HomeMy WebLinkAboutX2021-2190 - Permitsaµrn4r City of Newport Beach - Building Division
ti✓ ^ 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Qombinatlon Type - SFP ELEC MECH PLUM
111111111111111111111p1111111111111p111111111111111COMB Permit: X2021-2190
Project No: 1892-2021
Issued Date : 0811812021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0811812024 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: 1941 COMMODORE RD NS
Description: SFR KITCHEN, LIVING & MASTER BATH REMODEL 422 SF, INSTALL NEW SUPPORT BEAM & R/R WINDOWS (2)
Legal Desc.: N TR 3082 LOT 39
Z
Owner: GIAMBATTISTA MARTANO
Contractor:
NEWAVE CONSTRUCTION
Architect:
Address: 1941 COMMODORE RD
Address:
769 NEWTON
WAY Address:
Cn
NEWPORT BEACH, CA 92660
COSTA MESA
CA 92627
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Phone: 917-412-1427
Phone:
949-293-9507
Phone:
State Lic:
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Applicant: MONROE CORY
Con State Lic: 987857
Engineer:
GHAZLANI ANDY
Address: 769 NEWTON WAY
Lic Expire:
10/31/2021
Address:
4202 ATLANTIC AVE #204
�° ° °
COSTA MESA, CA 92627
Bus Lic:
BT30069218
LONG BEACH CA 90807
Phone: 949-629-5005
Lic Exp Date:
1113012021
Phone:
562-253-2385 State Lic:C-060867
--4
Code Edit: 2019
Worker's Compensation
Insurance
Designer:
Type of Construction: V-B
Carrier:
STATE COMP
Address:
Occupancy Group: R3/U
Policy No:
9084846
Added /New sq.ft. Bldg: 0
Expire:
01/0412022
Phone:
°
Added /New sq. ft. Garage: 0
-
No of Stories: 1
Building Setbacks
Rear: 6
Special Conditions:
°
No of Units : 1
Front: 20
Bldg Height: 0
Left: 6
Bldg Sprinklers: N
Right: 6
Flood Zone: X
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $120,000.00
_
Building Permit Fee: $1,357.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $1,180.59
Additional Fee :
$0.00
Plan check Fee :
$52.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management : $12.00
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
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check : $0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$94.99
San Dist: $0.00
Building Green Fee : $5.00
Mechanical %:
$54.28
NMUSD Fee: $0.00
$0.00
Plumbing %:
$122.13
$0.00
TOTAL FEE : $2,877.99
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$2,877.99
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
,y' \
PLAN CHECK BY:
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GRADING APPROVAL:
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(:)
;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
:he 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) orthat he or she is exempt from licensure and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects tha 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 (_) 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
mproved 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).
❑ 1 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://www. leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm uodwlpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of Division 3 of the Business and Prof si de, and my license is in full force
and effect. Liccn3o Class License No Date Contractor Signatur
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO 5--GURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
i heleoy affirm under penalty of perjury one of the following declarations:
❑ I hove and will mcintain 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
DJ3r(ormance of the •vork for which this permit is issued. Policy No.
and wiil r�Iaintain 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 End policy number are:
Policy Number
Date
1e of Agent rnuna e
certify that, i� :he performance 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
if I should become su"t to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of Applicant
Date L�7?` ao2_i
IECLARATION REGARDING 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
y 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 county ordinances and state laws relating to building construction.
I authorize representatives of this city or county t ent he above -identified pro action
ert for ins ion purposes.
ianature of Prooertv Owner or Authorized Agent R . t Property Owner's or Authorized Agent's Name
-F COMPLIANCE WITH CODE 0
ACTION DATE BY REGUDECLRA ONS PO ART 61 OF TITLE 40 AND AQMD R DI ERAL I FOR OFFICE USE ONLY
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMIT EXTENDED
LJAQMD
PERMIT FINAL
SBESTOS NOTIFICATION IS NOT APPLICABLE
CERTIFICATEOF
Gn S,
_I-
PROPOSED DEMOLP6N
OCCUPANCYISSUED
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IGNATURE: