HomeMy WebLinkAboutX2021-0102 - PermitsNi'rr4
City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0102
Project No: 0110-2021
Issued Date :02/1112021
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02f1212024 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: 13 HARBOR ISLAND NB
Description: SFR -BATH REMODEL (5), LAUNDRY RM, CREATE 2ND FL LAUNDRY 8 CREATE BUTLERS PANTRY 846 SF **STOP WORK"
Legal Desc.: TR 802 LOT 13 ALL-INC BET SAME 8 HIGH TIDE LINE -
Owner:
NEVELL MICHAEL
Address:
13 HARBOR ISLAND
NEWPORT BEACH CA 92660
Phone:
714-412-3399
Applicant:
ZALAR DOUG
Address:
8146 PAWTUCKET DR
HUNTINGTON BEACH CA 92646
Phone:
714-853-9696
Code Edit: 2019
Type of Construction: VB
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: $67,700.00
Building Permit Fee: $953.00
Plan Check Fee: $829.11
Overtime Plan Ck:
$0.00
Investigation Fee:
$953.00
Record Management :
- $8.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$3.00
TOTAL FEE : $2,936.71
PROCESSED BY:
ZONING APPROVAL:
Contractor:
ZALAR HOMES
Address:
8146 PAWTUCKET DR
HUNTINGTON BEACH CA 92646
Phone:
714-853-9696
Con State Lie:
1071867
Lie Expire:
12/31/2022
Bus Lie:
BT30074051
Lie Exp Date:
0113112022
Workers Compensation Insurance
Carrier:
EXEMPT
Policy No:
no employees
Expire:
Building Setbacks
Rear: /
Front: 15' and 15'
Left: 3'
Right: 3'
Use Zone:
Parking Spaces: 0
Architect
Address:
Phone: State Lie:
Engineer:
Address:
Phone: State Lie:
Designer: SAIZUKA MALIA
Address:
Phone: 949-903-2346
Special Conditions: High density
form signed
_... _ IMP EC�O
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee:
$0.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PAN Plan Check :
$0.00
Grading Bond:
$0.00
Electrical %:
$66.71
San Dist:
$0.00
Mechanical %:
$38.12
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$85.77
$0.00
Plan Check Fee
: $829.11
Fee Due at Permit Issuance :
$2,107.60
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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 ne, t 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 (_) 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).
111, 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 Iegall
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 under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) o3,Dlvigion 3 of the Business and Profeyions Cade, and my license is in full force
and effect. License Class License No Dat / Contractor Signatl
WORKERS' COMPENSATION 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 SIM" under penally 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 th
performance of the work for which this permit is issued. Policy No.
have 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' compensatio
insurance carrier and policy number are:
arrier Policy Number Expiration Date
Na a of Agent Phone #
rtify that, in the 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
that, i I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant �/ Dat�1/ ��4
DECLARATION REGALING C N(� NDING AGENCY11
I 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).
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 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 cou to e-identified property for inspection purposes. /
Signature of PropertyOwner or Authorized Aueiii-A Print Property Owner's or Authorized Agent's Nam 6 ar' L Date
ACTION DATE BY DECLARAIUN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
PERMITEXTENDED QMD
PERMITFINAL BESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF / LU PROPOSED DEMOU -
000UPANCY155UED '7 SIGNATURE.
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