HomeMy WebLinkAboutX2021-2509 - PermitsCity of Newport Beach - Building Division *X2021-2509* COMB Permit: X2021-250
100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2168-2021
Permit Counter Phone (949)644-3288
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U Inspection Requests Phone (949)644-3255 INS
Combination Type - SFP ELEC MECH PLUM I i; S � � V' Issued Date : Area : 5021
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111512024 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: 8 SURFSPRAY BLUFF NB
Description: SFR KITCHEN, MASTER BATH & BEDROOM REMODEL, NEW BI FOLDING DOOR SYSTEM AND CONVERT OFFICE TO GYM 3622 SF
Legal Desc.:
Owner: ZIMMERMAN KENT Contractor: EUROSTAR CONST AND DESIGN Architect: KOLLIN MICHAEL
Address: 8 SURFSPRAY BLUFF Address: 1143 VILLAGE DR Address: 4265 E CONANT STREET #101
NEWPORT BEACH, CA 92657 CHINO HILLS, CA 91709 LONG BEACH CA 90808
Phone: 312-810-8008 Phone: 714-213-2559 Phone: 562-597-8760 State Lic:CO21173
Applicant: VILLANUEVA BOB Con State Lie: 653199 Engineer:
Address: 4265 CONANT STREET Lie Expire: 08131/2022 Address:
NEWPORT BEACH, CA 90808 Bus Lie: BT30077252 ,
Phone: 562-597-8760 Lie Exp Date: 1113012022 Phone: State Lie:
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Code Edit: 2019 Worker's Compensation Insurance Designer: '
Type of Construction: V-B Carrier: EXEMPT Address: ..
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Occupancy Group: R3IU Policy No:
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Added /New sq.ft. Bldg: 0 Expire: Phone:
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Added /New sq. ft. Garage: 0
No of Stories: 2 Building Setbacks Rear: / Special Conditions:
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No of Units : 1 Front: I ,
Bldg Height: 0 Left: I
Bldg Sprinklers: Right: I
Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N
Construction Valuation: $100,000.00
Building Permit Fee: $1,209.00 Excise Tax: $0.00 Planning Department - Fire Department
Plan Check Fee: $1,051.83 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: $10.00 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 P/W Plan Check: $0.00 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %: $84.63 San Dist : $0.00
Building Green Fee : $4.00 Mechanical %: $48.36 NMUSD Fee: $0.00 $0.00
Plumbing %: $108.81 $0.00
TOTAL FEE : $2,568.63 Plan Check Fee : $1,200.00 Fee Due at Permit Issuance : $1,368.63
PROCESSED BY:
ZONING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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 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, priorto its issuance, also requires the applicant for
is 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 andthe 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 (_) 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).
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:
ly 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 legall,
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.
lignature of Proper:y Owner or Authorized Agent Datb
.ICENSED CONTRACTOR'S DECLARATION
nerebv affirm under p^nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of ivis' n of the Business and Pr sions o g.l d m r ' ens is in full force
no effect. License Ciass License No Date 7/ Contractor Signature
VURKERS' COMPENSATION DECLARATION
(ARNING: FAILURE Tn 9FC7RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED SAND DOLLARS ($100,000), IN ADDITION TO THE
'OFT OPCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm urder penalty 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 th
erformance of the work for which this permit is issued. Policy No.
have and will m3in:ain 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 pulicy number are:
Policy Number
of Agent
Date
certify that, in the performance oft e w rk for 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
t�f' -I should becom ject to the orke 'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant DateV
CLARATION REGA ING O TRUCTI LENDING AGENCY
nder )reby affirm upenalty o per ry that th a is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode).
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 ner behalf.
I have read this application and the information I have provi ad is orrect.
I agree to comply with all applicable city and county ordin ces stat laws relating to building construction.
I authorize representatives of this city or co to enter a ove 'de Pied property for inspection purposes.
nature of Prooertv Owner or Authorized Acent Print Prooertv Owner's or Authorized ADent's Name
ACTION DATE BY " DEG UIRATION OF COMPLIANCE
WI4 TH CODE OF FED
ERAL I FOR OFFICE USE ONLY
ATIONS
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PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
PERMIT EXTENDED AQM D
PERMITFINAL -Z(1, ,(L` SBEST05N TIFIC 0 IS NOT APPLICABLE TO
CERTIFICATE OF PRO SED IYF /OLITI
OCCUPANCYISSUED SIGNATURE' 0 n .i