HomeMy WebLinkAboutX2022-0975 - Permitsawn s
City of Newport Beach - Building Division
*X2022-0975*
COMB Permit: X2022-0975
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100 Civic Center Drive, Newport Beach, CA 92660
Project No : 0899-2022
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Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
Combination
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Issued Date : 05/26/2022
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Type - MFP MECH ELEC PLUM
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Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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:
9 DOMANI DR NB
Description:
MFR BATHROOM REMODEL 159 SF
Legal Desc.:
Owner:
SPIRITUS EUGENE Contractor:
®oee
COVE WEST CONSTRUCTION COICUTULI TODD Architect:
DECKER RYAN
Address:
9 DOMANI DR Address:
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2027 N STUDEBAKER RD Address: 2031 ORCHARD DR
NEWPORT COAST CA 92657
LONG BEACH, CA 90815 NEWPORT BEACH CA 92660 ° u
Phone:
Phone:
562-225-1519 Phone: 949-553-9100 State Lic:C037981
Applicant: SPIRITUS EUGENE Con State Lic: 972797 Engineer:
Address: 9 DOMANI DR Lic Expire: 05131/2024 Address:
NEWPORT COAST CA 92657 Bus Lic: BT30078839
Phone: Lic Exp Date: 03/31/2023 Phone: State Lic: ° `•
Code Edit :
2019
Type of Construction:
V-B-SPR
Occupancy Group:
R2/1.1
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage: 0
No of Stories:
2
No of Units :
5
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
11 Construction Valuation:
19.1
Building Permit Fee: $229.00
Plan Check Fee: $199.23
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: $531.03
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: WC EXEMPT - NO EMPLOYEES
Policy No:
Expire:
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
1WW
Rear: /
Front: /
Left: I
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$16.03
$9.16
$20.61
Designer:
Address:
Phone:
Special Conditions: FIRE HAZ SEVERITY ZONE
LANDSLIDE RISK
Fire
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PM Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee: $251.23 Fee Due at Permit Issuance:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$279.80
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 L) all of or L) 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 arrrexem�lfrom licensure under the Contractors' State License Law for the following reason:
By my signature below 1 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 legall3
4eII a stQILiIrE?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 Cede, 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 G®NTRACTOR'S DECLARATION
s'. 41hereby` 4rm Qnder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) oLpiv'ion of the Business and Professions Code, d y license is in full force
• and effect. . JVense Class License No Date 26 2Contractor Signature X i, i
° WORKEFMCOMPENSATION 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
SOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
( whereby a ifi R under penalty of perjury one of the following declarations:
I ha4 anrj �ill 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
• I performa nce-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' compensatioi
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
certify that, in the performance of the work for whin 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
that, if I should become subject to the rker ' comoErlsation pro ' �f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Y
Signature of Applicant j Date
hereby affirm under penalty of peYJury 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
3y 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 ordinan a Ind state ws relating to building construction.
I authorize representatives of this city or county to enter the a ve- en ti d pro e r inspection purposes. t iC
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date
ACTION DATE BY DECLAR ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED L1 I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED LIEPA
PERMIT EXTENDED LJAQMD
PERMITFINAL ^tq-`^2 ASBESTOS NOTIFICATION IS NO PPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION] q�
OCCUPANCYISSUED SIGNATURE:V ��