The URL can be used to link to this page

Home My WebLink AboutX2019-0617 - Permitsfi ,, City of Newport Beach -Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-0617 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 6 1 7 Project No: ! t Permit Counter Phone(949)644-3288 0 -.. ss - Inspection Requests Phone (949)644-3255 '.. e„rtrrr7u+�"'° " Combination Type - SFP MECH ELEC PLUM Issued Date: 02/2 612 01 9 Inspection Area : 6 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: 45 RENATA NB Description: SFR REMODEL (2) BATHROOMS 160 SF Legal DesnaN TR 15491 LOT 20 Ut•.. Owner: MATTAR `. Contractor: M K B HOME DESIGN Architect: ,4 Address: 15076 CNON LN Address: 23615 FALCONSVIEW DR Address: "` 01 CHINO HILLS CA 91709 DIAMOND BAR CA 92765 Phone: Phone: _ (562) 862.0279 Phone: State Lie: .Applicant: ARID JONATHON ..Con State Lie: 1007360 Engineer:.. Address: 23615 FALCONSVIEW DR Lie Expire: .09/30/2019 Address: DIAMOND BAR CA 91765 Bus Lie: '.. BT30057117 Phone. 662-862-0279:. Lie Exp Date. 11/30/2019 Phone: State Lie: ` Code Edd : 2016 Worker's Compensation Insurance .Designer: ARID JONATHON,� Type. of Construction: VB Carrier: EXEMPT NO EMPLOYEES Address: 23615 FALCONSVIEW DR .,. Occupancy Group: R31U Policy No: DIAMOND BAR CA 91766 Added /New sq.ft,. Bldg: 0 Expire: - Phone: - 626-940-9420 Added/New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units :. 1 -. Front: / Bldg Height: 0 .Left:. 1. Bldg Sprinklers: N Right: Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : Y Construction Valuation: $15.000.00 Building Permit Fee: $312.00 Excise Tax: $0.00 Planning Department - Fire Department'.. Plan Check Fee: $271.44 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 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00. Electrical %: $21.84 San Dist: $0.00 Building Green Fee :. $1.00 Mechanical%: .$12.48 NMUSD Fee: $0.00 $0.00 Plumbing %: $28.0e $0.00 TOTAL FEE : $688.84 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $688.84 PROCESSED BY: o `e • `c s u m"w • •lpud liii WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: m " 9 i ° 4 c.. • U4- �Wm UG •.`• ` •AfSFtROVAL TO ISSUE:' m 41 6J4 GO` 1 OWNER -BUILDER DECLARATION `' ' 11 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 items) (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). 13 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 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 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: By 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 legally sell 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 Professions 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 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of D' talon 3,o Business and Profe sio x, Zy I a is in fu and effect. License Class License No Date ontractor Signature YVORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU ED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: :11 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 thi 3erformance of the work for which this permit is issued. Policy No. ❑1 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' compensation neurance carrier and policy number are: -arrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the perform e f the. wortrhich 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 becomes b' ct thew asation prov' ' s Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �. �^ Signature of Applicant D V 6 '� DECLARATION REG G CONSTRUCTION LENDING NCY DB hereby affirm under p alty of perjury that there is a construction lendin agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address By my signature below, I certify to each of the following: X I am the property owner or authorized to act on the property owner's behalf. I p(� µ1"L. PL. j I have read this application and the information I have provided is correct. �V% I agree to comply with all applicable city and county o ces and to laws relating to building construction. I authorize representatives of this city or co t toe er a ab )e ntified operty for inspection purposes. Sicnature of Prooertv Owner or Authorized AGe� Print Property Owner's or Authorized Agent's Name -�i at ACTION DATE BY ODECTARATION OFCOMPLIANCq WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 •• •e• • awe •ee PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICIVON T® .��ti • e PERMITCANCELLED EPA • • •• ` • ` • • • ` PERMITEXTENDED DAQMD PERMITFINAL p A.iti ASBESTOS NOTIFILATIO S NO P ICABLE TO CERTIFICATE OF � �ZU yp a.- pR OSED M LITION OCCUPANCYISSUED CMS' SIGNATURE: