The URL can be used to link to this page

Home My WebLink AboutX2022-0982 - Permits#wt City of Newport Beach - Building Division IIIIIIIIIIIIIIII�IIIIIIIIIIIIII� II COMB Permit: X2022-0982 c _ v 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 9 8 2 Project No: 0910-2022 4'. Permit Counter Phone (949)644-3288 ice:* Inspection Requests Phone (949)644-3255 "zsea,e�" Combination Type - SFP ELEC MECH PLUM Issued Date : 0612212022 0 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE 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: 2421 BAY SHORE DR NB Description: SFR REMODEL (2) BATHROOMS 120 SF & NEW FRENCH DOORS W/ LANDING AT FRONT OF HOUSE Legal Desc.: N TR 1140 LOT 85 Owner: RANKIN ANDY & ALEXANDRA Contractor: OWNER/BLDR Architect: Address: 2421 BAYSHORE DR Address: Address: NEWPORT BEACH, CA 92663 Phone: 949-990-5291 Phone: Phone: State Lic: ... • Applicant: ALMENDAREZ OSCAR Con State Lic: O/B Engineer: f7p a-q �e �, .... ° Address: 31234WNINE DR Lic Expire: Address: �a"�"' �°'",?:'a-.. a8°•°a LAGUNA NIGUEL, CA 92677 Bus Lic: Phone: 951-990-4834 Lic Exp Date: Phone: State Lic: • - :° °°° e. . Code Edit: 2019 Worker's Compensation Insurance Designer: ALMENDAREZ OSCAR v•• �. • + Type of Construction: V-B Carrier: Address: 31234 W NINE DR • 4 ° ° p06 0 Occupancy Group: R3/U Policy No: LAGUNA NIGUEL, CA 92677 V Added /New sq.ft. Bldg: 0 Expire: Phone: 951-9904834 • ° ° • Added INew sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: LIQUEFACTION •• . o";`"; No of Units : 1 Front: / O/B FORM ATTACHED Bldg Height: 0 Left: / °�e000 Bldg Sprinklers: Right: / ° • ® ..°°- Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $65,000.00 Building Permit Fee: $929.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $808.23 Additional Fee : $0.00 Plan check Fee: $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $12.00 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, $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $65.03 San Dist: $0.00 Building Green Fee : $3.00 Mechanical %: $37.16 NMUSD Fee: $0.00 $0.00 Plumbing %: $83.61 $0.00 TOTAL FEE: $1,990.03 Plan Check Fee : $860.23 Fee Due at Permit Issuance : $1,129.80 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING 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) >ection 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 e 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 Bgsiness and rofessions 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 A 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 U portions of the work, and the structure is not intended or offered for sale (Section 7644, usiness 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 iprovements 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 iproved 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 )p 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 exempt from Iicensure under the Contractors' State License Law for the following reason: y 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, =11 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 wh t Is app ati9n is subm}}'� or t the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ignature of Prgp2rty'Owner or Authorized Agent n,io� /lam Date Z ICENSED COkPRACTOR'S DECLARAT N i;erebpaffirm under -penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force ideffect. License Gass License No Date Contractor Signature IORkCzRS' COMPENSATION DECLARATION .. ARNING: FAILURE 30 S60IIRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000I, IN ADDITION TO THE 4 ST OFCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. iereLy affirm under penalty of perjury one of the following declarations: 'Thane and 1Ni11maultain 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 'r"r?iance of thE6work for which this permit is issued. Policy No. and wiN matntain 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"" pslicy number are: Policy Number Expiration Date of Agent I certify that, in the performance 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 agre rat, if I should become subject th workers',p9mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. NNN signature of Applicard��Da1��.Z �ZZ IECLARATION REG19rcumta CON UCTION LENDING 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 ly 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 relating to building construction. I authorize representatives of this city or county, to)5nterAfi aooye-identifjpApropel y for inspection purposes. - IAj V2 I Al , y Signature of Property Owner or Authorized Agent I Print Property Owner's or Authorized Agent's Namel Date' ACTION DATE BY DECIJi7ATldNbF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED AQMD PERMITFINAL SBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIOCCU ICATEOF ej I IIA ROPOSED_Df.M0J.4T�Of�A� I�j o,.A Y,Vl OCCUPANCY ISSUED " Y SIGNATURFV( � / (� V�