • a. $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,891.48 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: • a . • • a - w• a aoca. =aoc.a a • aiOOa 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) ction 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 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 fessions Code) or that he or she is exempt from Iicensure 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 more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portior Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, thn improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of improved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Cont I am exempt from Iicensure 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 sell a structure ftt j have built as an owner -builder if it has not been constructed in its entirety by licensed contractor! Professions Codle.is available upon request when this application is submitted or at the following Web Site:http://www $ignatgfe of Property Owner or Authorized Agent IMEMED CMIRACTOR'S DECLARATION I hereby affirm un(14' %nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section'/ andeffect. License Class License No 4D Date_ k01ijERS' ('0MPXNSATION�DECLARATION / WARNING FAILURE TO SEdbRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL 60BTL COMPENSATION.BAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 14ki1?t%affirm u`ndar pE;lalty of perjury one of the following declarations: I .. have and wilrmaintain a certificate of consent to self -insure for workers' compensation, issued by the Direc pe vAince of the v or -for which this permit is issued. Policy No. Aura •age and w:IPmainisin workers' compensation insurance, as required by Section 3700 of the Labor Code, for I nce carrier Jggg(Jicy number are: Carrier ' Policy Number Name of Agent I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any It, if I should become sylbject to thework - a o provisions of Section 3700 of the Labor Code, I shall (nature of Applicant �VI� C Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for 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 co ty ordinances and state laws relating to building construction. I authorize representatives of this city or coun o enter the abov ad property for inspection purposes. mature of Pronertv Owner or Authorized Acent Print Prooertv Owner's ACTION PERMIT EXPIRED PERMITC4NCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE I BY DECLARATION OF I REGULATIONS PART 0610 TIITEWITH CODE OF 40 AND CIMD RULE �L FOR I SUBMITTED ASBESTOS NOTIFICATION TO EPA IS NOTAEELICASLE TO of the work, and the structure is not intended or offered for sale (Section 7044, 3h employees' or personal effort, builds or improves the property, provided that the impletion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). e year prior to completion of the improvements covered by this permit, I cannot understand that a copy of the applicable law, Section 7044 of the Business and Business and AND CIVIL FINES UP TO ONE HUNDRED Date is in full force DOLLARS I$100,000t, IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' Date o as to become subject to the workers,'compensation laws of California, and ogre comply with those provisions. Dat -2--D -2, this permit is issued (Section 3097, C vi1 Code). USE ONLY