HomeMy WebLinkAboutX2022-0437 - Permitsgw,yy City of Newport Beach - Building D-ivision
-'100 Civic Center Drive, Newport BEJch, CA 92660
. Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
-�:°rasauch• Combination Type - SFP ELEC MECH PLUM
*X2022-0437* COMB Permit: X2022-0437
Project No :
Issued Date : 02/14/2022
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/14/2025 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: 105 VIA YELLA NB
Description: SFR REMODEL GUEST & MASTER BATHS 149 SFfrp�
Legal Desc.: N TR 907 LOT 389
Owner: ERICSEN LIZ Contractor: OWNERIBLDR Architect:
Addres1 105 VIA YELLA NEWPORT BEACH, CA 92663 Address: O BIC UTTH ATT SQN LIZ Address:
Phone: 7141356-5960 Phone: Phone: ° p{' O COAL State Lie,
Applicant:
ERICSEN LIZ
Address:
105 VIA YELLA
NEWPORT BEACH, CA 92663
Phone:
714/3565960 -
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Building Permit Fee: $416.00
Plan Check Fee: $361.92
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $916.12
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lie: O/B
Lie Expire:
Bus Lic:
Lie Exp Date:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical W
Plumbing %:
Rear: I
Front: I
Left: /
Right: I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$29.12
$16.64
$37.44
Engineer: �I
Address: �� r
Phone: State Lie:
%�y eeYY°4.6
Designer: ' 41
Address:
Phone:
Y
Special Conditions: i i • « • •
•
Planning Department -
Plan check Fee
Fair Share
SJH Trans:
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee: $0.00
Fire Department
T O°
$52.00
Fire Inspection:
$9.00•
$0.00
Fire Plan Rev
• $015
$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
Fee Due at Permit Issuance : $916.12
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PLAN CHECK BY: i • /
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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 iferh(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).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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
Il
y oved for the purpose of sale).
, 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
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:
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 t 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 Wn is s d or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Iignature of Property Owner or Authorized Agent Date /%Y ZZ
.ICENSED CONTRACTOR'S DECLARATI 1fi '`11
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
nd effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SEQURE 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 OFF OMPENSAI ", DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I-tlw8"affirm ui9der penalty of perjury one of the following declarations:
.d I have and wlli 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,
erTgfgl9nce of thEwork for which this permit is issued. Policy No.
21 have and A laeritain 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' compensatior
Isuraace carrier and policy number are:
:auie: ...: Policy Number Expiration Date
Agent
Nltry that, igthepprformance 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
if I -should be cane subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of App�cark • Date
UARATION R€3 DING CONSTRUCTION LENDING AGENCY
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 owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county r Inances and state laws relating to building construction.
I authorize representatives of this city or county the Identified property for inspection purposes.
nature of Prooertv Owner or Authorized AGent .��. Print Prooertv Owner's or Authorized AGent's Name i Z Date
ACTION DATE BY DECLARATION OF REGULATIONS PART 061 OF IIT E 40 AND AQMD RULE CE WITH CODE OF AL FOR OFFICE USE ONLY
PERMIT EXPIRED U 113UBMITBED ASBESTOS VQTIFICATI()N T15
PERMITC4NCELLED • pA •
PERMIT EXTENDED 0AQMD
PERMITFINAL ASBESTOS NOTIFICATION IS NO PP CABLE TO
CERTIFICATE OF /t� ROPO EVM • • �.•
OCCUPANCY ISSUED 1Y11 Y SIGNAT E • ••e
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