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HomeMy WebLinkAboutx2020-0436 - Permits„°fir City of Newport Beach - Building Division �IINIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIII COMB Permit: X2O2O-0436 e 100 Civic Center Drive, Newport Beach, CA 92660 pp��'� Project No : 0344-2020 ''" Permit Counter Phone(949)644-3288 NO IW(41CTI®N N®ISE Inspection Requests Phone (949)644-3255 r V �7 �''zn.�u'' Combination Type - MFP MECH ELEC PLUM Issued Date : 03/12/2020 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTIO ETED 8Y 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: 0 p.m. No work on Sundays or Holidays Job Address: 216 20TH ST NB Description: MFR REMODEL (2) KITCHENS, CONVERT (2) EXISITING BATHROOMS INTO (4) BATHROOMS, REPLACE WINDOWS & DOORS 720 SF Legal Desc.: R BK 60 PG 16 PAR B Owner:. ERIC SPITZ Contractor: J P T CONSTRUCTION INC Architect: DIBIASI VINCENT PAUL Address: PO BOX 241426 Address: 409 62ND ST Address: 1207 to MIRADA ST LOS ANGELES CA 90024 NEWPORT BEACH CA 92663 LAGUNA BEACH CA 92651 Phone: Phone: 714-336-1966 Phone: 949.378-3895 State Lie C017042 Applicant: DIBIASI VINCENT PAUL Con State Lie: B79360 Engineer: Address: 1207 LA MIRADA ST Lie Expire: 06/30/2020 Address: _ #J LAGUNA BEACH CA 92651 Bus Lie: BT30014788 ni Phone: 949-378-3895 Lie Exp Date: 01131/2021 Phone: State Lie: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: WESCO Address: -® Occupancy Group: R3/U Policy No: WWC3408624 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 Expire: 0410712020 Phone: - No of Stories: 2 Building Setbacks Rear: / Special Conditions: LIQUEFACTION AREA a0 No of Units : 2 Front: / HIGH DENSITY Bldg Height: 0 Left: / - - Bldg Sprinklers: N Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $75,000.00 - Building Permit Fee: $938.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $816.06 Additional Fee : $0.00 Plan check Fee : $40.00 Fire Inspection: - $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fin; Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee - Record Management: $18.00 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 PAN Plan Check: $41.25 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $66.66 San Dist: $0.00 Building Green Fee : $3.00 Mechanical %: $37.62 NMUSD Fee: $0.00 $0.00 Plumbing %: $84.42 $0.00 TOTAL FEE : $2,043.91 Plan Check Fee : $897.31 Fee Due at Permit Issuance : $1,146.60 BY: '15PROCESSED "„ PUBU. tIVOF°tKS APPROVAL: ZONING APPROVAL: Vim" o a _ �o �PLA14 „;HE K-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 reasons) 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegalll sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.govlcalaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 of Divi ion 3 of the Business and Pr a sons C n en rce and effect. License Class License No Date$ '� I¢ 1• Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 Wormance of the wwork for which this permit is issued. Policy No. have and will al In 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' compensatioi Trance carrier an po y number ar :. In Tier Expiration Date Tie of Agent Phone # certify that, in the performance of the f Is p ml ' Issue s any person in any manner so as to become subject to the workers' compensation laws of California, and agre t, if I should become ub' It a work om soli ovisions of Section 3700 of th - bor Code, I shall forthwith comply with those provisions. /j nature of Applicant Dat3. /1Z CLARATION REGA IWQI�WIRUCTIONLE DING AGENCY baby affirm under penal of ury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address 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 ordinanc�intifie rel o building construction. � I authorize representatives of this city or county W a eer the aope inspection purposes./IL1�nature of Pronerty Owner or Authorized AGent X- _ Print Property Owner's or Authorized Agent's NameX Ci u `— ACTION DATE BY I REGULAT ONS PA T061 OF IITLE 40 AND QMD RULECE WITH CODE OF FOR OFFICE USE ONLY PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFLCQ=ION T40- PERMITC4NCELLED UEPA PERMIT EXTENDED LJAQMD ° • ••° s• ••• PERMITFINAL / I� ASBESTOS NOTIFICATI CABLE CERTIFICATE OF ( �f POSED D MO TION a•e OCCUPANCYISSUED SIGNATURE: .,• ••• • .°• e O • 000 � J COO 00° !Je0 pa0