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HomeMy WebLinkAboutX2020-0166 - Permitsw10 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0166 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 1 6 6 Project No : 0139-2020 H Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : ra4zou�� Combination Type - SFP ELEC MECH PLUM Inspection Area:3 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. t - - 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: 1701 PALOMA DR NB Description: SFR KITCHEN REMODEL 400 SF Legal Desc.: NEWPORT HEIGHTS LOT 238 FOR OF LOT INSPECTOR Owner: MERINO PAUL & NAMRITA Contractor: OWNER/BLDR Architect: Address: 1701 PALOMA DR Address: MERINO PAUL Address: NEWPORT BEACH, CA 92660 Phone: Phone: Phone: State Lic: Applicant: BLACKMORE JASON Con State Lie: OIB Engineer: JAFARI MASOUD Address: 2735 DE SOTO AVE Lie Expire: Address: 23 ORCHARD #250 COSTA MESA, CA 92626 Bus Lie: LAKE FOREST CA 92630 Phone: 949-274.6585 Lie Exp Date: Phone: 949-206-9929 State Lic:S-003812 Code Edit: 2019 Worker's Compensation Insurance Designer: BLACKMORE JASON ° ° Type of Construction: V-B Carrier: Address: 2735 DE SOTO AVE .... Occupancy Group: R3111 Policy No: COSTA MESA, CA 92626 Added Mew sq.ft. Bldg: 0 Expire: Phone: 949-274-6585 0. Added /New sq. ft. Garage: 0 0 ° No of Stories: 1 Building Setbacks Rear: I Special Conditions: 0/8 AUTH ATTACHED No of Units: 1 Front: I Bldg Height: 0 Left: / ° ° ...... Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N ° ° ° ...... Construction Valuation: $40,000.00 ° ° ° ° ° o°oo O°^000 Building Permit Fee: $636.00 Excise Tax: $0.00 Planning Department - Fire Department - Plan Check Fee: $563.32 Additional Fee : $0.00 Plan check Fee : $40.00 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 %: $44.52 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $25.44 NMUSD Fee: $0.00 $0.00 Plumbing %: $57.24 $0.00 TOTAL FEE : $1,370.52 Plan Check Fee : $593.32 Fee Due at Permit Issuance : $777.20 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: �.pl'i' PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION 1 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•applicanE,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 U 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 im r ments 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 a purpose of sale). 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 app y 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, exce t for my person sidence in which I must have resided for at least one year prior to completion of the improvements co eyed by this permit, I cannot legally sell a structure that I have built as an owner-buil er if it has n constr in its entirety 6y licensed contractors. I understand that a copy of the applicable law, Sect n 7044 of the Business and Professions Code, is available upon request this appl ion is sub or at the fallowing Web site:hftp://www.leginfo.ca.gov/calaw.htmi. of Property Owner or Authorized Ag nt a ^Z Z- Zo 20 LICENSED CONTRACTOR'S DECLA TION 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 Busine and Professions CIE, and my license is in full force and effect. License Class License No Contract Signature WORKERS' COMPENSATION DECLARATION NARNING: 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 COMPEKSATIO14�, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm'tnderpenalty 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 tht J�rtormance of ,he 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' compensatior 1 urance carrief and policy number are: :aq;Lqr Policy Number Expiration Date I.Wof Agent _ Phone # f certify that, in the pnrfo a 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 w4Drel ' compensation laws of California, and agree 1 t if I should become sub' ct o e 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those pro,isions. igna,ure of lioLrd '2Z s"7.�Z- O iECLARAT N REGARD] CO ST CTION 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 - I agree to comply with all applicable city and count nances and state laws relating to building construction. I authorize representatives of this citypVrountyL . th91 enyfie_d property for inspection purposes. I ACTION PERMIT EXPIRED PERMIT CANCELLED PERMITEXFENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE P BY DECLARATION OF COMPLIANCE WITH CODE OF FEDEI REGULATIONS PART fit OF TITLE 40 AND AQMD RULE 4'0 I SUBMITTED ASBESTOS NOTIFICATION TO TO FOR OFFICE USE ONLY oc ca>Iv O E 3 N O O v LL m ° N G l O,E .� (E)c c N 0 . a o. m Y O y -c o c c a1 n a m . O c •m _ M o ° 0.0 0 m C c y O of m � •C � C c m E 'U O O E J '° E T 0) O > y O C C and m ow 'c � 1 d O J O y m m°a {6 s_¢.N ° .0 m N ) N O N N O O3. 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