HomeMy WebLinkAboutX2020-1104 - Permitsst1.,, -Building Division X2020�1104'
City of Newport Beach
04 �*r 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP PLUM
COMB Permit: X2020-1104
Project No : 0820-2020
Issued Date: 0511412020
Inspection Area : 8
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY OR
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
Job Address: 3 BARRENGER CT NB
Description: SFR REMODEL (2) BATHROOMS 180 SF, CITY STD PLAN
Legal Desc.: N TR 11450 LOT 21
Owner:
MAREINA DONALD
Address:
3 BARRENGER CT
NEWPORT BEACH, CA 92660
Phone:
Applicant:
CHARD PAUL
Address:
10550 LAKESIDE DR #1
GARDEN GROVE CA 92840
Phone:
714-605-6255
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R31U
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
ci,.n,i Anna' X
Building Permit Fee: $312.00
Plan Check Fee: $271.44
overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $654.52
PROCESSED BY:
ZONING APPROVAL:
Contractor: J D I STONE & TILE
Address:
1846 SEASTAR WAY
SAN DIEGO CA 92139
Phone:
714-605-6255
Con State Lic:
747540
Lic Expire:
0313112022
Bus Lic:
BT30067561
Lic Exp Date:
06/3012020
Worker's Compensation Insurance
Carrier: EXEMPT NO EMPLOYEES
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: I
Front: I
Left: I
Right: I
'arkinq Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$28.08
Plan Check Fee
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
WILL BE INVAL
is or Holidays
INSPECTOR
State Lic:
State Lic:
Designer: CHARD PAUL
Address: 10550 LAKESIDE DR N #1
GARDEN GROVE CA 92840
Phone: 714-605-6255
Special Conditions
Planning Department -
Plan check Fee
Fair Share:
SJH Trans :
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PNJ Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$40.00
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
$201.84 Fee Due at Permit Issuance : $452.68
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
GRADING APPROVAL:
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 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
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 L) 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 legall
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and
Professions 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 Prore ty Owner or Authorized Agent Date
LICENSED CUNTPACTOR'S DECLARATION
I hereby affirm tinder nenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SeSjIo 70 0 1 'o/I of the Bu n s and Profes ions o , and license is in full force
r-nd effect. Licunsa Class License No �e Contra5ignature
NORKERS' COMPENSATION DECLARATION
r.ARNId'd: FAILURE TO SEC! WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
COST OF COMPENSk T'09, CAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
nerebv affirm under penalty of perjury one of the following declarations:
; iuve 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
Trance of the work for which this permit is issued. Policy No.
and will, mai.nt9in 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'
carrier andpgiicy number are:
Policy Number
Agent
Date
,Wrtify that, in the pert of th work or whic this ermit is issued, I shall not empy person in any manner so as to become subject to the workers' compensation laws of California, and agre
t, if I should becom ubject to he w rkers compe atio provisions of Section 3700 of theyLa"bo
r Code,I shall forthwith comply with those provisions. nature of App t D>a e 2jCLARATION RE ARDING ONSTROC ION G AGENCYliIreby affirm under penalty of edury that there is a construction lending agency for the peformance 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
hordin d laws re IRgto-tion.0
rgI authorize representatives of this ciyountyt%tertbve�ofor inmction purposes.
nature of Proertv Owner or Authont
`
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DATE BY DICL�REy IATIOWS POART061 OF TNTLE 40CE TAND AOMD RULEH CODE OF RAL FOR OFFICE SE ONLY
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED roe
V1V17/40�rl� V nntb]U]NUIIHLAIIUN NOT PLI TO
CERTIFICATE OF y�y�, PR POSED OF,pQ,pOTION
OCCUPANCY ISSUED �. ,� ur. P.