HomeMy WebLinkAboutX2018-0643 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660 1, 1 U ° 0 6 4 3
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP ELEC MECH PLUM
PERMITS EXPIRE 1V0PAYSMFTEA 1SSUANCE Oj4.
Construction Hours: Monday- Friday 7:00 a.m. to-6.90p.M. and:Satucday fraNr
Job Address: 611 LIDO PARK DR NB St: 1 Fl: 4 Unit: 45
Description: MFR BATHROOM REMODEL (80 SF)
Legal Desc.: TR 815 LOT 2 AND POR LOT 3 AN UND 1142 INT TOGETHER WITH UNIT 6F AND
Owner: JANICE A J PARSEL Contractor: DECILLO JOE CONSTR CO
Address: 611 LIDO PARK DR #4B Address: 27665 SOLTERO
NEWPORT BEACH CA 92663 MISSION VIEJO CA 92691
Phone: Phone: 949-521-3691
Applicant: DELILLO MICHAEL
Address: 27665 SOLTERO
MISSION VIEJO CA 92691
Phone: 949.521-3691
Code Edit: 2016
Type of Construction: I -A
Occupancy Group: R2
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 8
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: N
Construction Valuation: $18.000.00
Building Permit Fee: $337.00
Plan Check Fee: $293.19
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTALFEE:
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lie:
735786
Lie Expire:
05/31/2019
Bus Lia
BT30062543
Lie Exp Date:
03/31/2019
Worker's Compensation Insurance
Carrier: EXEMPT
Policy No: NO EMPLOYEES
Expire:
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: /
Right: I
Parkina Soaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$47.18
$37.07
$30.33
Plan Check Fee
COMB Permit: X2018-0643
Project No: 0529-2018
Issued Date : 0 3/1 512 01 8
Inspection Area : 1
VALID INSPECTION.
a.m. to 6:00 p.m. No work on ys or Holida s
(, u I w t t2
Architect:
Address:
Phone: State Lie
Engineer:
BURKE LEO
Address:
34167 PACIFIC COAST HWY #D
Fair Share :
DANA POINT CA 92629
Phone:
949-226-7130 State Lic:C-067404
Designer:
$0.00
Address:
Park Dedication
Phone:
Special Conditions
Planning Department -
Fire Department
Plan check Fee
$37.50
Fair Share :
$0.00
SJH Trans:
Fire Plan Rev
In -lieu Housing Fee:
$0.00
Public Works Department -
Park Dedication
$0.00
PM Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$330.69 Fee Due at Permit Issuance : $452.58
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
Fire Department
$37.50
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
$330.69 Fee Due at Permit Issuance : $452.58
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' Stall; Ljcense Law ;orthe readbn(s)Indicated below by the checkmark(s) I have placed next to the applicable item(s)
lection 7031.5, Business and Professions Code: Any city or county that requires a perms: to sonshi!t, 910, i ftPovedemolish, 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 compensatitg, wi: do t_) a!I of or:(�) por%ns rl t re 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+Lo-an owner of properjy who, f'nrough 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 v7thin cine year at conyo%tion, 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 legal)
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://www.leginfo.ca.gov/calaw.htmi.
ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION /J
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivis'on 3 of the Business and Pr f ss' ns Cod land 5/ i ; ip f Ff e
nd effect. License Class License No Date Contractor Signatu e /
I/ORKERS' COMPENSATION DECLARATION
'ARNING: 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
OST 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:
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
)rmance 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' compensa
rance carrier and policy number are:
Policy Number
of Agent
Date
JI c4rtify that, in the performance of the work for which this permit is 'ssued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agrer
hat, I should becgme subject to the w�oorl(�rs-' cc pensati ppovi ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applica\Di,_!=/=
)ECLARATION R DING CONSTRUCT[oV-r=NDING AGENCY
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).
.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. D
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 county _ the above -i ntified erty for inspection purposes. r
Signature of Property Owner or Authorized Agent ro ertOwner's or Authorized Agent's Nanr Date
ACTION DATE BY DECLARATION OF COMP IANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMITEXPIRED LIISUBMITTED ASBESTOS
PERMIT CANCELLED EPA
PERMITFINAL
CERTIFICATE OF �o,-'Sfi)7 Zw��o AOTURE:SED EMOLITON ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
OLCUPANLYISSUED