HomeMy WebLinkAboutX2021-0128 - Permitsaawrry4r City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
h' n. Permit Counter Phone (949)644-3288
rC Inspection Requests Phone (949)644-3255
Combination Type - SFP MECH ELEC PLUM
COMB Permit: X2021-01
Project No: 0138-2021
Issued Date : 02/03/2021
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/04/2024 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: 129 VIA NICE NB
Description: SFR KITCHEN REMODEL 239 SF
Legal Desc.: TR 907 LOT 546(AND SWLY1/2 LOT 547
Owner:
BARKER MITCH
Address:
129 VIA NICE
NEWPORT BEACH, CA 92663
Phone:
415-740-7105
Applicant:
DELLINGER WILLIAM
Address:
1723 WESTCLIFF DR
NEWPORT BEACH, CA 92660
Phone:
949448-9627
Code Edit :
2019
Type of Construction:
V-B
Occupancy Group:
R3/1.1
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
1
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
X
Construction Valuation: $18,000.00
Building Permit Fee: $382.00
Plan Check Fee: $332.34
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$6.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $843.99
PROCESSED BY:
ZONING APPROVAL:
Contractor:
ROOMSCAPES INC
Address:
1723 WESTCLIFF DR
NEWPORT BEACH CA 92660
Phone:
949448-9627
Con State Lic:
791671
Lic Expire:
02/28/2021
Bus Lic:
BT30059094
Lic Exp Date:
06/31/2021
Worker's Compensation Insurance
Carrier: BENCHMARK INS
Policy No: CST5018538
Expire: 02/1612021
Building Setbacks Rear: /
Front: /
Left: /
Right: /
Architect
Address:
Phone:
State Lic
Engineer:
Address:
TI
Phone:
State Lic:
M
Designer:
NASSETTA DEBBIE
C
Address:
1723 WESTCLIFF DR
NEWPORT BEACH, CA 92660
��
Phone:
949448-9627
0
Special Conditions:
HIGH DENSITY AREA
LIQUEFACTION AREA
.r�J
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee:
$46.25
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant :
$0.00
SJH Trans:
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PNV Plan Check:
$0.00
Grading Bond:
$0.00
Electrical %:
$26.74
San Dist:
$0.00
Mechanical %:
$15.28
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$34.38
$0.00
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$843.99
PUBLIC. WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: - - A PVOVAL TO t9iSUE:
IWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjurythat I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed nextto the applicable item(s)
ieclion 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
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).
I, as owner of the property, or my employees with wages as their sole Compensation, will do V all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
,usiness 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-Builderwlll 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).
7 I am exempt from licensure under the Contractors' State License Law forthe following reason:
ly my signature below 1 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 legall7
ell a structure that 1 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
'rofessicns Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govfcalaw.htmi.
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) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect y/p�
icense Class Pi License No 2[� , Gy I Date Z-0Z Contractor Signature r� i'- V,00;2
VORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNUIWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML PINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,00D), IN ADDMON M THE
CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECnON 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S Fees.
hereby affirm under 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 tabor Code, for th,
eerfamlance of the work for which this permit is issued. Policy No.
71 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
mer T If umber Expiration Date
rye of Avent . 1 Phone #
) certify that, in the performance of TWA
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 agree
It, if I should become su ect to thr�wwoo�rs rke' Compensation provisions of Section 3700 of the Labor Code, I shall forthwith' comply with those provist nS.
nature of Applicant i'�, i zir Date
CLARATION REPAVEDIN13 CONSTRUCTION LENDING AGENCY
:reby affirri 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).
Iders Name Lenders 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 corecL
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
authorize representatives of this city or county tg7egter the abpve_ideMifietl property for inspection purposes.
AC770N i DATE it BY
I'D I SOBtITED ASBESTOS NOTIRCATION TO.,
IS NOTAPPLICABLE TO
PERMIT FINAL
MMFICATEOF
OCCOPANCYISSSOED