HomeMy WebLinkAboutx2022-1590 - PermitsCity of Newport Beach - Building Division
i 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
U - Inspection Requests Phone (949)644-3255
Combination Type -MFP PLUM
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COMB Permit: X2022-1590
Project No: 1441-2022
Issued Date : 06106/2022
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVAL.
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: 220 NICE LN NB St: 1 Ft: 1 Unit: 113
Description: MFR REMODEL BATHROOM TUB INTO SHOWER
Legal Desc.: TR 8336 LOT 13 UNIT 202 OF PROJECT LOCATED ON AP 423-011-22 TOGETHER
Owner:
JORDAN JAMESINRMA
Contractor:
RCI ROMAN CONSTRUCTION INC
Architect:
Address:
220 NICE LN #113
Address:
14271 JEFFREY ROAD #510
Address:
NEWPORT BEACH CA 92663
IRVINE, CA 92620
Phone:
Phone:
949-405-0562
Phone:
State Lie:
Applicant:
ROMAN HECTOR
Con State Lie:
1027435
Engineer:
OCHOA IGNACIO GARCIA
Address:
14271 JEFFERY RD #510
Lie Expire:
06/30/2023
Address:
8191 KINGSDALE DR
IRVINE CA 92620
Bus Lic:
BT30071848
HUNTINGTON BEACH CA 92646
Phone:
949-405-0562
Lie Exp Date:
0513112023
Phone:
714-924-4823 State Lic:C-035217
Code Edit: 2019
Type of Construction: 1-ASPR
Occupancy Group: R2
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: Y
Construction Valuation: $7,600.00
Building Permit Fee: $212.00
Plan Check Fee: $184.44
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $472.52
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: NATIONAL LIABILITY
Policy No: A9WC341652
Expire: 01/21/2023
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 %:
Rear: /
Front: /
Left: I
Right: /
3arkine Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$19.08
Plan Check Fee
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone : N
CC
0
LU
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ppy%
+a3 J
Planning Department -
Fire Department
Plan check Fee : $52.00
Fire Inspection:
$0.00
Fair Share : $0.00
Fire Plan Rev
$0.00
SJH Trans : $0.00
Demolition Fee
In -lieu Housing Fee: $0.00
Building Dept Adm
$0.00
Public Works Department -
General Service
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PAN Plan Check: $0.00
Grading Bond:
$0.00
San Dist: $0.00
NMUSD Fee: $0.00
$0.00
$0.00
$0.00 Fee Due at Permit
Issuance :
$472.52
`: PUBLIC WAN„ k`S APPRIYYAL: a
d a
PLAN CHECK BY:
�' 3PPR9VA%TQ NSL;;6°:" »' _
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
ie 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).
1 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,
lusiness 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).
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
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).
7 1 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 legally
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://w .leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION gg
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) of Division 3 of the Business and Pro essio s Codjai y license is in full force
nd effect. License Class License No Date Oh U Contractor Signature
PORKERS' COMPENSATION DECLARATION
IARNING: 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
DST 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, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th,
e;formance of the work for which this permit is issued. Policy No.
have and will m 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'
rance carrier and o y numqdf0—a)e: r? _
Number Expiration Date
of Agent
JI certify that, in the performance of ttke work forwhich 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
iat, if I should become bje workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applican Da4�
IECLARATION REG CONSTRUCTION LENDING AGENCY \
hereby affirm under natty 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).
Ender's Name Lender's Address
ly 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 t enter the entified property for inspection purposes. lionature of PrODertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Namait Fi'LF-,tL1V1— I�r'vw'\ Dat V
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE I BY
OF COMPLIANCE WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AND AQMD RULE
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•e ee o ee on ceo
TO
FOR OFFICE USE ONLY