Loading...
HomeMy WebLinkAboutX2022-1701 - PermitsU41 ,vw,[N, City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM 111111111111111111111111111111111111111111111111l�ilCOMB Permit: X2022-1701 Project No : 2058-2021 Issued Date : 0611612022 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 1120 WHITE SAILS WAY NB Description: SFR DELTA 1, REMODEL 253 SF (LAUNDRY, (2) BATHROOMS) REV22-1086 Legal Desc.: N TR 2202 LOT 37 n^� Owner: IRCJ HOLDINGS LLC Address: 1120 WHITE SAILS WAY Contractor: Address: K L P M INC Architect: NOURANI SHAHAB 12188 CENTRAL AVE #269 Address: 2115 W CRESCENT AVE #261 CD CORONA DEL MAR, CA 92625 CHINO CA 91710 ANAHEIM CA 92801-y Phone: Phone: 949-246-2923 Phone: 424-365-2070 State LiciCO26821 Applicant: RAMIREZ ERNEST Con State Lie 831751 Engineer: Address: 12403 CENTRAL AVE #378 Lie Expire: 0212912024 Address: CHINO, CA 91710 Bus Lie: BT30075810 Phone: 949-246-2923 Lie Exp Date: 07/31/2022 Phone: State Lie: 0 Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: NO EMPLOYEES Address: Occupancy Group: R3/U Policy No: ERNEST RAMIREZ �aJ Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I Special Conditions: No of Units: 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zane: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $20,240.00 Building Permit Fee: $433.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $376.71 Additional Fee: $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $2.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety : $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $50.75 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $30.31 San Dist: $0.00 . Building Green Fee : $1.00 Mechanical %: $17.32 NMUSD Fee: $0.00 $0.00 Plumbing %: $38.97 $0.00 TOTAL FEE : $1,002.06 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,002.06 PROCESSED BY: PUBLIC WORKS APPROVAL: }� ZONING APPROVAL: Y 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 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). ❑ 1, 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 offeredfor 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). ❑ 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 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 Code, is available upon request when this application is submitted or at the following Web site:http://v w .leginfo.ca.gov/calaw.htm]. Signature of Property Owner or Authorized Agent D LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 ) Div! ion 3 of the Business and Profs " e, an m ice is in full force and effect. License Class License No Dat Contractor Signatur 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 A DITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR 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 th per/romance of the work for which this permit is issued. Policy No. have and will "inta workers' nsation 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 rance carrier an lic iumberar 'ier er Expiration Date 1e of Agent Phone # certify that, in the performance of t e w for i this pe it 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 an je t to the s' c nsatio rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Applicant Date hereby affirm underlpenalty of perjury that there is a construcfj�n I�nding agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name C/ Lender's Address 3y 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 pJan f Corr I agree to comply with all applicable city and county ordad ate ws reI " g to building construction. I authorize representatives of this city or county t toe--' a led arty for inspection purposes. Signature of Property Owner or Authorized Agent — Print Property Owners or Authorized Agent's Na &E-1:_� ACTION DATE BY ECLARATIO OF COMPUANC H CODE OF FEDERAL FOR OFFICE USE ONLY REG4VMQNS PART 61 OF TIT 40 AND AQMD RULE PERMIT EXPIRED LJISUBMI ED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED L1AQMD PERMITFINAL ASBESTOS TFICAT N NO APPLI BLE TO CERTIFICATEOF �lrQ� ,(�,� PR POSED T OCCUPANCY ISSUED SIGNAT lP.i'Ai' r 4Sft�,n faR- (ZL