HomeMy WebLinkAboutX2020-1732 - PermitsrU City of Newport Beach - Building Division IIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-1732
a 4.i 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 1 7 3 2 Project No : 1376-2020
H Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
51' rYi,nN•? Combination Type - MFP ELEC MECH PLUM Issued Date : 08/0412020
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/05/2023 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: 30 RUE FONTAINEBLEAU NB
Description: MFR MASTER BATHROOM REMODEL (200 SF)
Legal Desc.: N TR 7788 LOT 55
Owner:
DAVID KUHN JR.
Contractor:
TREEIUM INC
Architect:
LUSHBAUGH WILLIAM
Address:
30 RUE FONTAINBLEAU
Address:
5352 LAUREL CANYON BLVD #200
Address:
17191 CITRON
NEWPORT BEACH CA 92660
VALLEY VILLAGE CA 91607
IRVINE CA 92612
Phone:
Phone:
855-833-8733
Phone:
949-251-1710 Stale Lie: CO24867
Applicant:
SHECHORI DIKLA
Con State Lie:
617140
Engineer:
Address:
5352 LAUREL CANYON BLVD #200
Lic Expire:
0413012021
Address:
VALLEY VILLAGE CA 91607
Bus Lie:
BT30053191
Phone:
855-833-8733
Lie Exp Date:
1113012020
Phone:
State Lic:
Code Edit : 2019
Type of Construction: VB
Occupancy Group: R2IU
Added Mew sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
of Heigh : 3
Bldg
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Worker's Compensation Insurance Designer:
Carrier: CAROLINA CASUALTY Address:
Policy No: BNUWC0144084
Expire: 06/1812021 Phone:
Building Setbacks Rear: I Special Conditions:
Front: I
Left: I
Right: 1
Use Zone: Parkin Spaces: 0 Fire Hazard Zone : N
I ^ ^
`V lV
INSPECTOR
Construction Valuation:
$16,000.00
Building Permit Fee:
$331.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $287.97
Additional Fee :
$0.00
Plan check Fee : $0.00
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:
$6.00
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
WO 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 %:
$23.17
San Dist: $0.00
Building Green Fee:
$1.00
Mechanical %:
$13.24
NMUSD Fee: $0.00
$0.00
Plumbing %:
$29.79
$0.00
TOTAL FEE : $692.17
Plan Check Fee
: $0.00 Fee Due at Permit
Issuance :
$692.17
PROCESSED BY:
PUBLIC WORKS APPROVAL:
I M
7
ZONING APPROVAL:
L/1
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAI. TO I950E:
1 hereby Blflnm under pORDIty of perjury mat I am exempl from the Contractors' Stale License Law for the raason(s) Indicated below by the checkmarkls) I have placed next to the applicable Kem(s)
;Section 7031.6, Business and Professions Code: Any city or county trial requires a permit to construct, altar, Improve, demolish, or repair any structure, prior Oo "a Issuance, also requires the applicant for
;he permit to Ilia a signed statement that he or she Is licensed pursuant to the provisions of file Contractors' Side License Law (Chapter 0 (commencing wan Section 7000) o1 Division 3 of the Business aad
Profasslons Coda) or that he or she Is exempt from Ilconsure and the basis for the aliogGd examplion. Any violation of Sacllon 7031.6 by any appicarl for a permit subjects the applicant to a Coil penalty of
not more than five hundred dollars (E500)•
131, as ow nw of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure Is riot Imanded of offered for sale (Section 7044.
Business and Protesslorts Code: The Contractors' Slate License law does not apply to an owner of property who, through emphoyealt' or personal effort, bulls or imprmes 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 mat It was not built or
il-m-roved for the purpose of sale).
LJ 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
Tep to an ewer of property who bulbs or Improves thereon, and who contracts for the projects Willi a licensed Contractor pursuant to the Contractors' State License Law),
I am exempt from Ilcansure under the Contractors' State License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence In which 1 must have resided for at least one year prior to completion of the Improvements covered by this permit, I Cannot lapalit
sell a structure that I have built as an owner -builder If it has not been constructed In Its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, Is available upon r0quesl when this application is submitted or at the following Web site:htiplAwny.logirdo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
1ACENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I affAlcansed under provisions of Chapter 9 (comment! with Sectio 7 00) of to of he Business and Prolesslon a d my Rcense Is In full force
and affect. Cleanse Class license No �T{ Dat�Kg ___�Contractor Sgnalur
WORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRKBIAL PENALTIES AND CI FINES UP TO ONE HUNDRED THO 16I{tSe,PSeL IN ADDITION TO THE
COST OF COW+ENIN EY
SAT VAGES AS PROVIDED FOR SECTION T7M OF THE LABOR CODE INTEREST, ANDATTORNS FEE&
I hereby affrm �rRE... fly of perjury one of the following declarations:
I n ttlMn ntain a caNllcate 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 thi
f e work for which this permit is Issued. POlicy No.
have and VAR maintain workers' Compensation Insurance, as required by Section 3700 of the Labor Coca. for the performance of the work for Much this permit is issued. icy workers' compensatioM
uance Candler and policy number I / I
meofAgent �n� number an:
Pollcy Number e2ri`1�� � I U M 1[yiQ Expiration Data SI
Be Phone 9
tautly that, In the perrohnance of the work for which this permit is issued, I shall not employ any person In any manner so all to become subject to the workers' Compensation laws of Califom m, and age,
1, 9 1 should become subject to the workers' compensation prowl s o Do D of the Labor Code,1 shall forthwith comply with those provisions.
mature of Applicant Da1� a�
CLARATION REG ING CONSTRUCTION LENDING AGENCY
ireby amrm under penalty of perjury that theta Is a construction lending agency for the performance of the work for which this permit Is Issued (Section 3097, CM Code).
ider's Name Lenders Address
my signature below, 1 cony to each of the following:
am the property Owner or authorizod to act on the property owner's behalf.
1 have read this application and the Information I have provided Is correct.
I agree to comply with all applicable Coy and county ordinances and state law , retail to building oonstmction.
I authorize reptesBntatives of this City Or Court I enter the above-'W%1,ntlff ry for Inspection purposes. �1(n �� /� I
;nature of Property Owner or Authorized Agent � � 1 _ Pdnt Property Owner's or Authorized Agent's Na� ri W "'�- N '� S (,r Dx qa'
DATE DECLARATION OF CPLLANCE WITH CODE OF I 6Y I REGULATIONS PART 610 OF 40 AND AOMD RULEML I FOR OFFICE USE ONLY
PERMIT FINAL , A;aEL7Ds NJDL ICALEN IS N07 APPL,CAJLE TO
CERTIFICATE OF I C 3SID DEM3U710'1
OCCUPANCY ISSUED I SIGNATUREV )n ? /