HomeMy WebLinkAboutX2020-0524 - PermitsEw.f,4 City of Newport Beach.- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
tk, Permit Counter Phone (949)644-3288
m. Inspection Requests Phone (949)644-3255
Combination Type - SFP MECH ELEC PLUM
COMB Permit: X2
Project No : 0416-2020
Issued Date : 03/04/2020
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE 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: 426 CARNATION AVE NB St: 1 Ft: 1 Unit: A
Description: MFR REMODEL 114SF (KITCHEN, (2) BATHROOMS, POWDER ROOM) ® ®IS�
Legal Desc.: P M 201-19 PAR 1 UNIT 1 OF PROJECT LOCATED ON AP 459-111-22 TOGETHER I NCONSTRUCTION
Owner: SCORZIELL LISA & EUGENE
Contractor:
OWNER/BLDR
Address: 1025 BAYSIDE COVE
Address:
SCORZIELL LISA
NEWPORT BEACH, CA 92660
Phone: 909-2244199
Phone:
909-2244199
Applicant: LIVIISCHORZIELL
Con State Lic:
OIB
Address: 426 CARNATION AVE #A
Lic Expire:
NEWPORT BEACH, CA 92626
Bus Lic:
Phone: 909.2244199
Lic Exp Date:
Code Edit : 2019
Worker's Compensation Insurance
Type of Construction: VB
Carrier:
Occupancy Group: R31U
Policy No:
Added /New sq.ft. Bldg: 0
Expire:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: I
No of Units : 2
Front: I
Bldg Height: 0
Left: I
Bldg Sprinklers: N
Right: I
Flood Zone: X
Use Zone: Parking Spaces: 0
11 Construction Valuation: $120,000.00
Building Permit Fee: $1,288.00
Plan Check Fee: $1,120.56
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$10.00
Energy Compliance:
$84.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$5.00
TOTAL FEE: $2,846.41
PROCESSED BY:
ZONING APPROVAL:
Architect
Address:
Phone: ®IVStaa4-Qid URDA °
Engineer: COOKE CONWAY CECIL
Address: 34658V LINDA ROSEA RD
TEMECULA CA 92592
Phone: 310-608-5408 State Lic:S-005524 '
Designer: ,
Address:
Phone:
Special Conditions: O/B FORM ATTACHED
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee:
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant :
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PMI Plan Check :
$41.25
Electrical %:
$90.16
San Dist:
$0.00
Mechanical W
$51.52
NMUSD Fee:
$0.00
Plumbing %:
$115.92
0
Fire Department
$40.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$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
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,846.41
PUBLIC WORKS APPROVAL:
PLAN CHECK 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 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
to 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
Irofessions 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
K0 ore 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,
lusl ass 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).
I am a�empt from licensure under the Contractors' State License Law for the following reason:
H my slgia;u,e below I acknowledge that, except for Try persoil0a residence in which I must have resided for at least one year prior to completion of the improvements covered b his ermit, I cannot Iegall,
ell a structure that I have built as an owner -builder if' as no n con i s en irety by licensed con rs. understand that a copy of the applicable law, Section 7 4 of t e Busi ss and
:rofessicns Ccde, is available upon request when th' a is is submi at fo g Web i :ht .Ieginfo.ca.gov/calaw.html. n y1
signature of Property Owner or Authorized Agenf Da U .xCi
;CENSED CONTRACTOR'S DECLARATI N
hereby affirm under penalty of perjury that I a ice se under provisions of Chapter 9 (comme c' g with Section 7000) of Division 3 of the Business and Professions ode, and my license is in full force
0 effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
FAR-41NG: 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 I$100,0001, IN ADDITION TO THE
CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
:wrzby affrr. unae� 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
a.tormance o'I 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'
"ante carrier and policy number are:
Policy Number
ie of Agent
certify that, in the perfo an f
. if I should become s I the
nature of Applicant `� " I - v�
CLARATION REG G ONSTRUCT10N LENDING AGED
ereby affirm under ally of perjury that there is a construction
Ider's Name
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the pro erty
I have read this application and the information I he pro de
I agree to comply with all applicable city and countyohfioncs
I authorize representatives of this city or county t ente the -al
of Property Owner or Authorized
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
I DATE I BY
t q (h l-�A. pl-
Date
is issued, I sh II no mploy any person in any manner so as to become subject to the workers' /compensa ion laws f Califomia, and agre
dons of 5ecti 37 of the Labor Code, I shall forthwith comply with those provisions. g9 D
D
n ng agency for the performance of the work for which this permit is issued (Section 3 7, Civil Code).
Lender's Address
behalf.
and litat tQeayvsAelatM`gfo building
OF COMPLIANCE WITH
PART 61 OF TITLE 40 A
I SUBMITTED ASBESTOS NOTIFICATION TO
TO
fiber's or Authorized AD
FOR OFFICE USE ONLY
Date