HomeMy WebLinkAboutX2022-0510 - PermitsCity of Newport Beach - Building Division
o rn 100 Civic Center Drive, Newport Beach, CA 92660
F~ +� Permit Counter Phone (949)644-3288
.. n
A; Inspection Requests Phone (949)644-3255
r.,t,rrMH•' Combination Type - MFP MECH ELEC PLUM
"X2022-0510" COMB Permit: X2022-0510
Project No : 0454-2022
Issued Date : 02122/2022
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/22/2025 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: 254 VILLA POINT DR NB /t
Description: MFR REMODEL 1,460 SF �' 16'®n�AA
Legal Desc.: TRACT 11937 LOT 2 OF PROJECT 939-63 LOCATED ON AP 442-411-11 I "�
Owner: SCHULTE TONI & BRAD Contractor: OWNER/BLDR Architect: LAWRENCE ROBERT �•�
Address: 254 VILLA POINT DR Address: SCHULTE BRAD Address: 760 W. 16TH ST
NEWPORT BEACH CA 92660 O/B AUTH ATT COSTA MESA CA 92627
Phone: Phone: Phone: 949-633-9560 State Lic:CO21447
Applicant: LAWRENCE ROBERT
Con State Lie:
O/B
Engineer:
^ -
Address: 760 W. 16TH ST
Lie Expire:
Address:
- -
COSTA MESA CA 92627
Bus Lie,
- -
Phone: 847-833-3200
Lie Exp Date:
Phone:
State Lic:
Code Edit: 2019
Worker's Compensation Insurance
Designer:
_
Type of Construction: VB
Carrier:
Address:
Occupancy Group: R2/U
Policy No:
Added New sq.ft. Bldg: 0
Expire:
Phone:
- - - -
Added /New sq. ft. Garage: 0
-
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions:
No of Units : 8
Front: /
-
Bldg Height: 0
Left: I
. -
Bldg Sprinklers: N
Right: /
Flood Zone: X
Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
'
Construction Valuation: $116,800.00
Building Permit Fee: $1,339.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $1,164.93
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 : $36.00
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 %:
$93.73
San Dist: $0.00
Building Green Fee : $5.00
Mechanical %:
$53.56
NMUSD Fee: $0.00
$0.00
Plumbing %:
$120.51
$0.00
TOTAL FEE : $2,864.73
Plan Check Fee
: $1,216.93 Fee Due at Permit Issuance :
$1,647.80
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)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto its issuance, also requires the applicant for
ie 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
'rofessions 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
of 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 7044,
lusiness 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
ro mants 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
n ved 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
pply 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for my personal residence in Aich I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall,
ell a structure that I have built as an owner -builder if it snot n cons r d its entirety by license ontractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when t � applicatio 1 at the to site:http:llw .leginfo.ca.govlcalaw.html. 2_ ZZ �27i
Iignature of Prcporj Owner or Authorized Agent Date
.ICENSED CON-RACTOR'S DECLARATI N
herehv affirm 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
nd effect. License Crass License No Date Contractor Signature
ZKERS' COMPENSATION DECLARATION
iNG: FAILURE TO SFC'JRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,0001, IN ADDITION TO THE
O° COMPENIATICN, aAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
herPhy affirm under penalty of perjury one of the following declarations:
7 : have and will ma'ntain 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
e,fo-mance of the work for which this permit is issued. Policy No.
I have and will ma:n'ain 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'
.suranca carrier anb policy number are:
Policy Number
of Agent
Date
certify that, in the performance of the work forwhich 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
t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date_
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
:reby 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).
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 ordin;Y Bees and�Yte laws relating to building construction. �r /'I
I authorize representatives of this city or county to gnte��✓' �Y hfi r6yi:rty for inspection purposes. " �!`In� 2 �Z
natrrm of PmDertv Owner or Authorized ADent . / Print Prooertv Owner's or Authorized Agent's Name Date
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
PERMITEXTENDED i QMD
CERTIFIC4TEOF
OCCUPANCYISSUED
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