HomeMy WebLinkAboutx2020-0436 - Permits„°fir City of Newport Beach - Building Division �IINIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIII COMB Permit: X2O2O-0436
e 100 Civic Center Drive, Newport Beach, CA 92660 pp��'� Project No : 0344-2020
''" Permit Counter Phone(949)644-3288 NO IW(41CTI®N N®ISE
Inspection Requests Phone (949)644-3255 r V �7
�''zn.�u'' Combination Type - MFP MECH ELEC PLUM Issued Date : 03/12/2020
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTIO ETED 8Y 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: 0 p.m. No work on Sundays or Holidays
Job Address: 216 20TH ST NB
Description: MFR REMODEL (2) KITCHENS, CONVERT (2) EXISITING BATHROOMS INTO (4) BATHROOMS, REPLACE WINDOWS & DOORS 720 SF
Legal Desc.: R BK 60 PG 16 PAR B
Owner:. ERIC SPITZ
Contractor:
J P T CONSTRUCTION INC Architect: DIBIASI VINCENT PAUL
Address: PO BOX 241426
Address:
409 62ND ST
Address: 1207 to MIRADA ST
LOS ANGELES CA 90024
NEWPORT BEACH CA 92663 LAGUNA BEACH CA 92651
Phone:
Phone:
714-336-1966
Phone: 949.378-3895 State Lie C017042
Applicant: DIBIASI VINCENT PAUL
Con State Lie: B79360
Engineer:
Address: 1207 LA MIRADA ST
Lie Expire:
06/30/2020
Address: _
#J
LAGUNA BEACH CA 92651
Bus Lie:
BT30014788
ni
Phone: 949-378-3895
Lie Exp Date:
01131/2021
Phone: State Lie:
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction: VB
Carrier:
WESCO
Address: -®
Occupancy Group: R3/U
Policy No:
WWC3408624
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
Expire:
0410712020
Phone:
-
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions: LIQUEFACTION AREA
a0
No of Units : 2
Front: /
HIGH DENSITY
Bldg Height: 0
Left: /
- -
Bldg Sprinklers: N
Right: /
Flood Zone: X
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $75,000.00
-
Building Permit Fee: $938.00
Excise Tax:
$0.00
Planning Department- Fire Department
Plan Check Fee: $816.06
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 Fin; Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant:
$0.00
SJH Trans : $0.00 Demolition Fee -
Record Management: $18.00
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
PAN Plan Check: $41.25 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$66.66
San Dist: $0.00
Building Green Fee : $3.00
Mechanical %:
$37.62
NMUSD Fee: $0.00
$0.00
Plumbing %:
$84.42
$0.00
TOTAL FEE : $2,043.91
Plan Check Fee :
$897.31 Fee Due at Permit Issuance : $1,146.60
BY:
'15PROCESSED
"„ PUBU. tIVOF°tKS APPROVAL:
ZONING APPROVAL:
Vim"
o a _
�o �PLA14 „;HE K-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 reasons) 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 ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegalll
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.govlcalaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 of Divi ion 3 of the Business and Pr a sons C n en rce
and effect. License Class License No Date$ '� I¢ 1• Contractor Signature
WORKERS' 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 OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 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
Wormance of the wwork for which this permit is issued. Policy No.
have and will al In 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' compensatioi
Trance carrier an po y number ar :. In
Tier Expiration Date
Tie of Agent Phone #
certify that, in the performance of the f Is p ml ' Issue s any person in any manner so as to become subject to the workers' compensation laws of California, and agre
t, if I should become ub' It a work om soli ovisions of Section 3700 of th - bor Code, I shall forthwith comply with those provisions. /j
nature of Applicant Dat3. /1Z
CLARATION REGA IWQI�WIRUCTIONLE DING AGENCY
baby affirm under penal of ury 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 ordinanc�intifie
rel o building construction. �
I authorize representatives of this city or county W a eer the aope inspection purposes./IL1�nature of Pronerty Owner or Authorized AGent X- _ Print Property Owner's or Authorized Agent's NameX Ci u `—
ACTION DATE BY I REGULAT ONS PA T061 OF IITLE 40 AND QMD RULECE WITH CODE OF
FOR OFFICE USE ONLY
PERMIT EXPIRED
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PERMITFINAL
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OCCUPANCYISSUED
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