HomeMy WebLinkAboutX2019-0535 - Permitsa City of Newport Beach - Building Division IIIIIIIIIIIIIIIIII�II�IIIIIIIIIIIIIIIIIII II COMB Permit: X2019-0535
100 Civic Center Drive, Newport Beach CA 92660 X 2 0 1 9 0 5 3 5 .Project No : 0389-2019
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Permit Counter Phone. (949)644-3288
'z3 Inspection Requests Phone (949)644-3255
cd w r Combination Type - MFP ELEC MECH PLUM issued Date: 02120/2019
9
Inspection Area : 8
PERMITS EXPIRE 180 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: 545 VISTA GRANDE NB Description: MFR KITCHEN. REMODEL, 200 AMP PNL REPLACE (200 SF)Legal Desc.: TR 6230 (L.L.84-214033) PAR 42 T(W))
Owner: CONKLIN NANCY Contractor: DEL SOL CONSTRUCTION INC Architect:
Address: 546 VISTA GRANDE Address. 27106 PACIFIC TERRACE DR Address:
NEWPORT BEACH, CA 92660 MISSION VIEJO CA 92692
Phone: 949.230.0987 Phone. 949-454.1938 Phone: - State Lic:
Applicant DEL SOL CONSTRUCTION INC Con State Lic: 970677 Engineer: ARMSTRONG SCOTT DANIEL ....
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Address: 27106 PACIFIC TERRACE DR Lic Expire: 03/31/2020 Address: 25068 VIA LAS LOMAS
MISSION VIEJO CA 92692 Bus Lic: BT30059058 MURRIETA CA 92562
Phone: 949-454-1938 Lic Exp Date: 05/31/2019. Phones 714-225-7056 State Lic:C-074715
Code Edit 2016 Worker's Compensation Insurance Designer: e°, °°
Type of Construction VB Carrier: STATE COMP Address:
Occupancy Group: R21U Policy No: 1441295
Added /New sq.ft.Bldg: 0 Expire: 0311512019 Phone:.
Added /New sq. ft. Garage: 0
No of Stories: - 2 Building Setbacks Rear: I - Special Conditions:.. ° ° .....
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No of Units.:. 3 front: oe oeeo
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Bldg Height: 0.. Left. I'
...Bldg Sprinklers: r. N Right I
Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N
Construction Valuation: $36,000.00 -
Building Permit Fee: $592.00 Excise Tax: - $0.00 Planning Department - Fire DepartmentI,
Plan Check Fee: $515.04. Additional Fee : $0.00 Plan check Fee : $40.00 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: $14.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00
Energy Compliance: $56.00 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: $0.00 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %: $41.44 San Dist: $0.00
.Building Green Fee $2.00 Mechanical %: $23.68 ,NMUSD Fee: $0.00 $0.00
Plumbing %;. ..:$53.28 - : $0.00
TOTAL FEE : $1,337.44 Plan Check Feet $0.00 Fee Due at Permit Issuance: $1,337.44
PROCESSED BY: PUBLIC WORKS APPROVAL: "
ZONING APPROVAL: PLAN CHECK BY:. / GRADING APPROVAL: 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)
=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
I 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
Dfessions 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
I more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) 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
provements 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
proved for the purpose of sale).
1, 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
ply 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).
J I am exempt from licensure under the Contractors' State License Law for the following reason:
3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior fk1Qompletion of th
;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 t t bQopy of the I
'rofessions Code, is available upon request when this application is submitted or at the following Web site: http://www.leginfo.ca.gov/cal .h I.
Signature of PropBity Owner or Authorized Agent
_ICENSED CO[V, MCTOR'S DECLARATION
ejgbyhff;rm under genalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Sa 7 0 o Nisi 30
CoB ess
and effeet. License -Class License No LDa e ontra or Si
VC.RKI,RS' COIaPENSATION DECLARATION
FARNINS: FAILURE TO BE RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P NALTIES AND CIVIL FINES UP TO ONE
7044 of
Date
and
full force
QQIQj DOLLARS ($700,000), IN ADDITION TO THE
:C•4T OE COMPENfj(1410a,*rMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
j efeby•affirm unt& pefialty of perjury one of the following declarations:
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.ZFhave and •rill 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
R
anca of the work forwhich this permit is issued. Policy No.
II,and will•map in 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
nca carrier alyd�pdIcy number are:
"Bele. ___—_— Policy Number Expiration Date
rfdF Agent
certify that, in the peerr o7a�e of the work
if I should becom4liect to the workers'
,eby affirm under penalty egury that a is a
ier's Name
ny signature below, I certify to each of the followir
I am the property owner or authorized to act on tf
I have read this application and the icily an
I agree to comply with all applicable city a
1 authorize representatives of this or cature of Prooertv Owner or Auth6xiaed.Ac
ACTION DATE
PERMITEXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
permit is issued, I shall note ploy any person in any manner so as to become subject to the workers'
I provisions of Section 3700 if the Labor Code, I shall forthwith comply with those provwions.
AGENCY
provided is
F the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Address
laws relating to building construction.
ad property for inspection purposes.
BY ' DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR 0FFICE USE
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITFINAL 1-47-1( �� B TIONIS OT APPLICABLE TO
CERTIFICATE OF OF S -D D L ON
OCCUPANCY ISSUED SIGNA'�I It E'
laws of California, and
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