HomeMy WebLinkAboutX2022-1711 - Permits�y,Hrrry, City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
S Inspection Requests Phone(949)644-3255
Combination Type - SFP MECH ELEC PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1711
x 2 0 2 2 1 7 1 1 Project No : 1563-2022
Issued Date : 07/05/2022
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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
Jab Address: 2210 CHANNEL RD NB
Description: SFR INTERIOR REMODEL 296 SF
Legal Desc.: TR 518 LOT 22 BILK P NWLY1/2 -ING FOR OF LOT M & CHANNEL RD ADJ(AND A
Owner: THIEL RESIDENCE Contractor: WINKLE CUSTOM HOMES Architect: �®
Address: 2210 CHANNEL RD Address: 33971 SELVIA RD #110 Address:
NEWPORT BEACH, CA 92661 DANA POINT CA 92629
Phone: Phone: 949-873-3125 Phone: �.�® State Lic:
Applicant: ALMENDAREZ OSCAR Con State Lic: 992007 Engineer: �J Address: 31234 W. NINE OR Lic Expire: 03/3112024 Address: �v
LAGUNA NIGUEL, CA 92677 Bus Lic: BT30063271 ` r�
Phone: 951.990-4834 Lic Exp Date: 05131/2023 Phone: \� �1�1e Lic:
Code Edit : 2019 Worker's Compensation Insurance Designer: A CONSTR N
s,r
Type of Construction: V-B-SPR Carrier: STATE FUND AddresN 1234 W. NI
Occupancy Group: R3/U Policy No: 9122252 \V LAGUNA L, CA 92677
Added /New sq.ft. Bldg: 0 Expire: 01/10/2023 Phone`. 951-991
Added /New sq. ft. Garage: 0 v
No of Stories: 2 Building Setbacks Rear: 10(WATERFRONT) Special Conditions: HIGH DENSITY ZONE
No of Units: 1 Front: 0 LIQUEFACTION
Bldg Height: 0 Left: 4
Bldg Sprinklers: Y Right: 4
Flood Zone: X-0.2PCT Use Zone: R1 Parking Spaces: 0 Fire Hazard Zone : IN
Construction Valuation: $75 000.00
Building Permit Fee: $1,009.00 Excise Tax: $0.00 Planning Department- Fire Department
Plan Check Fee: $877.83 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: $22.00 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 %: $70.63 San Dist: $0.00
Building Green Fee : $3.00 Mechanical %: $40.36 NMUSD Fee: $0.00 $0.00
Plumbing %: $90.81 $0.00
TOTAL FEE : $2,165.63
PROCESSED BY:
ZONING APPROVAL:
Plan Check Fee
$929.83 Fee Due at Permit Issuance : $1,235.80
PUBLIC'NOR:CS AFPROCAL:
PLAN CHECK BY:Sc/
GRADING APPROVAL: APPRCVAL-O 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 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
ie 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).
7 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,
lusiness 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
nproved for the purpose of sale).
7 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).
7 1 am exempt from Iicensure 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 legally
ell 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
'rofessions 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
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 oqf Division 3 of the Business and Professions Code nd my license is in full force
rid effect. License Class License No Dat i. t' - Z Contractor SignaturRY ��!"
VORKERS' COMPENSATION DECLARATION
IARNING: 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
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 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 Cade, for the
eVmance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
ie of Agent
certify that, in the performance of the work for
, if I should become subject to the workers' Ga
Policy Number
Date
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant O�
CLARATION REGARD CONST UCTION LENDING AGENCY
areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which
Ider's Name Lender's Address
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 county ordinances and a laws relating to building construction.
I authorize representatives of this city or county tq enter abo -Identified property for inspection purposes.
ed nature of Prooertv Owner or AuthorizAgent � s�jw- Print Prooertv Owner's or Aut
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED SUBMI ATE ) ASBESTOS NO-,IFICATION TO
PERMITCANCELLEO EPA
PERMITFINAL ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF �� v R POSED DEN IT ON .�
OCCUPANCYISSUED SIGNATURE%�Z-:7/ (77 C 1,
Date 077 aJ z?
permit is issued (Section 3097, Civil Code),
FOR OFFICE USE ONLY