HomeMy WebLinkAboutX2021-0390 - PermitsCity of Newport Beach - Building Division
i 100 Civic Center Drive, Newport Beach, CA 92660
i» Permit Counter Phone (949)644-3288
sk y it Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC PLUM
Illlllll�ll�llll�llullllllllll�llll�lllllllllll COMB Permit: X2021-0390
x 2 0 2 1 0 3 9 0 Project No: 0382-2021
Issued Date : 02/19/2021
Inspection Area: 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0212012024 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: 1836 PORT RENWICK PL NB
Description: SFR REMODEL DOWNSTAIRS POWDER BATHROOM AND BEDROOM WALK IN CLOSET 188 SF
Legal Desc.: N TR 7032 LOT 71
Owner:
TU AMANDA AND TOM
Address:
1939 PORT RENWICK PL
Record Management:
NEWPORT BEACH, CA 92657
Phone:
502-2916587
Applicant:
MORALES LUIS
Address:
177 22ND ST #19
Hazardous Mat
COSTA MESA, CA 92626
Phone:
949-322-1593
Code Edit: 2019
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:
Construction Valuation:
Building Permit Fee: $348.00
Plan Check Fee: $302.76
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$1.00
TOTAL FEE: $753.69
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: DYRSSEN CONSTRUCTION
Address: 34878 MONTE VISTA #113
WILDOMAR CA 92295
Phone:
Con State Lic: 728336
Lie Expire: 10/31/2022
Bus Lie: BT30065566
Lie Exp Date: 01/3112022
Worker's Compensation Insurance
Carrier: WESCO INS CO
Policy No: WWC3505571
Expire: 01/1 312 02 2
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: I
Left: I
Right: I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$24.36
$0.00
$31.32
Architect:
Address:
Phone: State Lie:
Engineer:
Address:
Phone: State Lie:
Designer:
Address:
Phone:
Ai �'a 4C!rn
Special Conditions: i i :.'rl
Fire Hazard Zone : N
Planning Department -
Fire Department
Plan check Fee:
$46.25
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 :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $349.01
Fee Due at Permit Issuance : $404.68
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PLAN CHECK BY:
APPROVAIs TO ISSUE:
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Fire Department
$46.25
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $404.68
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PLAN CHECK BY:
APPROVAIs TO ISSUE:
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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
le 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
'rofessions 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
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
',usiness 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
nprovements 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
nproved for the purpose of sale).
7 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
pply 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 legall)
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 that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession Cod anm icense is in full force
nd effect. License Class License No Date ' Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: 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 (5100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation,
ormance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
Policy Number
is of Agent
Dale
certify that, in the Performa a o
e suf the wo for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
t, if I should becombjec o th drk ompensat_ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant — D�2`/��2I-
CLARATION REGA ON LENDING AGENCY
:reby affirm under penalty of perlury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
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 applicable city and county ordinances and state laws relating to building construction. .
I authorize representatives of this city or count to enter the above -identified property for inspection purposes. %
nature of Pronertv Owner or Authorized AGent Print Property Owner's or Authorized Agent's Name ) L L `> a'1✓n li � Date �C `
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
U I SUBMITTED ASBESTaS t�011F CATION 70 • •
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PERMITCANCELLED
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PERMIT EXTENDED
UAQMD • •
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PERMIT FINAL
CERTIFICATE OF
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SBESTOS NOTIF �TPPLICABLE TO
PROPOSED DEMOOCCUPANCYISSUED
SIGNATUR• ••• •••
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