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HomeMy WebLinkAboutX2021-0568 - Permitszr1> 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 - MFP MECH ELEC PLUM Illllllllllllllllllllllllllllllllllllllllllllllllllllltlllll COMB Permit: X2021-0568 Project No : 0524-2021 Issued Date: 04120/2021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0412012024 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: 301 VISTA MADERA NB Description: MFR REMODEL BATHROOM 100 SF Legal Desc.: N TR 7083 LOT 17 ^ Owner: CHENIZHU Contractor: HOME RENOVATIONS LLC Architect: Address: 301 VISTA MADERA Address: 13203 GRAYSTONE AVE Address: NEWPORT BEACH CA 92660 NORWALK CA 90650 .... A Phone: Phone: 562/256-4009 Phone: State Lie: Applicant: HURTADO RAFAEL Con State Lie: 1073271 Engineer: CZAJKOWSKI MACIEJ. W. O° ° O ° G ° A ° Address: 13203 GRAYSTONE AVE Lie Expire: 02/28/2023 Address: 2702 HARBOR BLVD .... NORWALK CA 90050 Bus Lie: BT30075030 COSTA MESA CA 92627 ° • ® ° Phone: 562-619-0300 Lie Exp Date: 04/30/2022 Phone: 714-928-6220 State Lid:C-032946 °o c. ° Code Edit: 2019 Worker's Compensation Insurance Designer: ` ° ` + 0. ° o Type of Construction: VB Carrier: STATE COMP INS Address: Occupancy Group: R2I1.1 Policy No: 9294739 Added /New sq.ft. Bldg: 0 Expire: 03123/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: No of Units : 3 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: N Right: I ° Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $15.000.00 Building Permit Fee: $331.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $287.97 Additional Fee: $0.00 Plan check Fee: $46.25 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 : $14.00 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 PM Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $23.17 San Dist: $0.00 Building Green Fee: $1.00 Mechanical %: $13.24 NMUSD Fee: $0.00 $0.00 Plumbing %: $29.79 $0.00 TOTAL FEE : $746.42 Plan Check Fee: $334.22 Fee Due at Permit Issuance : $412.20 PROCESSED BY: C/ PUBLIC WORKS APPROVAL: ZONING APPROVAL: - 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). 111, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 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). n 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 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. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Cole,ist Awilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Proll M'Dwner or Authorized Agent Date L EASED CtN 9 RACTOR'S DECLARATION I 4em4y affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7091<( f Division 3 of the Business and Profes ' a icens ' n full force In(tee act. License Class License No Date 217 •Z Contractor Signatur ItOR)SERS' COMRENSATION DECLARATION =VARylIFJj0, FAILURERO SEWRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE COS'rdF COMPENSO VQIi, DAMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. i 6 A13); affirm bUggptnalty, of perjury one of the following declarations: l. :r y„r_I-hgve and wiR 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 thl Ice of the vslik for which this permit is issued. Policy No. 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' carriep and policy number are: �. Policy Number Expiration Date of Agent certify that, in the performance of the work for which this . if I should become subject to the wOtkgts3-compens of 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 ,ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dated (2 © /`2 CLARATION REGARDING CONSTRURVON LENDING AGENCY rreby 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). 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county. to enter the above-identifie roperty for inspection purposes. j 1 nature of PrODertv Owner or Authorized ADent rl Print Property Owner�(7s or Authorized Agent's Name / c l \� ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EMENDED CERTIFICATEOF OCCUPANCYISSUED DATE BY I DECLARATIO"F COMPLIANCE WITH CODE OF FEDEI REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO EPA Q�MD r 2 PROPOSETOS Dg6_aUTION ION IS NOT B ICABLE SIGNATURE: I FOR OFFICE USE ONLY