HomeMy WebLinkAboutX2022-1284 - PermitsCity of Newport Beach - Building Division
.ham 100 Civic Center Drive, Newport Beach, CA 92660
H y Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MIFF
COMB Permit: X2022-1
Project No:
Issued Date : 05/05/2022
NO CONSTRUCTION NOISE Inspection Area : 5
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: 216 MARGUERITE AVE NB
Description: MFR RE -PIPE (E) DWELLING (15)
FIXTURES
ON THE WEEKEND
Legal Desc.: P M 164-06 PAR 1 UNIT A OF PROJECT LOCATED ON AP 052-113-24 TOGETHER
Owner: RAJESH LUHAR
Contractor:
PAPA JOE'S AND SON Architect:
Address: 216 MARGUERITE AVE
Address:
3429 POMONA BLVD #O Address:
NEWPORT BEACH CA 92625
POMONA CA 91768
Phone:
Phone:
626-945-5639 Phone: State Lic:
Applicant: PAPA JOE'S AND SON
Con State Lic:
709485 Engineer:
Address: 3429 POMONA BLVD #O
Lic Expire:
04/30/2024 Address:
r,-'9
POMONA CA 91768
Bus Lic:
BT30078651
Phone: 626.945-5639
Lic Exp Date:
05/3112023 Phone: State Lic:
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Code Edit : 2019
Worker's Compensation Insurance Designer:
Type of Construction: VB
Carrier:
BENCHMARK INS CO Address:
Occupancy Group: R3/U
Policy No:
CSTS023033
Added /New sq.ft. Bldg: 0
Expire:
01/16/2023 Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: / Special Conditions: HIGH DENSITY AREA
No of Units: 2
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
Flood Zone: X
Use Zone: Parking Spaces: 0 Fire Hazard Zone : N
Construction Valuation: $20,000.00
Building Permit Fee:
$416.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $0.00
Additional Fee:
$0.00
Plan check Fee :
$0.00
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:
$0.00
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 : $0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee :
$1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $417.00
Plan Check Fee
: $0.00 Fee Due at Permit Issuance :
$417.00
PROCESSED BY:
-
- PU131-I: \V'6t2KS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPkO`/A_ 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 (_) 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).
❑ 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
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 Cade, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty p�perj^ury that I am licensed under provisions of Chapter 9 (commencing with Sectio 70 0) f D'visio 3 of the Business and Profass�ons C e, and my I a is i full force
and effect. License Class /5 ( /O e -i4a License No �t7G�L�{ Date Contractor Signature �l�,
7� T
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 I$100,0001, IN ADDITION 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 tt}}ave 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,
performance of the work for which this permit is issued. Policy No.
have and wi tain workers' co sation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio
surance carrie and p icy number a :
;arrier Po umb fr Expiration Date
Jame of Agent r Phone #
:1I certify that, in the performance of the wo for which this permit is Lued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
hat, if I should become -subject to the ers compensation prov ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant N E. X � i
)ECLARATION REGA G CONSTRUCTION L NDIN AGENCY
hereby affirm under p nalty 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).
_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 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 enter above -!dent'' d ert nspection purposes. o , /�/�
3i nature of PropertyOwner or Authorized Agen GG roperty Owner's or Authorized Agent's Nam\/ /� 4�Aw
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
PERMIT CANCELLED
CERTIFICATE OF
OCCUPANCY ISSUED
ASBESTOS NOTFI CAL ON TO
NOTIFICATION 15 NOTAPPLICA LE TO
M ITI