HomeMy WebLinkAboutX2021-2757 - PermitswtX,4,
City of Newport Beach - Building Division
"X2021-2757`
COMB Permit: X2021-2757
100 Civic Center Drive, Newport Beach, CA 92660
Project No : 2398-2021
F ..
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Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644)644-3255
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INSPECTOR
Issued Date : 10/11/2021
Combination Type - SFP ELEC MECH PLUM
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1011112024 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: 2 ROCHELLE NB
Description: SFR KITCHEN REMODEL (CITY
STANDARD) R/R FIXTURES
& CABINETS AT ORIGINAL LOCATION/LAYOUT.
Legal Desc.:
Owner: PAPA ALESSANDRO
Contractor:
AXEL L ESPINO OLIVA
Architect:
• • „
Address: 2 ROCHELLE
Address:
1819 MONROVIA AVENUE APT #14
Address:
'
NEWPORT COAST, CA 92657
COSTA MESA, CA 92627
_ ' -
Phone: 917-386-3687
Phone:
949-307-6379
Phone: State Lic:
- -
Applicant: AXEL L ESPINO OLIVA
Con State Lic:
1004733
Engineer:
Address: 1819 MONROVIA AVENUE APT #14 Lic Expire:
06/30/2023
Address:
COSTA MESA, CA 92627
Bus Lic:
BT30073212
.. ,
Phone: 949-307-6379
Lic Exp Date:
10/31/2021
Phone: State Lic:
. , , , • ,
Code Edit : 2019
Worker's Compensation Insurance
Designer: AXEL ESPINO OLIVA
Type of Construction: V-B
Carrier:
STATE COMP
Address: 1819 MONROVIA AVE #14
Occupancy Group: R3/U
Policy No:
9157341
COSTA MESA, CA 92627
Added /New sq.ft. Bldg: 0
Expire:
04/20/2022
Phone: 949-307-6379
Added /New sq. ft. Garage: 0
-
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions:
No of Units : 0
Front: /
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: /
Flood Zone: X
Use Zone:
Parking Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $40 000.00
Building Permit Fee: $679.00
Excise Tax:
$0.00 Planning Department-
Fire Department
Plan Check Fee: $590.73
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 : $2.00
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 %:
$47.53 San Dist:
$0.00
Building Green Fee : $2.00
Mechanical %:
$27.16 NMUSD Fee:
$0.00
$0.00
Plumbing %:
$61.11
$0.00
TOTAL FEE : $1,461.53
Plan Check Fee : $0.00
Fee Due at Permit Issuance : $1,461.53
PROCESSED BY:
ZONING APPROVAL:
CNC
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
DO
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
the permit to file a signed statementthat 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).
❑ 1, 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
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).
❑ 1, 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 exemp' 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
Protes^ions Cede, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
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 7000) of Division 3 of the Business and Professi s Code, and my license is in full force
and effoct. License Ciass License No Date Contractor Signature yt\ ���e5
WORKERS' G'JMPHNSATION 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 (E100,000), IN ADDITION TO THE
006, OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
ie.reDY affirm u�der.?=,nalty of perjury one of the following declarations:
❑ 1 have and v,iG 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 the
�ermrm-ince of t"e 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'
rance carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance of the workfor 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 sub J'ect;to tthhe workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. A
IatureofApplicant %` Lyy� Zf\ ES(�frl(J Date
ECLARATION 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
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 to Enter the above -identified property for inspection purposes. /� v
ionature of Prooertv Owner or Authorized Aoent X A?k 0A C--,T w't� Print Prooertv Owner's or Authorized ADent's Name �IV ,/�Q
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED OEPA
PERMIT EXTENDED QM D
PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMYO uTION
OCCUPANCYISSUED SIGNATURE: /` hYYQA
Civil Code).