HomeMy WebLinkAboutXR2023-2192 - PermitsCity of Newport BeachCOMB
Permit:XR2O23-2192
ID
Community Development Department- Building.Divisiou -.
5 X R 2 0 2 3 2 1 9 2100
Civic Center Drive, Newport Beach, CA 92660
Plan Check No:
Permit Counter Phone: (949) 718-1 H8
Issued Date : 08/09/2023
newportbeachca.gov/civic
Final Date:
Combination Type - SFP ELEC
Permit Status: Issued
Work Class - Alteration -
Inspection Area: 6
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 545 HAZEL DR Legal Desc : N TR 673 BLK B LOT 15
Description: SFR REMODEL 3 BATHROOMS AND KITCHEN (550 SF) *CTY STD* NO STRUC CHANGES
Owner:
SHOBHALPATEL
Address :
545 HAZEL DR
NEWPORT BEACH, CA 92625
Phone:
(714)403-9419
Applicant:
R D M S INC
Address :
250 BAKER ST E, 300
COSTA MESA, CA 92626
Phone :
(714) 546-1130
Owner/Builder:
Address :
Phone:
Contractor :
R D M S INC
Address :
250 BAKER ST E, 300
COSTA MESA, CA 92626
Phone:
(714) 546-1130
Con State Lie
: 815872
Lie Expire :
12/31/2024
Bus Lie :
BT30008726
Bus Lie Expire : 02/28/2025
Workers' Compensation Insurance
Carrier: EVEREST PREMIER INS CO
Policy No: 7600015443221
W. C. Expire: 9/1/2024
Architect
Address
Phone:
State Lie
Engineer:
Address
Phone:
Designer
Address
Phone :
Code Edition :
2022
Fire Sprinklers : NO
Construction Valuation :
Type of Construction :
V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg
Occupancy Groups :
U,R-3
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 2
Added/New sq. ft. Garage:
TOTAL sq. ft.
Building Setbacks :
Front: 10, Front: 5, Side: 4
Flood Zone:
X
Use Zone:
R-1 - Single -Unit Residential
PROCESSED BY:
AUxy/_1Ill IIQII[QZ6-3
$44,000.00
0
0
0
NO OONSTFRUC -r'ON NOISE
ON SATUFR®AY`;:
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated belDvt by the checkmarke) I have placed next to the applicable item(s)
lefion 7031.5. Business end Professions Cade: Any city or county that requires a permit to construct, alter, improve, demolish, or IepAr my.Siucture,_error to its issuance, also requires the applicalit (or
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Lax (C:iaptJr 9 (commencing slth Section 7000) of Division 3 of the Business and
Ifessions 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
more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portionsofthe wnrk, Eno the str Cture is not intended or offered for sale (Section 7044,
;iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through. an Iplo)eas' o; Doi so, Ial effort, buddy or improves the property, provided that the
)rovemanls are not intended or offered for sale. If, however, the building or improvement is sold within one year of gampletion, the Owner Bender will nave t"te burden of proving that it was not built or
)roved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
Ay to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure-under the Contractors' State License Law for the following
my signature below: I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal
a struciuro lha$S r @� nonbuilder 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
Ifessions Coda ,la ,1}jo`,IfpoS uest when this application is submitted or at the following Web site:http:/lwww.leginfo.ca.gov[calaw:html.
of
Date
hereby affirm under penalty of penu that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of Division 3 of the Business and ProIGss}q �s d ! d my License is In full force
no effect. License Class License. No Date 'L 7I+ Contractor Signature V/
PORKERS' COMPENSATION DECLARATION
IARNING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TD ONE HUNDRED THOUSAND DOLLARS 1$100,000), IN ADDITION TO THE
BST OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 570E OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
] 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
er d(manca of the work for which this permit is issued. Policy Na
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'
carrier and policy number are:
Policy Number Expiration Date
of Agent
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
if I should become subiect to the workers' compensation provisions of Section 3700 of the Labor Code, I shell forthwith comply with those provisions.
of Applicant
Date Z ) L
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
enders Name Lenders Address
y 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or countylto enteythe above -identified property for inspection purposes. rn
Name
[%EEFkx��/J_ DaIPu� 111
ACTION ` DATE BY S DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61-OF TITLE 40 AND Ai RULE
14U3
EXPIRED
ASBESTOS NOTIFICATION TO
PERMIT EXTENDED_ __ __ _ _rr�� _ 4MD _ _ __ __ _ _ _
PERMIT FINAL 04����Z4 DL 70N aFST05 NOTIFICATION IS NOT APPLICABLE "r0
CERTIFICATE aE p1 POSErIpDE'�/p'r`t'),'�E N
OCCUPANCy199U€D RL , SIGNATURIE: / /��/�%�
SECity of Newport Beach 11111p1p11111p1111111111111p11111111111111 jj COMB Permit : XR2O23-2192
DQm�
Community Development Depaarn€nt "jilding Division X R 2 0 2 3 2 1 9 2
F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No
Permit Counter Phone: (949) 718-1888 Issued Date : 08/09/2023
newportbeachca.gov/civic Final Date:
(/i09A Combination Type - SFP Permit Status: Issued
Work Class - Alteration Inspection Area : 6
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 545 HAZEL DR Legal Desc : N TR 673 BILK B LOT 15
Description: SFR REMODEL 3 BATHROOMS AND KITCHEN (550 SF) *CTY STD* NO STRUC CHANGES
ACTOR
Owner: SHOBHAL PATEL
Contractor : RDMS INC
Architect
Address : 545 HAZEL DR
Address : 250 BAKER ST E, 300
Address
NEWPORT BEACH, CA 92625
COSTA MESA, CA 92626
Phone : (714) 403-9419
Phone : (714) 546-1130
Phone
Con State Lic : 815872
State Lic
Lic Expire : 12/31/2024
Applicant: RDMS INC
Bus Lic: BT30008726
Engineer
Address: 250 BAKER ST E, 300
Bus Lic Expire : 01/31/2024
Address
COSTA MESA, CA 92626
Phone: (714) 546-1130
Workers' Compensation Insurance
Phone:
Carrier: EVEREST PREMIER INS CO
Owner/Builder :
Policy No : 7600015443221
Designer
Address :
W. C. Expire: 9/1/2023
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation :
$44,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg :
0
Occupancy Groups: U,R-3
No of Units: 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 2
Added/New sq. ft. Garage :
0
TOTAL sq. ft.
0
Building Setbacks : Front: 10, Front: 5, Side: 4
Flood Zone ; X
Use Zone : R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS
r I'IFTPLI�:aY�llwi7 7
I hereby affirm under penalty of perjury that I are exempt from the Contractors' State. License Law for the reasons) indicated below by the chec: .ark(s) have placed next to the applicable items
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
in permit to file a signed statement that lie 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
of more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of of U portions of the work, and the structure is not Intended or offered for sale (Section 7044,
usiness and Professions Code: The bonimclom' State License Law does not apply to an owner of property who, through employees' or personal effort, build% or improves the property, provided that the
nprcvements 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 [tie property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
poly to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I I am exempt from licensure under the Contractors' State License Law for the fallowing reason __ ............ ..... _ ___ _ T_.-._...__
,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 legal],
all a structure that I have built as an ownor-builder if it has not been constructed in its entirely 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:iiwww.leginfo.ce.govicalaw.hfml.
ignature 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 Se on 70 0) of Division 3 of the Bu s and Professions Coo. and my license is In full force
nd effect. License Class License No D8�91a� Contra mC Signature
JORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000). IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 9706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm ur.der penalty of perjury one of the following declarations:
.r 1 -ii• p and will melntain 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
erformance of file work .or which this permit is issued. Policy No.
'favo and will muintain 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' compensatio
Isurance carrier and pnlicy number are:
Policy Number Expiration Date
area of Agent _ -vnone a
.It certify that, in bme performance of the work for which this permit is issued, I shall not employ any person in any manner so As to become subject tc the workers' compensation laws of California, and agre
rat, if I should bee Tie subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
;gnatura of ' can' _//_ Data
'rlr;1.ARATIO t3AROINCONSTRUCTION LENDING AGENCY
herehy affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued. (Section 3097, Civil Code).
endtir's Name Lenders Address
y my signature below, -I certify to each of the following:
I am the properly owner or authorized to act on the property Owner's behalf,
1 have read this application and the information I have provided is correct.
I agree to comply with all applicable city end county ordinances and state ws relatino to building construction. AFL W'D' A-
I authorize representatives of this city or county to enterthe above -loan' perty for inspection purposes. ��� _ / �,®A„ 4
Si nature of Property Owner or Authorized Ag- Print Property Owner's or Authorized Agent's Na [Qale`!' Y-
ACTION DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 610E TITLE 40 AND AOMD RULE
i 1403
PERMIT EXPIRED ( Lj sUBMITTED ASBESTOS NOTIFICATION TO
PERMiTCANCEGIED I I�EPA
PERPAIT EXTENDED 1 JAOMD
PERMIT AW ASBESTOS NOTIHCA UON I$ NU1 APPLIC1E AaTO
CERTrftCATE Of P AOS pDEN�QLITION
OCCUPANCYISSUEO SIGNA E: /,AA�