HomeMy WebLinkAboutX2019-2735 - Permitsi
atrJ�. City of Newport Beach - Building Division
cs" 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)6443288
' Inspection Requests Phone (949)644-3255:
taxYrn v�T Combination Type - SFP ELEC MECH PLUM
PERMITS EXPIRE 180 DAYS AFTER
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and
Job Address: 456 MENDOZA TER NB
Description: SFR MASTER BATHROOM REMODEL (CITY STANDARD) 196 SF
Legal Desc.: N TR 1237 LOT.140
Owner: DINICOLA MARIANNE
'Address:. 456 MENDOZA TER
CORONA DEL MAR, CA 92625
Phone: -
Applicant: SALAZAR OSVALDO
Address: 8835 HOFFMAN ST
BUENA PARK, CA 90620
Phone: 714-305-9461 -
Code Edit: 2016
Type of Construction: V.B
Occupancy Group: R3/U
Added /New sq.ft. Bldg:. 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
IIIVIIIIII0 IITI�u��I�2I� I���� �IIII II
COMB Permit: X2019-2735
Project No :
Issued Date: 09/04/2019
Inspection Area : 5
3 OR LAST VALID INSPECTION.
from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Contractor ONYX CONSTRUCTION INC
Address: - 8835 HOFFMAN STREET
BUENA PARK, CA 90620
Phone: 562-230-0835.
Con State Lic:
1024828
Lic Expire:
03131/2021
Bus Lic:
BT30068287
Lic Exp Date:
07/31/2020
Worker's Compensation Insurance
Carrier: -
EXEMPT
- Policy No:
Phone:
Expire:
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Building Setbacks
Rear: /
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Front: /
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Left: /
Address:
Right: I
Use Zone: Parkina Soaces: i
Construction Valuation: $50,000.00
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Architect:.
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Address:
$0.00
Planning Department -
Phone:
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State Lia:
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Plan Check Fee: $649.02
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Engineer:
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Address:
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$0.00
Grading Bonds Fee:
0000
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Phone:
State Lic:
$0.00
Investigation Fee:
$0.00
Grading PC Consultant.:
Designer.
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Address:
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$2.00
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Phone:
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Building Dept Adm
Special Conditions:
INSPECTOR
$0.00
Construction Valuation: $50,000.00
-
Building Permit Fee:
$746.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $649.02
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:
$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
PMI Plan Check : $0.00
Grading Bond:
.$0.00
Hazardous Mat
$0.00
Electrical %:
$52.22
San Dist: $0.00
Building Green Fee :
$2.00
Mechanical %:
$29.84
NMUSD Fee: $0.00
$0.00.
Plumbing %:
$67.14
$0.00
TOTAL FEE : $1,588.22
Plan Check Fee:
$0.00 Fee Due at Permit Issuance :
$1,588.22
PROCESSED BY: "
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
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 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 permitto 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 U all of or (_) 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 owpOrWrproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
;I am exempt "rh licensure under the Contractors' State License Law for the following reason:
By my signatuj@ 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
Bell IL structure the? LRave 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
P?oflnions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of PryQgr y Owner or Authorized Agent Date
IACtNSEDrQNTRACTOR'S DECLARATION
I hefeby affirm un}d�er penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect/INAL
OOJ of Division 3 of the Business and Profs io JC de, nd y license is in full force
2dM%ffect. !ICerpe class License No DJ%—CJY-/4 Contractor Signature
1AC,�R�r,K'ERS' 63APENSATION DECLARATION
6xftG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
MST.OF COMMATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Ivor®by affirm under penalty of perjury one of the following declarations:
3'1 have anewil ,'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
)erformance bffh@ 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'
rance carrier and policy number are:
Policy Number Expiration Date
of Agent Phoneff
rtify that, in the performlince of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the
I should become sub' ct to the worker�ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
compensation laws of California, and
vrr�
DECLARATION REGAR�ING TRUCTRON LENDING AGENCY
hereby affirm under p alty o 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
y 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 ha/(`t!
rovided is correct.
I agree to comply with all applicable city and countynances and state laws relating to building construction.
I authorize representatives of this city or county toekh"bove-id�eatified property for inspection purposes. Aj7i
OF COMPLIANCE WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AND AQMD RULE
ASBESTOS NOTIFICATION TO
PERMIT EMENDED QMD
PERMIT FINAL SBESTOS^M7�'prIF:C DNNIIIS NOOTTAPPLICABLE TO
OCCUPACERTIFICNCYISF PRO DDF�AOJ�➢9�F'�;if
OCCUPANCY ISSUED SIGNATURE•®®®//
FOR OFFICE USE ONLY