HomeMy WebLinkAboutX2020-1722 - PermitsCity of Newport Beach - Building Division
s Got 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
$ Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
Job Address
Description:
Legal Desc.:
Owner:
Address:
Phone:
Applicant:
Address:
Phone
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COMB Permit: X2020-1 22
Project No :
Issued Date: 07130/2020
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0713112023 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
217 VIA LIDO NORD INS
SFR - INTERIOR ALTERATION (CITY STANDARD) 200 SF PRIMARY BATHROOM
STARK WENDY
217 VIA LIDO NORD
NEWPORT BEACH CA 92663
BUILTWELL
15333 CULVER DR #340-333
IRVINE CA 92618
949-466-9695
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Contractor. BUILTWELL
Address: 15333 CULVER DR #340-333
IRVINE CA 92618
Phone: 949-466-9695
Con State Lie:
1051672
Lie Expire:
03/31/2021
Bus Lie:
BT30067186
Lie Exp Date:
05/31/2021
2019 Worker's Compensation Insurance
V-B Carrier:
EXEMPT
R3/1.1 Policy No:
0 Expire:
0
Building Setbacks
Rear: /
Front: I
Left: I
Right: I
Construction Valuation: $27,000.00
Building Permit Fee: $509.00
Plan Check Fee: $442.83
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$2.00
TOTAL FEE: $1,097.13
PROCESSED BY:
Architect:
Address:
Phone:
Engineer:
Address:
State Lie:
Phone: _ySjl�r'Pu N
Designer: NO
Address:
Phone: Special Conditions: HIGH DENSITY FORICI R(�N
EC'D����®�
LIQUEFACTION AREA
1NSPECTOI
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee:
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant :
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check:
$0.00
Electrical %:
$35.63
San Dist:
$0.00
Mechanical %:
$20.36
NMUSD Fee:
$0.00
Plumbing %:
$45.81
ZONING APPROVAL: �L
Fire Department
$41.50
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,097.13
PUBL'C WORKS APPRa7V'AL:
PLAN CHECK BY:
GRADING APPROVAL: APPRO`/A'_ TO ISSUE:
I hereby amrm under penalty of perjury that I am exempt from the Contractors' State Llcense Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Item(s)
Section 7031.6, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, poor to Its issuance, also requires the applicant for
to permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License taw (Chapter 9 (commencing with Section 70(10) of Division 3 of the Business and
'rofessions Code) or mat 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 ($600).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the Work, and the structure Is not Intended or offered for sale (Section 7044,
iuslness 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, Me building or Improvement Is sold Wlthln one year of Completion, the Owner-Bullderwili have the burden of proving that It was not built or
�n roved 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 Cade: 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 Ilcensure under the Contractors' State License Law for the fallowing reason:
y 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
all a structure that I have built as an Owner -builder B it nos 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 stte:hUp:f www.leg)nfo.ca.gw/calaw.html.
ignature of Property Owner or Authorized Agent Date
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury mat I am licensed under provisions of Chapter 9 (commencing with Section 7000) f iv)sion 3 of the Business and ProlesslOrt!sfCodes, and my Iicens Isin full fame
no effect License Class Q� Llcense Na 51_ ii In.S I 72 oat ISOZ,0 Contractor Signatur�( / �P
IORKERS' COMPENSATION DECLARATION
'AR NG: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYFNTO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS($1W,ODO), BIADDITIONTOTHE
OSTOFCOMPFASATW MAGESAS PROVIDED FOR IN SECTION 37M OFTHE LABOR OODE INTEREST, ANOATTORNEYS FEES.
hemby amr Ity of perjury one of the following declarations:
J I h 11♦�V+ otain 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,
7erfo a Work for which this permit Is issued. Policy No.
3 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' cwmpensatiDl
nsurance caner and policy number are:
Carrier Policy Number Expiration Data
YNarnAgent Phone If
arrully that, in the pertorman ZA theorkfor which this permit Is Issued, I shall not employ arty person in any manner so as to become subject to the workers' compensation aws o California, antl agreemat, If I should become subjectw 'in provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provislons-
Signature of Appllcanh( ' Daj�
DECLARATION REGrARDIN7 NSTRUCTION LENDING AGENCY
I hereby affirm under penalty of erjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By 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 ordlna s and state laws rotating to building construction.
I authorize representatives of this city or coun t ante ab entitled property for Inspection purposes. r�
Signature of Property Owner or Authorized Agent Pant Property Owner's or Authorized Agent's Nafl)e'DatcneaFo D 1/ �
ACTION DATE BY D RATION —OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
ftE ULATIONS PART 610E TITLE 40 AND AGMD RULE
PERMITFINAL QJq fJF%� v-JxSBESTC6 NOTI,iI.rigN Is NOT APPLICABLE TO
CERTIFICATE OF J"O~ F;ROr OS-'L CEMOUlION _
OCCUPANCYISSU£D M3 S'GIVATPREV yvk?% ,-