HomeMy WebLinkAboutX2019-2229 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X201
ry t r 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 2 2 2 9 Project No : 1606-2019
E• , Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Issued Date : 0310212020
Combination Type - MFP PLUM Inspection Area : 8
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 435 VISTA TRUCHA NB
Descrytion: MFR MASTER BATHROOM REMODEL 89 SF
Legal Desc.: N TR 6885 LOT 47 "
Owner HINOJOSAALLISON Contractor: OWNER/BLDR Architect: DAWSON BRIAN D
Address: 435 VISTA TRUCHA Address: HINOJOSA ALLISON Address: 1120 W. RIVIERA DR
NEWPORT BEACH, CA 92660
Phone
Applicant: DAWSON BRIAN D
Address: 1120 W. RIVIERA DR.
SANTA ANA CA 92706
Phone: 7141760.3636
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units: 3
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
11 Construction valuation:
Phone: 949-697-1689 Phone
Con State Lie: O/B Engineer:
Lie Expire: Address:
Bus Lic:
Lie Exp Date: Phone:
2016 Worker's Compensation Insurance
V-B Carrier:
R3/U Policy No:
0 Expire:
0
Building Setbacks
Rear: I
Front: /
Left: /
Right: I
Use Zone:
Parking Spaces:
Building Permit Fee: $312.00
Plan Check Fee: $332.44
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$14.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $727.52
PROCESSED BY:
ZONING APPROVAL:
Designer:
Address:
Phone:
SANTA ANA CA 92706
7141760-3636 State Lic:0009144
State Lie:
INSPLC OR
Special Conditions: OWNER/BLDR ATTACHED
0
Excise Tax:
$0.00
Planning Department-
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$40.00
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
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$28.08
$0.00
Plan Check Fee
: $311.41
Fee Due at Permit Issuance :
$416.11
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, prior to 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 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
o more than five hundred dollars ($500).
I, 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,
usmess 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 Ere 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 'he 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'o 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 ; Lm exempt from licensure under the Contractors' State License Law for the following reason:
'y my signature oe,ow I acknowledge that, except for y 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 legallt
ell q structure t;.Lt I :lave built as an owner -builder if has not been constructed in its entirety b icensed contractors. I understand that a copy of the applicable law, Section 44 of the Business and
'rofessions Code, is available upon request when th' application is miffed o a o ng 7Web site:http://www.leginfo.ca.gov/calaw.htm].
ignatLre of Prop=try Owner or Authorized Agent I Dat
.ICENSED CONTRACTOR'S DECLARATIQN
hereby affirm under penalty of perjury that I am Ii ensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C de, and my license is in full force
no efect. LizenE3 Class License No Date Contractor Signature
COMPENSATION DECLARATION
'ARNING: FAILU.tE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE
DST OF COMPENSAI10N, 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:
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
Drmance of the work for which this permit is issued. Policy No.
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' compensa
Fence carrier and policy number are:
Policy Number
Date
ame of Agent Phone #
]I Certify that, in the peIf ance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co Pensation laws of California, and agre
lat, if I should become s ject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant Dat _ �/
iECLARATION REG DING C CTION LENDING A ENCY
hereby affirm under nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 ,Civil Code).
Ender's Name Lender's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and count ordinances and state laws relating to building construction.
I authorize representatives of this city or county to nter the abo e-identified prop y for inspection purposes.`
ignature of PfoOertv Owner or Authorized Agent ' Print Prooertv Owner's or Authorized Aaent's N me
PERMIT EXPIRED
PERMIT CANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYIS5UED
DATE BY DECLARATION OF I/ REGULATIONS PARTO 10 TIITLE 0 AND AQMD RULECE WITH CODE OF
FOR OFFICE USE ONLY
IS NOT