HomeMy WebLinkAboutX2010-0244 - PermitsCity of Newport Beach Building Department
PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288
Combination Type - MFP/ ELEC/ MECH/ PLUM/
COMB Permit No: X2010-0244
Inspection Requests( Telephone (949)644-3255
Job Address: 2315 VISTA HUERTA NB
Description: RES BATHROOM REMODEL, TILE -TUB
Project :
Inspector Area: 4
Legal Desc.: TR 5798 (L.L.84.245722) PAR 12
-
Owner: HELEKAR JAY
Contractor:
SPLENDID CONSTRUCTION INC
Architect:
Address: 2315 VISTA HUERTA
Address:
8939 S SEPULVEDA BLVD #110
Address:
NEWPORT BEACH CA 92660
LOS ANGELES CA 90045
Phone: 310-800-3478
Phone:
888-314-0222
Phone:
State Lic:
Applicant: RAZ/SPLENDID CONSTRUCTION
Con State Lic:
500206
Engineer:
Address: 8939 S SEPULVEDA BLVD #110
Lic Expire:
06130/2011
Address:
Q•
LOS ANGELES CA 90045
Bus Lic:
BT30029850
Phone: 888-314-0222
Lic Exp Date:
11130/20'10
Phone:
State Lic: QA
Code Edit: 2007
Worker's Compensation Insurance
Designer:
QzQ
Type of Construction: VB
Carrier:
STATE COMP
Address:
Occupancy Group: R2/U
Policy No:
467-0001129
2
Added /Newsq.ftBldg: 0
Expire:
08101/2010
-Phone:- - - --
-
Added /New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: I
Special Conditions:
No of Units: 6
Front: I
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone:
Issued Date: 0210912010
Parking Spaces:
0
Fire Hazard Zone: N
Construction Valuation: $7.000.00
Building Permit Fee: $164.50
Plan Check Fee:
$0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$1.05
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Fee Increase: Fee:
$0.00
Additional Fee :
$0.00
Hazardous Mat:
$0.00
Building Green Fee:
$1.00
TOTAL FEE: $202.75
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Solar System PC : $0.00
Excise Tax: $0.00
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
$0.00
$0.00
$0.00
$11.52
$8.23
$16.45
Plan Check Fee
FEES
Planning Department -
Plan check Fee :
$0.00
Fair Share :
$0.00
SJH Trans:
$0.00
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist :
$0.00
NMUSD Fee:
$0.00
$0.00
Fire Department
Fire Inspection:
Fire Plan Rev
Demolition Fee
Building Dept Adm
General Service
Refund Deposit
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $202.75
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
r'EOMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
OWNER -BUILDER DECLARATION
I hereby affirm under ppenalty of perjury that I am exempt from the Contractors' State License Law far the reason(s)
Indicated below by the checkmark(s� I have placed next to the appplicable Item(s) (Section 7031.5, Business and Professions
Code: Any city or -county that requ as a permit to construct, alter, improve, demolish, or repair any structure, prior to its
Issuance, also requires the applicant for the permit to Ole a signed statement that he or she is licensed pursuant to the
pm-;Islons 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 Iicensure and the basis for the alleged exemption. Any violation of Section
7031.5 b; 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 employyees with wages as their sole compensation, will do (_) all of or ((Th,) portions of the
State License Law does not apply to an Ow ee ofpope whoCthroug0h empl ynees or personalsefFort Code:
oelmpioves the
property, provided that the Improvements are not Intende or offered for sale. I , 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
Eurposeofsale).
LJ I, as owner of the properly 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
Law) ves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License
❑ 1 am exempt from licensure under the Contractors' State License. Law for the following reason:
ACTION
DATE:
BY:
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
L,(
f�'?2
CERTIFICATE OF
OCCUPANCY ISSUED
Intractors. I understand that a copy of the applicable
upon request when this application Is submitted or at
Signature of Properly Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Cade, and my license Is In full farce and effect.
License lass License No. 5962-06
Date I,% ContractorSignatur* �
WORKERS' AMIIII DECLARATION
WARNING: 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 COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby.afflnn under penalty of perjury one of the following declarations:
❑ 1 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 the performance of the work for which this permit is
k(.'( osal 1 iq
Section 3700 of the Labor Code, for the
nqurance carder and policy number are: -.
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403.
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: -
❑ EPA
❑ AQMD
❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
FOR OFFICE USE ONLY
I certify that, n th�p rmance of the work for which this permit Is Issued, shall not eraptoy an person In any manner
so as to become subJect to the workers' comppensation laws of Califomla anm�aag�ree that if I shoufdYbecome subject to the
workers' compensation provl ons of Section 3700 of the Labor ksha)I�or�FfF, comply with t ose pro Isl ns.
Signature of Applicant - Dat a
DECLARATION REGARDING CO TRU N LE @NCY
I hereby affirm under ppenalty of perjury th� there Is a wnstruction lending agency for the performance of the work for
which this permit Is Issued (Section .3097; Civil Code).
Lender's 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 owner's behalf. .
I have read this application and the. information I have provided 19 correct. - -
I agree to comply with all applicable city and county ordinances and state laws. relating to building construction.
I authorizerepresentatives of this city or county to enter the aboy tittbfiproperty for inspection purposes.
Signature of Property Owner or Authorized Agent Date
Print Property Owner's or Authorized Agents Namet
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