HomeMy WebLinkAboutX2021-0854 - Permits1� City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288- -
u.. Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
*X2021-0854* COMB Permit: X2021-0854
Project No : 0792-2021
Issued Date, 0411212021
Inspection Area: 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0411212024 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: 1712 ANTIGUA WAY NB
Description: SFR (2) BATHROOM REMODEL 100 SF
Legal Desc.: N TR 4224 LOT 280
Owner
SCHULEIN MARK
Address:
1712 ANTIGUA WAY
NEWPORT BEACH, CA 92660
Phone:
Applicant:
YAHAV MICHELLE
Address:
14 HUGHES
IRVINE, CA 92618
Phone:
949-241-1577
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee: $889.00
Plan Check Fee: $773.43
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 :
$3.00
TOTAL FEE: $1,891.48
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
TRUE HOME BUILDERS INC
Address:
67 EDGEWOOD
IRVINE, CA 92618
Phone:
310-465-4586
Con State Lic:
1073280
Lic Expire:
02128/2023
Bus Lic:
BT30074726
Lic Exp Date:
03/30/2022
Worker's Compensation Insurance
Carrier. ACCREDITED SURETY
Policy No: 1ATCA16004667
Expire: 03101/2022
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: I
Right: I
irking Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$62.23
$35.56
$80.01
0
Architect:
�'
Address:
a..a
Phone:
State Lic: ......
Engineer:
....
Address:
..a•
Phone:
State Lic: • •, g o
Designer: YAHAV MICHELLE
Address: 14 HUGHES
IRVINE, CA 92618
Phone: 949-241-1577
Special Conditions
Planning Department -
Plan check Fee:
Fair Share :
SJH Trans:
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee: $0.00
Fire Department
$46.25
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
.a •
a.
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $1,891.48
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
•
a .
• •
a -
w• a
aoca.
=aoc.a
a •
aiOOa
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)
ction 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
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
fessions 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
more than five hundred dollars ($500). 1
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portior
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, thn
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of
improved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Cont
I am exempt from Iicensure 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
sell a structure ftt j have built as an owner -builder if it has not been constructed in its entirety by licensed contractor!
Professions Codle.is available upon request when this application is submitted or at the following Web Site:http://www
$ignatgfe of Property Owner or Authorized Agent
IMEMED CMIRACTOR'S DECLARATION
I hereby affirm un(14' %nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section'/
andeffect. License Class License No 4D Date_
k01ijERS' ('0MPXNSATION�DECLARATION /
WARNING FAILURE TO SEdbRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
60BTL COMPENSATION.BAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
14ki1?t%affirm u`ndar pE;lalty of perjury one of the following declarations:
I .. have and wilrmaintain a certificate of consent to self -insure for workers' compensation, issued by the Direc
pe vAince of the v or -for which this permit is issued. Policy No.
Aura
•age and w:IPmainisin workers' compensation insurance, as required by Section 3700 of the Labor Code, for I
nce carrier Jggg(Jicy number are:
Carrier ' Policy Number
Name 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
It, if I should become sylbject to thework - a o provisions of Section 3700 of the Labor Code, I shall
(nature of Applicant �VI� C
Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for
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 co ty ordinances and state laws relating to building construction.
I authorize representatives of this city or coun o enter the abov ad property for inspection purposes.
mature of Pronertv Owner or Authorized Acent Print Prooertv Owner's
ACTION
PERMIT EXPIRED
PERMITC4NCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE I BY DECLARATION OF I REGULATIONS PART 0610 TIITEWITH CODE OF 40 AND CIMD RULE
�L FOR
I SUBMITTED ASBESTOS NOTIFICATION TO
EPA
IS NOTAEELICASLE TO
of the work, and the structure is not intended or offered for sale (Section 7044,
3h employees' or personal effort, builds or improves the property, provided that the
impletion, the Owner -Builder will have the burden of proving that it was not built or
Business and Professions Code: The Contractors' State License Law does not
pursuant to the Contractors' State License Law).
e year prior to completion of the improvements covered by this permit, I cannot
understand that a copy of the applicable law, Section 7044 of the Business and
Business and
AND CIVIL FINES UP TO ONE HUNDRED
Date
is in full force
DOLLARS I$100,000t, IN ADDITION TO THE
of Industrial Relations as provided for by Section 3700 of the Labor Code, for
performance of the work for which this permit is issued. My workers'
Date
o as to become subject to the workers,'compensation laws of California, and ogre
comply with those provisions.
Dat -2--D -2,
this permit is issued (Section 3097, C vi1 Code).
USE ONLY