The URL can be used to link to this page

Home My WebLink AboutX2020-1499 - Permits�¢,rYnrry City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-1499 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 1 4 9 9 Permit Counter Phone (949)644-3288 PfOJBCt NO : 1150-2020 z`r Inspection Requests Phone (949)644-3255 `'� vtu* `r Combination Type - MFP PLUM Issued Date : 06/30/2020 9 Inspection Area : 8 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0710112023 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: 2107 VISTA ENTRADA NB Description: MFR -REMODEL (2) BATH CHANGE OUT EXISTING ELECTRICAL SWITCHES AND PLUGS "STOP WORK" Legal Desc.: TR 5878 (L.L.84-214031) PAR 17 Owner: HELL RENEEVISTA Contractor: J Architect: Address: 2107 VISTA ENTRADA Address: 1CONTRACTING 3419 VIA LIDO #233 Address: � NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92663 ��® Phone: 949.232-2709 Phone: 714-337-3700 Phone: State Lic: Applicant: HELL RENEE Con State Lic: 620654 Engineer: COOMBS RANDALL BRETT Address: 2107 VISTA ENTRADA Lic Expire: 05131/2021 Address: 17341 GROVEMONT ST ° ° • ° NEWPORT BEACH, CA 92660 Bus Lic: BT30046672 SANTA ANA CA 92706 Phone: 949-232-2709 Lic Exp Date: 07/31/2020 Phone: 714-267-6826 State Lic:C-019185 •... ®• •„ � o Code Edit: 2019 Worker's Compensation Insurance Designer: . o Type of Construction: VB Carrier: WC EXEMPT Address: AS BUILT PEj2"T °• o Occupancy Group: R1/U Added /New sq.ft. Bldg: 0 Policy No: Expire: (NO EMPLOYEES) Phone: • EXPOSE ALL . °�, • ° L•lnYl tR� Added /New sq. ft. Garage: 0 ELECTRICA jJ®� t V o No of Stories: 2 No Units 4 Building Setbacks Rear: I Front: / Special Conditions: °•°° % L. PLUIMpg G, AND of : Bldg Height: 0 Left: / q - MECHANICAL IECHAt Bldg Sprinklers: Right: / VICAL C"��DA,g�p n Ol ENt Flood Zone: Use Zone: Parking Spaces: . .. 0 Fire Hazard Zone : N °°°°„° Construction Valuation: $16,000.00 °....° 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 : $41.60 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: $331.00 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 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green as: $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $29.79 $0.00 TOTAL FEE : $1,024.26 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,024.26 PROCESSED BY: S& PUBLIC WORKS APPROVAL: 1 ZONING APPROVAL: PLAN CHECK BY: K� 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 is 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 'rofessions 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 of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved 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 pply 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). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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, ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm "oopenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 Division 3 of the Business and Pr IS ons 0 de, my license is in full force nd effect. LiCWe l lass License No Date U- O -2�6 Contractor Signal VgRKERS'COMPENSATION DECLARATION 'ARNING: FAILU* T06iCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE UN D THOUSAND DOLLARS ($100,000), IN ADDITION TO THE PST QF COMPENSATION,, RAVAGE$ AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hdrel71 afflWin,916rpgnelty. of perjury -one of the following declarations: 1 lsp-mIO�N 9,aintaim;a odrtlficate-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 L;;'fte mance of tliedWgrk for'which thlA permit Is Issued. Policy No. a4e and wl6 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 carrier agd policy number are: Policy Number Expiration Date lame ofeAgent'..- ; Phone# ce .... rtify that, iP tlid'dgffor ante of thework for which this permit is issued, I shall not employ any person in any manner so as to become subject to the wor'compensation laws of California, and ogre ha4,if (should beedme su ' ct to t w ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3ignature of Applic D7, —ZO'2-Y) )ECLARATION GA G CCIK9TRUCTION LENDING AGENCY hereby affirm un er ally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 7, Civil Code). -ender's Name 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and cou ty ordinances fate laws relating to building construction. I authorize representatives of this city or county teL the an property for inspection purposes. r/ 3ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized A ent's Name-L�ldi�o Da C '-3 o --o ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGL1bMONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMITCANCELLEO SUBMITTED ASBESTOS NOTIFICATION TO PERMIT FINAL ! /Yl SBSEESTOS NO IFICATIO TAPPLICABLE TO CERTIFICATE OF PUDDE LITION GOCCUPANCYISSUED S NA.,mI_n�