The URL can be used to link to this page

Home My WebLink AboutX2021-1371 - Permits'r« City of Newport Beach - Building Division111p1111111111111p1111111111111p11111111p1111JillCOMB Permit: X2021-1371 o 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 3 7 1 Project No : 1209-2021 n: Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 s, Combination Type - MFP PLUM ELEC Issued Date Area :2021 .. •aekr�}u�'.: Yp Inspection Area 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0512812024 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: 11 VEROLI CT NB Description: MFR - RIR PLUMBING FIXTURES, TILE. 2 BATHS, POWDER ROOM. 300 SF Legal Desc.: Owner: PENPIL KYHM Address: 11 VEROLI NEWPORT COAST CA 92657 Phone: Applicant: ARMONY DORON Address: 15333 CULVER DR STE 340.154 IRVINE CA 92604 Phone: 949-228.5218 Code Edit : 2019 Type of Construction: V -B -SPR Occupancy Group: R2 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 16 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Construction Valuation: $15.000.00 Building Permit Fee: $331.00 Plan Check Fee: $287.97 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 Tffl AL FEE: $719.18 PROCESSED BY: ZONING APPROVAL c GRADING APPROVAL, _ Contractor: EDEN FLOORING & CONSTRUCTION INC Architect: Address: 15333 CULVER DR STE 340-154 Address: IRVINE CA 92604 Phone: 949-228-5218 Con State Lic: 895689 Lic Expire: 0513112023 Bus Lic: BT30074951 Lic Exp Date: 0411312022 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: t ur Rear: I Front: / Left: / Right: / 'arking Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $23.17 $0.00 $29.79 Plan Check Fee Address Phone: State Lie Engineer: SHEPPARD STEVEN THOMAS Address: 28052 CAMINO CAPISTRANO STE 201 Fair Share LAGUNA NIGUEL CA 92692 Phone: 949-838.4198 State Lic:S-005446 Designer: $0.00 Address: Park Dedication : Phone: Special Conditions 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 $0.00 Fee Due at Permit Issuance : $719.18 PUBLIC WORKS APPROVAL: PLAN CHECK BY:� APPROVAL TO ISSUE: 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 $0.00 Fee Due at Permit Issuance : $719.18 PUBLIC WORKS APPROVAL: PLAN CHECK BY:� 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, priorto its issuance, also requires the applicant for he 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 3rofessions 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 lot 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 U portions of the work, and the structure is not intended or offered far sale (Section 7044, 3usiness 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 mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or m roved 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 Ipply 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). 1 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 to completion of the improvements covered by this permit, I cannot legall, yell 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.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION 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 Code, and my license is in full force Intl effect. License Class License No Dat S'— J? ZZ/ Contractor Signatur YORKERS' COMPENSATION DECLARATION EARNING: 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 :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 8700 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, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th erformance of the 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 of Agent Date ertify that, in the performance 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 workers' compensation laws of California, and agree if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant TRU T OIV ENDING D04_5-0/ - �b� l CLARATION REGA ING CONSAGENCY areby 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 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 county to enter the above-ideWleq property for inspection purposes. (� / nature of Prooertv Owner or Authorized Aoent V ` Print Prooertv Owner's or Authorized ADent's Name.. Ptv o/i AaviX Date ACTION PERMIT EXPIRED PERMITC4NCELLED PERMITEXTENDED PERMIT FI NAL CERTIFICATE OF OCCUPANCYISSUED DATE BY DECLARATION -UF -COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO NOTIFICATION IS NOT APPLICABLE TO • •