HomeMy WebLinkAboutX2019-2562 - Permits�r1n City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2019-2562
a 100 Civic Center Drive, Newport Beach, CA 92660 X 2 8 1 9 2 5 6 2
� Permit Counter Phone (949)644-3288 Project No : 1826-2019
u .Inspection Requests Phone (949)644-3255
Combination Type -SFP ELEC PLUM MECH Issued Date: 0 812 6/201 9
Inspection Area : 1
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: 206 VIA LIDO NORD NB
Description:. SFR INTERIOR REMODEL KITCHEN, 4 BATHROOMS, LAUNDRY &DINING ROOM, BALCONY GUARDS, STUCCO REPAIR (2600 SF), 200 AMP SERVICE UPGRADE
Legal Desc.: N TR 907 LOT 859.
Owner: SERGIO LLOVIO Contractor: OWNER/BLDR Architect: INSPECTOR
Address: .206 VIA LIDO NORD Address: PINO ALBERTO Address:
NEWPORT BEACH CA 92663
Phone: Phone: .626.625-3785 Phone: State Lia
Applicant: SERRANO HIPOLITO
Address: 1511/2 E ROWLAND ST
COVINA CA 91723
Phone: 626-922-0420
Code Edit: 2016
Type of Construction: VB
Occupancy Group: RE/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Building Permit Fee:
$1,816.00
Plan Check Fee: $1,579.92
Overtime Plan Ck
$0.00
Investigation Fee:
$0.00
Record Management:
$28.00
Energy Compliance:
$145.60
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
.Building Green Fee :
$9.00
TOTALFEE:
PROCESSED BY:
ZONING APPROVAL:
Con State Lie: Ole
Lie Expire:
Bus Lia
Lie Exp Date:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks Rear: /
Front: I
Left: I
Right: /
Use Zone: Parkino Sea
Excise Tax:
$0.00
Additional Fee :
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant :
$0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee:
$0.00
Electrical %:
$127.12
Mechanical%:
$72.64
Plumbing %°:
$163.44
Engineer: CASTILLO MARGARITO °°°•
Address: 1205 PINE AVE °
u_no
LONG BEACH CA 9A,✓)],3,
Phone: 562-96GI OwnUCTION LAOIS
1-5600. i
Designer: SERRANO HIPOLITO
Address: 151 112 E ROWLAND ST
COVINA CA 91723
Phone: 626-922-0420 ON T E„rEE.sEY "
Special Conditions: OWNER/BLDR ATTACHED .
NOISE FORM RECEIVED
Fire Hazard Zone : N
Planning Department -
Fire Department
Plan check Fee
$40.00
Fair Share
$0.00
SJH Trans
Fire Plan Rev
In -lieu Housing Fee:
$0.00
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$82.50
San Dist:
$0.00
NMUSD Feer
$0.00.'
Plan Check Fee : $1,463.41 Fee Due at Permit Issuance : $3,385.81
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
Fire Department
$40.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$24.00
General Service
$197.00
Refund Deposit
.$564.00
Grading Bond:
$0.00
$0.00
$0.00.
Plan Check Fee : $1,463.41 Fee Due at Permit Issuance : $3,385.81
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING 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)
(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
W
Code) or that he or she is exempt from licensure and the bass for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to 5 --civil penalty of
an five hundred dollars ($500).
rier 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 oroffered forsale (Section 7644,
nd 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).
111 am exempt from licensure` under the Contractors' State License Law for the following reason:
By my: signature below I acknowledge that, except for my monal residence in which I must have resided for at least one year prior to completion of the improvements overed by this permit, I cannot legal)
sell a structure that I have built as an owner -buil r if i not been constructed in its ent' licensed contractors. I understand that a copy of the applicable law, S ell"
7044 of the Business and
Professions Code, is available upon request w n t lication mitted th o11 ng Web site:http://www.leginfo.ca.gov/calaw.html. '�
Signature of Property Owner or Authorized ant fe
LICENSED CONjgQCTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions ode, and my license is in full force
apdjelfgdt. License Gass License No Date Contractor Signature
VVORKeRS' COMPENSATION DECLARATION
✓6Ah01IN8;.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 ($100,000), IN ADDITION TO THE
(POST ei COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm WMeLIVialty of perjury one of the following declarations:
t] I h9ve and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
per"mance out e'Wor$for which this permit is issued. Policy No.
...+
E3171TIVe and will jrlaintain 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' compensatior
�9Qflaje carrier and policy number are:
" +:.... Policy Number Expiration Date
that iniha�rformance of the work fgt-rvltlph this permit is issued, I shall not employ any person in any manner so as to become subject to the
ould beco a subie�t to the worke com nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Ap)blicant
CLARATION REGAItOffK CON LI ION LENDING AGENCY
Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3
Ider's 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 owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all appli ble city and county ordinances and at e s Sting to building construction.
I authorize representatives o is city or county to r t 1 roperty for inspection purposes.
nature of Proi Owner or Auth ized Agent Print Property Owner's or Authorized Agents plame L '/
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
CERTIFICATE OF
OCCUPANCY ISSUED
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
I SUBMITTED
TO
IS NOT ARPLICABLEV TO
compensation laws of California, and
Code).