HomeMy WebLinkAboutX2022-0878 - PermitsCity of Newport Beach - Building Division *X2022-0878* COMB Permit: X2022-0878
100 Civic Center Drive, Newport Beach, CA 92660 :. Project NO : 0804-2022
c; n. Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
' Issued Date : 03/30/2022
°:a„ya,yp�T Combination Type - SFP MECH ELEC PLUM .
1 9 M! 91 D EE CTO rR Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/30/2025 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: 23 CASTAWAYS NORTH NB
Description: SFR REMODEL (E) JACK&JILL BATHROOM TO (2) BATHROOMS. REMODEL MASTER BATH. (N) FIREPLACE @ MASTER BED. RR 1ST FLOOR FIREPLACE. 250 SF
Legal Desc.: N TR 15012 LOT 105
Owner: MAAS JOAN
Address: 23 CASTAWAYS N
NEWPORT BEACH, CA 92660
Phone
Applicant: OLSON RUSSEL
Address: 6818 EL PROGRESO ST
LONG BEACH, CA 90815
Phone: 562-760-0713
Code Edit:
2019
Type of Construction:
V-B
Occupancy Group:
R3/11
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units:
1
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
X
Construction Valuation: $60,000.00
Building Permit Fee:
$889.00
Plan Check Fee: $773.43
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$18.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$3.00
TOTAL FEE : $1,913.23
PROCESSED BY:
ZONING APPROVAL:
Contractor: OLSON CONSTRUCTION
Address: 6818 EL PROGRESO
LONG BEACH CA 90815
Phone: 562-619-9109
Con State Lic:
386853
Lic Expire:
0413012023
Bus Lic:
BT30071170
Lic Exp Date:
0313112023
Worker's Compensation Insurance
Carrier:
EXEMPT
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 10
Front: 10
Left: 5
Right: 5
rking Spaci
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$62.23
$35.56
$80.01
0
Architect: RENGEL RICHARD
Address: 333 EL CAMINO REAL
TUSTIN CA 92780
Phone: 714.832-3333 State Uc:C014199
Engineer:
Address:
Phone: State Lic:
Designer:
Address:
Phone:
Special Conditions:
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
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:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $825.43 Fee Due at Permit Issuance : $1,087.80
PUBLIC WORKS APPROVAL: 130
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
the 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
Professions Cade) 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
improvements 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
improved 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
apply 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).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By 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
sell 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
Professions Cody, i- available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Pi Owner or Authorized Agent Date
LiC2NSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I a�` censed under provisions of Chi pier ( encing with Section 7000) fD'vision 3 of the Business and ProfessioryC�o� d y license is in full force
a'1deffect. License Class r 7 License No '2,� Date d ZZ Contractor Signature �( II%%
WORKERS' COMPENSATION DECLARATION
V'ARN'VG: FAIli1Re TO &ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
Ci OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
t hereby affirm under penalty of perjury one of the following declarations:
0 1 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,
perrormance 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'
nance carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance 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' compensation laws of California, and agre
if I should become subject toojh/� workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lature of Applicant K 1(�_ �� Date �1�J 01%iZ
hereby affirm under penalty of penury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name Lender's Address
ly 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 county ordinances and state laws relating to building construction.
I authorize representatives of this city or count t an Identified property for inspection purposes.
Iinnature of Pi Owner or Authorized Agent \ Print Property Owner's or Authorized Agent's Name
ACTION DATE BY REGULATIONS OF COMPT 61 LIANCE
40 D WITH ODE OF AQMD RULERAL FOR OFFICE USE ONLY
PERMIT EXPIRED
LU I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
DEPA
PERMIT EXTENDED
E3AQMD
PERMIT FINAL
ASBESTOS NOTIFICATION IS NOTAPPLICASLE TO
CERTIFICATE OF
PROPOSED D`E,MO��r�p7N
OCCUPANCYISSUED
SIGNATURE: )C \I /