HomeMy WebLinkAboutX2020-2372 - PermitsCity of Newport Beach - Building Division
d� 100 Civic Center Drive, Newport Beach, CA 92660
r; Permit'Counter Phone (94916443283'
u.. Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
*X2020-2372*
INS"r
COMB Permit: X2020-2372
Project No: 1894-2020
Issued Date : 02/17/2022
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0211712025 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: 2641 VISTA DR NB °
Description: SFR- REMODEL CLOSET/STORAGE SPACE TO CREATE NEW BATHROOM 66 SF
Legal Desc.: TR 1014 LOT 44 WLY 40 FT •> •;,, °;
Owner: LEVYJEAN-CLAUDE
Address: 2641 VISTA DR
NEWPORT BEACH, CA 92663
Phone:
Applicant:
AUSTIN PATRICK
Address:
2732 E COAST HWY #B
CORONA DEL MAR CA 92625
Phone:
949-718-3528
Code Edit :
2019
Type of Construction:
VB
Occupancy Group: R31U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Contractor:
BACKBREAKER INC
Architect:
CHILDS CYNTHIA
Address:
29236 SAN FRANCISQUITO CANYON
Address:
2732 E COAST HWY #B
SANTACLARITA, CA 91390
CORONA DEL MAR CA 92625
a °•
° s
t
° C..> •
Phone:
818-209-5863
Phone:
949-718.3528 State Lic:CO22985
Con State Lie:
877306
Engineer:
�, •
•
•
°°
°
Lie Expire:
1213112022
Address:
° °
Bus Lie:
BT30077926
Lie Exp Date:
02128/2023
Phone:
State Lie:
Worker's Compensation Insurance
Designer:
••fie°
°
Carrier:
ACE AMERICAN INSURANCE COMPANY
Address:
Policy No:
M
Expire:
09/01/2022
Phone:
Z
Building Setbacks
Rear: I
Special Conditions:
Front: I
U)
Left: I
Right: I
111
Hood /one:
X-0.2PCT
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation:
$32,000.00
Building Permit Fee:
$583.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $575.21
Additional Fee :
$68.00
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:
$10.00
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
WO Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access :
$0.00
PAN Plan Check :
$50.75
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$40.81
San Dist:
$0.00
Building Green Fee :
$2.00
Mechanical %:
$23.32
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$52.47
$0.00
TOTAL FEE : $1,457.56
Plan Check Fee
: $596.46
Fee Due at Permit Issuance :
$861.10
PROCESSED BY:
ZONING APPROVAL: VL
GRADING APPROVAL:
PUBLIC WORKS APPROVAL: _Dr
PLAN CHECK BY: h11
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 checkrgark(s4 I.ftave placed next to thz applicable item(s)
action 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
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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
siness 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
Movements ajg gqt intended or offered for sale. If, however, the building or improvement is sold within one year of corpletion, the Owner -Builder will have the burden of proving that it was not built or
Mquf oved for thia�gdse of sale).
, L..4 owner pf th%property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
)ly to an owner df property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
1 AT exempt from licensure under the Contractors' State License Law for the following reason:
ma eslgnature 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 legal
a Stmcture4at4 wave 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
If%,Vons Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
nature of PraperfMwner or Authorized Agent Date
1ASED C*ONTRACTOR'S DECLARATION
e6y affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)i of a Business and Professio s my lice a Is In u I"Parce--
tAfT;t. License Glass License No Date ontractor Signature
)RKtRS' EOMP&SATION DECLARATION
IA -NTNGSFAILURE i0 SWORE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND q LLARS ($100,000), IN ADDITION TO
OWDF COMPENSATON, 11WAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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
'ormance of the work for which this permit is issued. Policy No.
have 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' compensa''.
trance carrier and policy number are:
Policy Number
ie of Agent _' 11 -P . -n I
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
nature of Applicant
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
:reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for
Iders 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 owners behalf.
I have read this application and the information I have provide is correct.
I agree to comply with all applicable city and county o Jina c 0 and state laws re at construction.
I authorize representatives of this city or county to r t n I IS property for inspection purposes.
nature of Property Owner or Authorized Accent X __ Print Property Owners
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE I BY
1403
SIGNATURE:
OF COMPLIANCE WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AND ACMD RULE
ASBESTOS NOTIFICATION TO
APPLICABLE TO
Date
o as to become subject to the workers' compensation laws of California, and
comply with those provisions.
Date
this permit is issued (Section 3097, Civil Code).
FOR OFFICE USE ONLY
Date