HomeMy WebLinkAboutX2020-0258 - Permits (3)City of Newport Beach - Building Division
a� 4� 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC PLUM
IIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIII1 II COMB Permit: X2020-0258
x 2 0 2 0 0 2 5 e Project No: 0211-2020
Issued Date : 01/3012020
Inspection Arga : 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: 905 SPRING TIDE DR NB
Description: SFR - 2ND FLOOR MASTER BATH REMODELIREDUCE SIZE OF BATHROOM WINDOW r
Legal Desc.: N TR 15243 LOT 32 J 1 U
Owner:
GARFINKLE JEFF
Contractor:
DEL SOL CONSTRUCTION INC
Address:
905 SPRING TIDE DR
Address:
27106 PACIFIC TERRACE DR
NEWPORT BEACH CA 92660
MISSION VIEJO CA 92692
Phone:
Phone:
949-454-1938
Applicant:
CARO JAMES
Con State Lic:
970677
Address:
14 GUMWOOD
Lic Expire:
0313112020
IRVINE CA 92602
Bus Lic:
BT30059058
Phone:
949.500-2208
Lic Exp Date:
05/3112020
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Valuation: $10,000.00
Building Permit Fee: $232.00
Plan Check Fee: $201.84
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $515.96
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 1441295
Expire: 10/0112020
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: I
Left: I
Right: I
'arkino Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$16.24
$0.00
$20.88
Plan Check Fee
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer: CARD JAMES
Address: 14 GUMWOOD
IRVINE CA 92602
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
C'0A
State Lic: • j
State Lic:
Fire Department
$40.00
Fire Inspection:
$6.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $515.96
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER
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)
ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto its issuance, also requires the applicant for
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
fessions 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Jness 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
rovements 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
roved 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
ply 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).
LJ I 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 pe t, 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 Bus ess and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent : ` / Date
LICENSED CONTRACTOR'S DECLARATION j
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) IV Si the Business and Profe3 s Cod and my licen—sin full force
and effect. License Class License No Da Contractor Signature
INORKERS' COMPENSATION DECLARATION
NARNING: 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 (E100,000), IN ADDITION TO THE
99PT CF COMPENS.TION, JAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
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, forth
0-he irmance of the. work for which this permit is issued. Policy ND.
-01 ave 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' compensatiol
nsurance came, and pclicy number are:
"P rriar Policy Nu bar Expiration Date
uPmP �f Agent Phone #
,I certlsy that, in the perfoFang�c,�.pf the woFk for which this permit is i suedA shall not employ any person in any manner so as to become subject to the workers' compensation Xws of C ifornia, and agre
i`! should become subework compensation provisi s-of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Appli-Lc: Date � v
DECLARATION REGA ING CONSTRUCTION LENDING AGENCY
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
3y my signature below, I certify to each of the fallowing: -
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the informati . ! aave provided is correct. //J
I agree to comply with all applicable city and co ty ordinances.and. state laws- rely)lngto building construction.
I authorize representatives of this city Or county to ter the above -identified property for inspection purposes.
Signature of PropertyOwner or Authorized Agent X `� / - - Print Prope Owner's or Authorized Agent's Name Z4 G
ACTION DATE BY "C KATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
ACTION __77�REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
cly
I SUBMITTED ASBESTOS NOTIFICATION TO
NOTIFICATION IS NOT