The URL can be used to link to this page

Home My WebLink AboutX2021-0346 - Permitswtoy City of Newport Beach - Building Division G� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 O @ Inspection Requests Phone (949)644-3255 Combination Type - SFPIPLUM ELEC Illlllllllllllllllllllllllllllllllllllllllllllllllllllllllll COMB Permit: X2021-0346 Project No: 1540-2020 Issued Date : 03/09/2021 Inspection Area : 3 Job Address: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/09/2024 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 1827 BUTTONSHELL LN NB Description: Legal Desc.: Owner: Address: Phone: Applicant: Address: Phone: SFR DELTA 1, DRYWALL, SKYLIGHTS, WATER HEATER (REV 21-0201) INCLUDES A/C DISCONNECT N TR 3763 LOT 87 _ DELLATORE JASMINE Contractor: PRINCIPLE DESIGN & CONSTR Architect: 1827 BUTTONSHELL LN Address: 34 MINERS TRAIL Address: fR. NEWPORT BEACH, CA 92660 IRVINE CA 92620 714-928-3588 Phone: 949-266-7899 Phone: State Lic: MOUGHRABY SAM Con State Lic: 971306 Engineer: ALSON KENO`_ 9744 MAPLE ST Lic Expire: 03131/2022 Address: 9744 MAPLE ST#101 BELLFLOWER CA 90701 Bus Lic: BT30066899 BELLFLOWER CA 90706 562-866-3625 Lic Exp Date: 04/30/2021 Phone: 562-866-3625 State Lic:C-041697 Code Edit : 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Construction Building Permit Fee: $331.00 Plan Check Fee: $287.97 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $24.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee $1.00 Workers Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Use Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: I arking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $23.17 $0.00 $29.79 IITOTAL FEE: $743.18 Plan Check Fee PROCESSED BY: eC- ZONING APPROVAL: GRADING APPROVAL: 0 Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N 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 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $46.25 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 441.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $334.22 Fee Due at Permit Issuance : $408.96 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION [[(Sectiori hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below repair the checcture, prior I have placed next to the applicable item(s) 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 essions 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 doL) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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 ISionaturp rovements 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 R was not built or roved for the purpose of sale). 111, 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 ly 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: 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 legal) 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 fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date nature of Property Owner or Authorized Agent ENSED CONTRACTOR'S DECLARATION reby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of vis' n of the Business and ProfessionsC m r i se' in full force effect. License Class License No Date Contractor Signature RKERS' COMPENSATION DECLARATION NING: 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 (E100,0001, IN ADDITION TO THE T OF COMPENSA', IUN, DAMAGES As PROVIDED FOR IN BECTON 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. reby affirm unubr'penalty of perjury one of the following declarations: I hav-, and will mairtain 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 rormance of the work for which this permit is issued. Policy No. I tf'ece 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' compensatio , rarrze cameo and pc'icy number are: rrie. _ Policy Number Expiration Date - Phone # .ne 6f Agent _ __ certify that, in tire performance of the work for ich this permit ie issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre [; it I should benomR s �I t rkers' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dat narure of Applicant ;` CECLARATION REGpR G ON LENDING AGENCY I hereby affirm under penalty ury at there is a construction lending agency for Lender's Address of the work for which this permit is issued (Section 3097, Civil ode). Lender's Name By 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 s e laws relating to building construction. 1 authorize representatives of this city or county t bove ntified property for inspection purposes. 3Si nature of PropertOwner or Authorized A ent Print Property Owner's or Authorized A ent's Name -'7�nS � c+✓AX-D to ACTION DATE BY RA OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED /`-` QMD PERMITFINAL it j'f`,Z( 0�vw pF BE5TOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF OPOSED DIEMOLIT.ION OCCUPANCYISSUED PIAZ SIGNATURE: