HomeMy WebLinkAboutX2022-0454 - PermitsCity of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
*X2022-0454* COMB Permit: X2022-0454
Project No : 0987-2021
Issued Date : 02/15/2022
Inspection Area : 3
PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0211 A=5 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 w90 7t
on Sundays or Holidays
Job Address:
1726 CANDLESTICK LN NB
Description:
SFR REMODEL BATHROOM (BETWEEN BED #2 & #3) CITY STD PLAN
Legal Desc.:
N TR 3763 LOT 32
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Owner:
SHALLA HILARY Contractor:
SUNSTONE CONSTRUCTION
Architect:"'
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Address:
1726 CANDLESTICK LN Address:
676 RUTH OR
Address:
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NEWPORT BEACH CA 92660
NEWBURY PARK CA 91320
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Phone:
949-331-5327 Phone:
605-300.3834
Phone:
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State Lic:
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Applicant:
SUNSTONE CONSTRUCTION Con State Lic:
556927
Engineer:
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Address:
676 RUTH DR Lic Expire:
0913012022
Address:
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NEWBURY PARK CA 91320 Bus Lic:
BT30077991
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Phone:
805.300.3834 Lic Exp Date:
Phone:
State Lic: ' ° °
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Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
2019 Worker's Compensation Insurance
V-B Carrier:
STATE COMP. INS
R3/U Policy No:
9270766
0 Expire:
02/1912023
0
Building Setbacks
Rear:.. I
Front: I
Left: I
Right: /
Building Permit Fee: $212.00
Plan Check Fee: $184.44
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 : $493.84
PROCESSED BY:
ZONING APPROVAL:
Designer:
Address:
Phone:
Special Conditions:
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
PAN Plan Check :
$0.00
Electrical %:
$14.84
San Dist:
$0.00
Mechanical %:
$8.48
NMUSD Fee:
$0.00
Plumbing %:
$19.08
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:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $493.84
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
he 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 Iicensure 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
lot 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mprovements 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
mproved 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
Ipply to an owneoof"operty 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 fromlicensure under the Contractors' State License Law for the following reason:
6ralysgnature below ►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
,%II a structure tfia`I•haye 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
3rofesligns Code, 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
_ICENSED CONTRACTOR'S DECLARATION
}ielgpy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 f Divi io23 of the Business and P salons Code, and m r nse is in full force
Vipje4fgct. Lic"D CIVs License No Date �- Contractor Signatu
V0RKI!RS' C1DMPENSATION DECLARATION
"WIWQ:•FAILURE TeSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU D DOLLARS ($100,000(, IN ADDITION TO THE
:DSi OF MOMPENSAilON,OAMAGES 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:
......
••I, tiav2 and WM rpAiltain 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
Ierformance of the workfor which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number '3k, Z Expiration Date
of Agent
I certify that, in the performance of the work for which this permit is issuew, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califor ' , and agre
rat, if I should become subjecj,to the workers' compensati rovisio Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
tJignature of Applicant Dat
IECLARATION REGAROV57�STRUCTION*ffNDINGA6ENCY
hereby affirm under penalty of perjury thatAmfe is a co ruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ender's Name Lender's Address
Iy 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 rel A to building construction.
I authorize representatives of this city or county to a ter the above -identified erty for inspection purposes.
linnnfure of Prnneed rty Owner or AuthorizAgent Print Prooerty Owner's or Authorized Agent's Name �/ \ \� \3t W -,O Da _ Zl-
ACTION DATE BY (✓ DECLARATION 06eOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
I SUBMITTED ASBESTOS NOTIFICATION TO
EPA /
PERMIT EXTENDED I I _ D
PERMIT FINAL 14 L'-Ze SBESTOS N I TION IS NOTAPPLICABLE TO
CERTIFICATE OF RO ED UTION
OCCUPANCYISSUED SIGNATURE: /7