HomeMy WebLinkAboutx2020-2765 - Permitsv City of Newport Beach - Building Division
t+' 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
v: n Inspection Requests Phone (949)644-3255
Combination Type - CIP ELEC MECH PLUM
*X2020--2765* COMB Permit: X2020-2765
Project No : 2198-2020
Issued Date: 1112512020
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1112612023 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: 28 CAPE WOODBURY NB
Description: SFR MASTER BATHROOM REMODEL (200 SF)
Legal Desc.: N TR 15012 LOT 63
Owner: WILKISON PATRICK
Contractor:
HARTUNG CONSTRUCTION INC
Architect:
INSPECTOR
Address: 28 CAPE WOODBURY
Address:
14 VOLAR ST
Address:
NEWPORT BEACH, CA 92660
RANCHO MISSION VIEJO CA 92694
Phone:
Phone:
949366-2404
Phone:
State Lie:
Applicant: HARTUNG CONSTRUCTION INC
Con State Lie:
730388
Engineer:
Address: 14 VOLAR ST
Lie Expire:
12/31/2022
Address:
a•°°.•
RANCHO MISSION VIEJO CA 92694 Bus Lie:
BT30036286
°
Phone: 949-366-2404
Lie Exp Date:
0713112021
Phone:
State
:
Lie:
• • °.
Code Edit: 2019
Type of Construction: VB
Workers Compensation
Insurance
Designer:
CHAMBLISS GENEIEVE
Occupancy Group: R3/U
Carrier:
STATE FUND
Address:
4139 HILARIA WAY #D
Added /News .ft. Bldg: 0
q 9
Policy No:
Expire:
9041108
01/01/2021
NEWPORT BEACH CA 92663
Added /New sq. ft. Garage: 0
Phone:
818-642-7158
• ° °
No of Stories: 2
BuildingSetbacks
Rear: /
Special Conditions:
®° • ° °
No of Units : 1
Front: I
•
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: /
° °
Flood Zone:
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
° ®•. °
Construction Valuation: $40,000.00
coo.
Building Permit Fee: $679.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $590.73
Overtime Plan Ck: $0.00
Additional Fee :
$0.00
Plan check Fee:
$46.25 Fire Inspection:
$0.00
Investigation Fee: $0.00
Grading Bonds Fee:
Grading PC Consultant:
$0.00
$0.00
Fair Share :
SJH Trans :
$0.00 Fire Plan Rev
$0.00
$0.00
Record Management: $6.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Demolition 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
Disabled Access : $0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Hazardous Mat $0.00
Electrical %:
$95.06
P/W Plan Check :
San Dist:
$0.00
$0.00
Grading Bond:
$0.00
Building Green Fee : $2.00
Mechanical %:
$74.69
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$61.11
$0.00
TOTALFEE:
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$0.00 Fee Due at Permit Issuance : $1,554.84
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
• •
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eo•••
oeo••
° •
° •
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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 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
the 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
Professions 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
not 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
improvements 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
improved 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
apply 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).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By 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
sell 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
Professions 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
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm ulrJargeoalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with SeG[Ion 7 00 f ivisjro 3 of the Busines Profess Co nd q I in
full force
Bad effect. License Cla%s License No DDI� fontractor tune GGG ,� p
WORKERS' COAARRdSATION DECLARATION
I1
ARNIN(P.. FAILURE TO SEC&RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
CpSf(aF•dbMPENSATIAN, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hgreb% affirm under peAalty of perjury one of the following declarations:
I Have and wit 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 IN
%wnce of 14VOTlsfor which this permit is issued. Policy No.
T1Is 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' compensatior
iR carrier and policy number are:
Qam'er • • �: Policy Number Expiration Date
f�9ML e1:A9Ent .. Phone #
ceriify that, %If pErforma a 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 agree
that, if I should become sub to the o er ' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Apple D to
DECLARATION f D G C 5 R TI LE ING AGENCY
I hereby affirm under penalty of perjury that th re is 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, 1 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 coXdei
I agree to comply with all applicable city and County ordinan n s rela ng to building construction.
I authorize representatives of this ci county to ent b v irop 'nspection purposes. //-
Signature of Property Owner or Aut ed Agent Print Property Owner or Authorized Agent's e J/ � ,U Die
ACTION DATE B DECLAAATION OF 6bMPLIANCE W/rH CODE OF FEDERAL FOR FFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED DEPA
PERMIT EXTENDED MD
PERMIT FINAL ASBESTOS ICATIO 1 OTAP ICABLE TO
CERTIFICATE OF OPOSEDD LITION
OCCUPANCY ISSUED SIGN TUR