HomeMy WebLinkAboutX2021-2297 - PermitsCity of Newport Beach - Building Division
04' A 100 Civic Center Drive, Newport Beach, CA 92660
4 fi Permit Counter Phone (949)644-3288
L^ Inspection Requests Phone (949)644-3255
Combination Type - MFP
COMB Permit: X2421M97
Project No : 1987-2021
Issued Date : 08127/2021
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED B Y 08/27/2024 OR PERMIT WILL BE
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 Holid
Job Address: 500 PLAYA NB
Description: MFR REPAIR MASTER SHOWER WALL (DUE TO PEX-RE-PIPE PLUM21-0021)
Legal Desc.: N TR 7166 LOT 22
Owner: ARAMBARRI NICHOLAS Contractor: OWNER/BLDR Architect: ARAMBARRI NICHOLAS
Address: 500 PLAYA Address: ARAMBARRI NICHOLAS Address: 2704 VISTA DEL ORO
NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92660
Phone: 949-887-2198 Phone: Phone: 949-701-4002 State Lic:C031441
Applicant: ARAMBARRI NICHOLAS
Address: 2704 VISTA DEL ORO
NEWPORT BEACH CA 92660
Phone: 949-701-4002
Code Edit :
2019
Type of Construction:
VB
Occupancy Group:
R2/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
2
No of Units :
3
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
X
11 Construction Valuation:
Building Permit Fee: $110.00
Plan Check Fee: $95.70
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $258.70
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic: O/B
Engineer:
Lic Expire:
Address:
Bus Lic:
Lic Exp Date:
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
Address:
Policy No:
Expire:
Phone:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical W
Mechanical %:
Plumbing %:
Rear: I
Front: /
Left: I
Right: /
�arkina Soaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
State Lic:
Special Conditions: PLAN ATTACHED TO
PERMIT
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:
Z}'�
J
0 J
p�y
181
0
Di
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $258.70
PUBLIC WORKS APPROVAL:
FLAN CHECK B` : 4 Of
APPROVA'_ TO ISSUE:
OWNEIr_gUILDER DECLARATION
I hereby afrlrm 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 U 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
vivbVesan
for the purpose of sale).
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
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 p has not qeen constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when applic ubmitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent J /t — D
/XW � Z"/
LICENSED CONTRACTOR'S DECLARATIq1N
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section f Division 3 of the Business and IF - Code, and my license is in full force
and effect. License Class License No Da Contractor Signal -
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LAaOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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 the
performance 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'
rance carrier and policy number are:
ie of Agent
certify that, in the performance
, if I should become subject to 1
of Applicant
Policy Number
Date
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
.keys' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. a _ _17 r 2J I
ECLARATION REGORDDZNG CONSTRUCTION LENDING AGENCY N
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).
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 owner's behalf.
I have read this application and the information I have provided is correct. n
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 count4Ao enter the above -identified property for inspection purposes.
Signature of Property Owner or Authorized Age
ACTION DATE BY
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMITFINAL
CM/OZ/Zf
CIL•
CERTIFICATE OF
��
OCCUPANCYISSUED
Print Property Owner's or Authorized Ag
\RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
LATIONS PART 61 OF TITLE 40 AND AQM D RULE
NOTIFICATION TO
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