HomeMy WebLinkAboutX2019-1534 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
H ` Permit Counter Phone (949)644-3288
u "da Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
COMB Permit: X2019-1534
x 2 0 1 9 1 5 3 4 Project No: 1092-2019
Issued Date: 0511612019
Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 2419 SANTIAGO DR NB
Description: SFR INTER REMODEL ADD BATHROOM & WALK IN CLOSET TO BEDROOOM 94 (80
Legal Desc.: NEWPORT HEIGHTS LOT 287 NWLY 78.75 FT SELY 315 FT
Owner:
ANSTEAD CHRISTINA
Contractor:
BC HOME BUILDERS
Address:
2419 SANTIAGO DR
Address:
3202 W WARNER AVE
NEWPORT BEACH, CA 92660
SANTA ANA CA 92704
Phone:
Phone:
714-754-0709
Applicant:
BUITRAGOJIMENEZ ALFONSO
Con State Lie:
940362
Address:
3202 W WARNER AVE
Lie Expire:
05/3112019
SANTA ANA CA 92704
Bus Lic:
BT30045241
Phone:
714-294-2080
Lie Exp Date:
11013112019
Code Edit: 2016
Type of Construction: V-B-SPR
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: Y
Construction Valuation: $40,000.00
Building Permit Fee: $636.00
Plan Check Fee: $553.32
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,358.52
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: BERKSHIRE
Policy No: BCWC917345
Expire: 1212612019
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: /
Left: I
Right: I
'arkina Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$44.52
$25.44
$57.24
Plan Check Fee
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lie:
State Lie:
BUITRAGOJIMENEZ ALFONSO
3202 W WARNER AVE
SANTA ANA CA 92704
Special Conditions: CMSD PERMIT #SD19-0218
0 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:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$40.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$593.32 Fee Due at Permit
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$765.20
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
1e 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
'rofessions 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
'usiness 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
nprovements 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
n(�roved for the purpose of sale).
J 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
pply 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:
Iy 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 legall7
ell a structure that 1 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
'ignature of Property Owner or Authorized Agent Date
.ICENSED f:9YTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine s and Professions e, and my license is in full force
nd effect. License Class License No at 0 S• 66.1 Contract o ignature
✓U4KERS' �QrVlPENSATION DECLARATION
'APNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI PENALTIES AND CIVIL FINES UP T ONE HUNDRED THOUSAND DOLLARS t$100,0001, IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm urdo; penalty of perjury one of the following declarations:
J I nave 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
erformance'Jf the work for which this permit is issued. Policy No.
' ave 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
ulM1`rarce Tier and ropy�y number are: �I
a'her �pwiJ 1'vlbwAnct Policy Number 6e.r'e q(�S4S Expiration Date
'P> e rf�l IALWi Phone# fb2 4.3- 4-
uertify that, i/a:e'pertormapce of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to th orkers' compensation laws of California, and
if I shDulA_'become subjecyto the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Iaturs of �o)licant Y _ to b s -(6 •I GI
hereby affirm �enalty b+erjury 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 1 Lender's Address
y my signature below, I certify to each of the following: r
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 firdinances and state laws relating to building Construction. _
I authorize representatives of this city or county to a bove-identified property for inspection purposes.
ignature of Prooertv Owner or Authorized Aaerrt Print Property Owner's or Authorized Agent's Name
ACTION DAT v BY REGULATONS PART0610 TIITE 40 AND,
RULECE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
PERMIT EXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITEXTENDED L_1AQMD
PERMITFINAL A BESTOS NOTIFICATIO IS NOT APPLICABLE TO
CERTIFICATE OF -�i- 23 OSED DEMOLITION
OCCUPANCY ISSUED 11 SIG RE:
(A -
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