HomeMy WebLinkAboutX2022-0802 - Permits�ka•rry4, City of Newport Beach - Building Division `X2022-0802* COMB Permit: X2022-0802
y• A
100 Civic Center Drive, Newport Beach, CA 92660 PfOJBCt NO : 0722-2022
Permit Counter Phone (949)644-3288
;,. Inspection Requests Phone (949)644-3255
Combination Type - MFP ELEC MECH PLUM Issued Date : Area
: 4022
YrrA
Inspection rea
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: 203 BAY HILL OR NB
Description: MFR - INTEROR ALTERATION OF KITCHEN 250 SF. NEW WINDOW. RMV INTERIOR WALL
Legal Desc.: TRACT 12105 LOT 1 OF PROJECT 931-79 LOCATED ON AP 442-033-04
Owner: SOTO DEDE
Contractor: OWNERIBLDR
Architect: WALTON JENNIFER
Address: 203 BAY HILL DR
Address: SOTO ROMELIA
Address: 18627 BROOKHURST ST #618
NEWPORT BEACH CA 92660
O/B FORM ATTACHED
FOUNTAIN VALLEY CA 92708
Phone: 714-343-8883
Phone: 714-343-8883
Phone: 949-851-3080 State Lic:C033627
Applicant: WALTON JENNIFER
Con State Lie: Ole
Engineer: BISHOFF RYAN
Address: 18627 BROOKHURST ST #618
Lie Expire:
Address: 3300 IRVINE #245 =
FOUNTAIN VALLEY CA 92708
Bus Lie:
NEWPORT BEACH CA 92660 ^
Phone: 949-851-3080
Lie Exp Date:
Phone: 949-862-8500 State Lic:C-077753
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction: V-B
Carrier:
Address: • - _ •�
Occupancy Group: R2/U
Policy No:
-
Added /New sq.ft. Bldg: 0
Expire:
Phone:
Added /New sq. ft. Garage: 0
..
No of Stories: 2
Building Setbacks Rear: /
Special Conditions: o-
No of Units: 6
Front: /
Bldg Height: 0
Left: /
-
Bldq Sprinklers: N
Right: /
Flood Zone:
X
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $75 000.00
Building Permit Fee:
$1,009.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $877.83
Additional Fee :
$0.00
Plan check Fee :
$52.00
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:
$22.00
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 W
$70.63
San Dist :
$0.00
Building Green Fee :
$3.00
Mechanical W
$40.36
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$90.81
$0.00
TOTAL FEE : $2,165.63
Plan Check Fee
: $929.83
Fee Due at Permit Issuance :
$1,235.80
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
MSS
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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 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).
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,
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).
!?, 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 legall,
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 Cooe. is E-vailable upon request gwhen this pile n i� bmiIt@cl or at e lowjng Web site:http://www.leginfo.ca.gov/calaw.html. ' 1
:ignaturJ of Property Owner or Authorized A ent ,cl g f � Date X S ^L%� ^/ Z
.ICENEED CONTRACTOR'S DECLARATION
h,reb; 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 Cade, and my license is in full force
rid effect. License Class License No Date Contractor Signature
YORYERS' CCIMIENSATION DECLARATION
'ARNI I? : 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 COMPENSA. IJI , 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:
HPVP, 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
:,rmance of the Welk for which this permit is issued. Policy No.
hccs 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' compensal
ran^.e carrier and po'icy number are:
Policy Number
Date
e of Agent Phone #
certify that, in the performance 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 agre
if I should become subject to the w-orl ers' compe �0 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. x
ature of Applicant^ �.�7�yr(/.G(wt ��Y—� Dat`
DECLARATION REGARDING'CONSTRUCTION LENDING AGENCY
I hereby 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).
Lender's Name Lender's Address
By 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 e er the abov-[dentifie ro y far inspection purposes.
x >\
^�,<
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
Dates
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
LJEPA
PERMIT EXTENDED
QMD
PERMITFINAL
(23
BESTOS NOTIFICATION 15 NOTAPPLICABLE TO
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OCCU➢ANCY ISSUED
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