HomeMy WebLinkAboutX2019-3126 - PermitsCity of Newport Beach- Building Division IIIIIIIIIIilllllllllllllllllllllllllllllllllllllll
COMB Permit: X2019-3126
- Excise Tax:
Building Permit Fee:
$456.00
$0.00
Plan Check Feer $396.72
$0.00-
Overtime Plan Ck:,
$0.00
Grading Permit Fee:
Investigation Fee:
$0.00
$0.00
Record Management:
100 Civic Center Drive, Newport Beach, CA 92660
X 2 0
1 9 3 1 2 6
Project No : 2184-2019.
`� tv Permit Counter Phone (949)644-3288
' Inspection Requests Phone (949)644-3255
-
rk4xxY7,y>p : Combination Type - MFP MECH ELEC PLUM
Issued Date : 10111/2019
Disabled Access :
Inspection Area : 8
PERMITS EXPIRE 980 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: 82 OCEAN VISTA NB -
Description MFR REMODEL 300 SF (3) BATHROOMS & KITCHEN, RE-PIPE (E) DWELLING W/PEX
pp®�
Legal Desc.: TR 9676 LOT 14 UNIT 112 OF PROJECT LOCATED ON AP 442-361.31 TOGETHER
'�^s,p�.�,+�e ^
1 V
B 1 VVI E T 019
Owner MISKINNIS LAUREN Contractor: OWNER/BLDR
V
Architect: SMITH CRAIG MONROE
Address: 82 OCEAN VISTA Address:' '
Address: ' 1041 W 18TH ST #A-208
NEWPORT BEACH, CA 92660 _
COSTA MESA CA 92627
Phone: Phone:
Phone: 949.764-0010 State Lic:CO20164
Applicant: SERRANO ROLANDO Con State Lic: O/B
Engineer.
Address: 1041 W 18TH STREET A-108 Lic Expire:
- Address:
COSTA MESA CA 92627 Bus Lic:
-
Phone: 323-508-6127 Lic Exp Date: '
Phone: State Lic;
°
Code Edit 2016 Worker's Compensation Insurance
Designer. oo®o oomoeo
- Type of Construction: -VB Carrier:
Address:
Occupancy Group: R21U Policy No:.
o°m®
Added /New sq.ft. Bldg: 0 Expire:
m °
Phone:
Added /New sq. ft. Garage: 0
No of Stories`. 2 Building Setbacks Rear: I
Special Conditions:
No of Units'. 4 Front: I
o o
Bldg Height: 0 Left: I
e000°c acooeo
Bldg Sprinklers: NRight: /
Flood Zone: X Use Zone: Parkinq Spaces: 0
Fire Hazard Zone : N
PROCESSED BY:.
ZONING APPROVAL:
GRADING APPROVAL: -
'U.UU
Construction Valuation: 624
- Excise Tax:
Building Permit Fee:
$456.00
$0.00
Plan Check Feer $396.72
$0.00-
Overtime Plan Ck:,
$0.00
Grading Permit Fee:
Investigation Fee:
$0.00
$0.00
Record Management:
$6.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FF.
PROCESSED BY:.
ZONING APPROVAL:
GRADING APPROVAL: -
'U.UU
Fire Department
- Excise Tax:
$0.00
Additional Fee :
$0.00
Grading Bonds Fee: _
$0.00-
. Grading PC Consultant :
$0.00
Grading Permit Fee:
$0.00
'Grading PC Fee:
$0.00
WO Insp. Fee:
$0.00
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
Electrical %: $31.92 San Dist: $0.00
Mechanical %: $18.24 NMUSD Fee: $0.00
Plumbing %: $41.04
! Plan Check Fee: $436.72 Fee Due at Permit Issuance
PUBLIC WORKS APP,F
PLAN CHECK BY:
APPROVAL TO IS.
e°ooao
0 00 0
o m o 000p
Idl..do
$0.00
$0.00`...
$0.00
$0.00
$0.00
$0.00
$0.00
$556.20
Fire Department
$40.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
PUBLIC WORKS APP,F
PLAN CHECK BY:
APPROVAL TO IS.
e°ooao
0 00 0
o m o 000p
Idl..do
$0.00
$0.00`...
$0.00
$0.00
$0.00
$0.00
$0.00
$556.20
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 applicar"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 (_) 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
1 ved for the purpose of sale).
LTI, as owner ofthe 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 whe 'I,�apglication is submitted or _ t following Web sitp:http: . Ieginfo.ca.gov/calaw.htmI.
Signature of Property Owner or Authorized Agent C _ Date \O t r 1�p
LICENSED CONTRACTOR'S DECLARATLbh
I hereby affirm under penalty of perjury that I am licensed nde visions of Chapter 9 (commencing with Secti" 70 ) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
)RKERS' CM?9VSATION DECLARATION
:NINGVA1LURE TO 3ECQRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE
= Or GOMPENSAJWL.iDAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
reby affirm undsr pAhalty of perjury one of the following declarations:
P bglk 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
'ormance of the work for which this permit is issued. Policy No.
• ...0
111141? 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
g%rice carriej JggQ(Jicy number are:
der • • Policy Number Expiration Date
(c rtify 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 agre
►should become subject to the workers' compensation provisions of Section 3700 Labor Code, I shall forthwith comply with those provisions.
..
'!Cnaldre of AplSPpadDate t O L L C)
IECLARATION RE R IN CONSUCTION LENDING AGENCY
hereby affirm and penalty o j at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil Code).
Ender's Name Lender's Address
ly.. 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. va Vk �2, v
I authorize representatives of this city or cou enter the above -identified property for' Spection purposes. j�'� ` —
linnAture of Pronerty Owner nr Authorized ADentt� __'���� wC't I— I�rint ProDertv Owner's or Authorized Agent's Name/\ h cu__`k��`� Date _____
ACTION DATE BY / DECLA TION OF COMPLIANCE WITH COME OF FEDERAL V� FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1114403
PERMITEXPIRED I A U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
PERMITFINAL 7/19/41>20 Qy/f/,S �E� �CI,ASBESTOS NOTIFICATION IS NOTAPPLICABLE. TO
CERTIFICATE OF �j/ Y, �PRO�OSED��LITION
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