HomeMy WebLinkAboutX2020-2018 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
. - Inspection Requests Phone(949)644-3255
^"e5san's`' Combination Type - $FP ELEC MECH PLUM
IIIIIIIII�IIIIIII IIIIIIIIIII III�IIIIIIIII II COMB Dermic: X2020-2018
Issued Date : 1111612020
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111712023 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: 2402 UNIVERSITY DR NB
Description: MFR -KITCHEN AND (2) BATHROOM REMODEL. NEW WINDOWS & SLIDING DOOR, LIGHTING AND FANS IN (3) BEDROOMS AND LIVING ROOMSINSPECTO
Legal Desc.: TR 4444 LOT 12 TOGETHER WITH AN UND 1133 INT IN LOT 34
Owner: WILLET RANDY Contractor: OWNERIBLDR Architect: ROTHI SCOTT S
Address: 3398 GIOVANNI WAY Address: WILLET RANDY Address: 4614 BLACK AVE
DUBLIN CA 94568 PLEASANTON CA 94566
Phone: 9251330-5963 Phone: Phone: 5101305.9250 State Lic:C034243
Applicant:
WILLET RANDY
Address:
3398 GIOVANNI WAY
Record Management:
DUBLIN CA 94568
Phone:
9251330-5963
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R311.1
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0 _
No of Stories: 1
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Construction Valuation: $32.000.00
Building Permit Fee: $583.00
Plan Check Fee: $507.21
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$18.00
Energy Compliance:
$61.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lie: OIB
Engineer:
Lie Expire:
Address:
Bus Lie:
Fire Plan Rev
Lie Exp Date:
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
Address:
Policy No:
P/W Plan Check:
Expire:
Phone:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
I
Rear: I
Front: I
Left: I
Right: I
3arkino Soaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$40.81
$23.32
$52.47
Plan Check Fee
State Lic:
Special Conditions: OWNERIBLDR ATTACHED
Planning Department -
Fire Department
Plan check Fee:
Fire Inspection:
Fair Share
Fire Plan Rev
SJH Trans
Demolition Fee
In -lieu Housing Fee
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist :
$0.00
NMUSD Fee:
$0.00
$0.00 Fee Due at Permit Issuance : $1,380.31
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: 'J
Fire Department
$92.50
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
00
,
General Service
Refund Deposit
Grading Bond:
$0.00 Fee Due at Permit Issuance : $1,380.31
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: 'J
o
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0 0
00
00
,
0
0
0
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$0.00
0°0
$0.00
$0.00
$0.00
$0.00
$0.00
i
$O.OD
$0.00
$0.00 Fee Due at Permit Issuance : $1,380.31
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: 'J
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
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).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended Gr 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
improvement 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
i ve f11�o�r t e purpose of sale).
+Nner 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
app o n 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 LicenseII,,aw� for the following reason:
By my signature below I acknowledge that, except for my personal resin Ain which I must have resided for at least one year prior to completion of the improvements Overed by this permit, I cannot legalll
sell a structure that I have built as an owner -build it has not be onst u t in s•entirety by licensed contractors. I understand that a copy of the applicable law, S ction 7044 of the Business and
Professions Code, is available upon request wh Is applica ion ii I o a he following Web site:http:!/www.leginfo.ca.gov/calaw.hlml. I )
Signature of Property Owner or Authorized
LICENSED CONTRACTOR'S DECLA ATI N
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S 00) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. J_icense Class License No Contractor Signature
WORAFRS:COMPENSATION DECLARATION
WARNING: 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
COST OFTpNRENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
••' I hereby affirm under penalty of perjury one of the following declarations:
I have•and +ruill 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
;• • • performE4&eoTPJle work for which this permit is issued. Policy No.
•• ,rfnsu
I have tggeWi1l 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' compensatiol
ranc, , aTrjp�and policy number are:
mer Policy Number - Expiration Date
b�Anent .• _ Phone #
I if t at!in A pe orp�apce of the work for which th Brmit i issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
It.• hould 16aCc sub' f to the workers' co pe t o i his of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. a
• iyr t re of ASpli t ate
of
+9
DECLARATION RE ARDI N G CONSTRUCTILENDING AGENCY
I hereby affirm under penalty of perjury that th a is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
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 6e
I have read this application and the information I have provcorjjact.
I agree to comply with all applicable cit n on nances and si`"t laws relating to building construct)
I authorize representatives of thi ci or c to enter the she a id n' i pr rty for inspection purposes. o n i� • % ,-7i,'^
Signature of Property Owner or Auto a Print Pro ert Owner's r Authorized Agent's Namdjuw
ACTION DATE BY DECLARA ON COMPLIANCE WITH CODE OF FEDERAL FOR 0 FICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AN D AQMD RULE
1403
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED 0EPA
PERMIT EXTENDED QMD
PERMITFINAL /CERTIFICATE OF ESTOS OT
IS NOTA L L
OCCUPANCY SUED .�_e1 SIGNATE LITJA ki