HomeMy WebLinkAboutX2017-1545 - Permits (2)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 - MFP ELEC MECH PLUM
COMB Permit: X2017-1545
X 2 0 1 7 1 5 4 5 Project No :
o, \Issued Date: 0511212017
Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER I NCE a T VAL ECTiON.
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. a of aturda 8: 0 o 6:00p.m. work o undays or Holidays
INSTALL OR VERIFY SMOKE/CARBON M DEDE /PLC 1 6 G FIXTURE BE UPGRAD
Job Address: 100 SCHOLZ PLZ NB St: I Ft: 2 Unit: 214
Description: MFR -BATH REMODEL 36 SF
jr
LegalDesc.: TR 10587 LOT I UNIT 225 OF PROJECT LOCATED ON AP 934111-211 TOG5THER 00
Owner: TINDER TRACI Cqatfictor ERIBW �0 Architect:
Address: 100 SCHOLZ PLZ #214 AGress: Address:
NEWPORT BEACH CA 92663
Phone: 707484-0433 Phon Phone: tate Lie:
Applicant: TINDER TRACT on Engineer:
Address: 100 SCHOLZ PLZ #214 Lie Exp*l - Address:
662 NEWPORT BEACH C6,92' ic:
Phone: 707-484-0433 0 Phone: t
I
Code Edit 16Worker,
�icompensation In 9-Be 1 V
Type of Construction I- P 'er: 0ej
y Nod
Occupancy Group: R2 Poli,
Added /New/TI sq.ft. Bldg: Expi Phce&O
Added /New sq. ft. Garage: Special Conch s.
No of Stories: 3 Building Setbacks "Rear: I S�l
No of Units : 129 Front:
Bldg Height: 0 Left VN
Bldg Sprinklers: Ric�ht! J�
Flood Zone: Zone: Parking?PNP0 Fire He Z N
Construction Valuation: $5,000.00
Building Permit Fee: $142.00 Excise Ta $ plan Depart Fire Department
Plan Check Fee: $123.54 Additiona a an check $37.50 Fire Inspection: $0.00
Overtime Plan Ck: $0.00 Grad s 0.00 Fair S $0.00 Fire Plan Rev $0.00
Investigation Fee: $0.00 radin Ital-LOA $0.00 SJ ra $0.00 Demolition Fee
Record Management: $4.00 ding it F $0.00 h-li ousing Fee $0.00 Building Dept Adm $0.00
Energy Compliance: $0.00 Gr ing PC Fee: . 0 P c Works Department- General Service $0.00
CA Seismic Safety: $0.00 WQ sp. Fee: $0.00 Park Dedication $0.00 Refund Deposit $0.00
Disabled Access $0.00 •PNV Plan Check $0.00 Grading Bond: $0.00
Hazardous Mat $0.00 Electric .8 San Dist: $0.00
c
Building Green Fee M c I $ NMUSD Fee: $0.00 $0.00
Plumbing 12.78 $0.00
TOTAL rE., $356.32 Plan Check Fee $0.00 u ermit Issuance $356.32
PROCESSED BY: PUBLIC WO KS APPROVAL: nn
ZONING APPROVAL: 1 PLAN CHECK 84��
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 items)
;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 L) all of or L) portions of the work, and the structure'7ffn 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 emplq.W &> 9;onal effort, b Ids 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 �,vmion, the Owner -Builder will ha theburden of proving that it was not built or
roved for the purpose of sale).
1, as own?F of tkir property, am exclusively contracting with licensed Contracto en5iT1i-of the project (Section 7Q4p.e 1 as and Professions Co e: he Contractors' State License Law does not
apply to an ow, ler of property who builds or improves thereo and w - or the projects with a licen d�flS,d dcvhi pPD ur ant to thheeO9oontr6��¢}�at License Law).
%D i um exempt from licensure under the Contra ce s Law for the following reason: [
By my signature below I acknowled or p na ide ce in whic ave resided for afte✓¢s y or to completion of the impr ements covered by this permit, I cannot legally
.ell a structure that I he an owner-buil r it I St e n I t ntirety by 11c sed con'�g�t rs. I understand that a copy of the a law, Section 7044 of the Business and
Professions Code;. Is o ilable upon request whe t timitted or at _ e followth site:http://www.leginfo.ca.gov/cala
Signature of F operty,0 er DA�{Vu�'d `""�"` Date
LICENSED CONTRA TOR"3'DECLARATI N
1 hereby affirm undo. pe -ty of perjury the am 1cOhsed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profe ions Code, and my license is in full force
and effect. Licens` las - License No Date Contractor Signature
wnRWERS' CONfYY__N TI DECLARATION `
,VARNINC' FAILUR'_ TU s'EEIIREORK S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T USAND DOLLARS S100,0001, IN ADDITION TO THE
COST OF COMPENSATIO ¢.MA ESA I VIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm pndPl I f4gaIt f perjury one of the following declarations.
D I have and will m fain ce hcate of consent to self -insure for workers' compensation issued by the Director of Industrial Relation for by action 3700 of the Labor Code, for IN
performance of the wo�or ich tI fs permit Is Issued. Policy No.
x
❑I have and will mamfASn.w leers tcompensatlon Ins ifce, as required by Section 3700 of the La Co�I^flartke"?b e e rk for w is h'1s, per t is issued. My workers' compensatior
insurance carrier and po1Dy1nu (bar are:., @{��/Pjy
��[�ler ! Policy Number Date r
Na1.riC fAgent W Phone#
®II .
I ce fy that, in the pert' an of for h it is d, I shall not employ any person in any manner so as to becomes a rkers' coin nsation laws of California, and agree
that I should become Su ct t he r o s vision g. diction 3700 of the Labor Code, I shall forthwith com ose r
Signature of Applican s _ StaI
DECLARATION REG R N C STR TION LEN ING AGENCY
I hereby affirm under enalty` per ry that there is a construction lending a e e performance of the wor-wMC�his ued (Section 3097, Civil Code).
Lender's Name Lender's Adder
By my signature below, I certi a hvA,(�aQovaia :
I am the property owner or ¢ �tho �d�to act on the property own
I have read this application t information 1 1 ad is
I agree to comply with all BID ci4yat17 count s and state laws relating to building construction.
I authorize representatives o ,y.®o o t he above-ide"4,��'r]ed property for inspection purposes. / /_
Signature Of per
ertOwner or A `dh en ^�`^"� Print Property Owner's or Authorized Agent's Nam i' Date
ACTION DATE B FPROPOSEDDEA)�Tr?
NM�NOTAPPUPABLE
E WITH CODE OF FEDERAL FOR OFFICE USE ONLY
SLE 40 AND AQMD RULE
PERMIT EXPIRED TTIFICATION TO
PERMIT CANCELLED All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
PERMITEXTENDED be in place prior to approval to fill pool/spa & shall remain in place & be maintained forthe
PERMIT FINAL S NABLE TO life of the pool.
CERTIFICATE OF E
OCCUPANCY ISSUED :