HomeMy WebLinkAboutX2022-0413 - Permitswr rj City of Newport Beach - Building Division
�Affi 100 Civic Center Drive,'Newport Beach, CA 92660
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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:
*X2022-0413'
COMB Permit: X2022-0413
Project No: 0365-2022
Issued Date : 02/11/2022
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 0211112025 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
414 VIA LIDO NORD NB
SFR REMODEL BATHS/LIVING ROOM
TR 907 LOT 479 SELY 15 FT AND NWLY 20 FT LOT 480 AND POR ABAND ALLEY
ANDONIAN JOHN Contractor: I D L HOME Architect: GOETZ ANDREW
414 VIA LIDO NORD Address: 5 UPPER NEWPORT PLZ #201 Address: 2855 E COAST HWY #234 C .�
NEWPORT BEACH CA 92663 NEWPORT BEACH CA 92660 CORONA DEL MAR CA 92625 r�
Phone: 949-945-9945 Phone: 949-673-3152 State Lic:C018499
I D L HOME Con State Lic: 760451 Engineer:°�\�
i
5 UPPER NEWPORT PLZ #201
NEWPORT BEACH CA 92660
949-945.9945
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:
Lic Expire: 11130/2023
Bus Lic: BT30059341
Lic Exp Date: 05/3112022
2019 Worker's Compensation Insurance
V-B Carrier:
WC EXEMPT
R3/U Policy No:
(NO EMPLOYEES)
0 Expire:
0
Building Setbacks
Rear: /
Front: /
Left: /
Right: /
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Hazard Zone : N
Construction Valuation: $20 000.00
Building Permit Fee:
$416.00
Excise Tax:
$0.00
Planning Department -
Plan Check Fee: $361.92
Additional Fee :
$0.00
Plan check Fee
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans
Record Management :
$4.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access :
$0.00
PAN Plan Check :
$0.00
Hazardous Mat
$0.00
Electrical %:
$29.12
San Dist :
$0.00
Building Green Fee :
$1.00
Mechanical %:
$16.64
NMUSD Fee:
$0.00
Plumbing %:
$37.44
TOTAL FEE : $918.12
PROCESSED BY:
ZONING APPROVAL:
"'r: APPROVAL:
State Lic:
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$c.oe ,
$6.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $918.12
PUBLIC WORKS APPROVAL: �S;
PLAN CHECK BY: Dtl
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, 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
Dt more than five hundred dollars ($500).
7 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,
Iusiness 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).
1 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).
D I am exempt from licensure under the Contractors' State License Law for the 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 Iegalh
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.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) ivi ion 3 of the Business and Professi Cod , a ense is in full force
nd effect. License Class License No Date 1( ? L. Contractor Signature
VORKERS' COMPENSATION DECLARATION
FARNING: FAILUkE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE T USAND DOLLARS ($100,000), IN ADDITION TO THE
DST O.� COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under uenalty of perjury one of the following declarations:
I 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
elrurmance of the work for which this permit is issued. Policy No.
have and will minintain 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'
'ante carrier and policy number are:
Policy Number
Agent
Date
rl�4slffy that, in th-) performanyre of the worker w his 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 ogre
Nif shoul� hece4nt
o the or s' pens n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
nature of Applii.aDateL z /�(
CLARATIGFJ RENST CTIO N NG AGENCY
Ireby affirm undeerjury a is a onstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
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 agree to comply with all applicable city and county
I authorize representatives of this city or county to e
lature of Prooertv Owner or Authorized Aaent /.
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EMENDED
DATE I BY
CERTIFICATE OF 1I z0/2`i
OCCUPANCYISSUED
and st a IS relating to building construction.
ve ' entif'roperty for inspection purposes.
Print Prooertv Owner's or Authorized Acent's Name
WPLIANCE WITH CODE OF FEDERAL
61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
SIGNATURE:
TO
FOR OFFICE USE ONLY
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