HomeMy WebLinkAboutX2021-0213 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
E Permit Counter Phone (949)644-3288
u "'4 Inspection Requests Phone (949)644-3255
Combination Type - SFP MECH ELEC PLUM
ll�111111111111111111p111111111111111111p11111111JillCOMB Permit: X2021-0213
Project No : 0229-2021
Issued Date : 0211712021
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 0211812024 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: 24 TIMOR SEA NB
Description: SFR CONVERT SMALL BATHROOM INTO BUTLER'S KITCHEN (30 SF)
Legal Desc.: N TR 15818 LOT 27
Owner:
ZHEN LIU
Address:
24 TIMOR SEA
NEWPORT BEACH, CA 92657
Phone:
Applicant:
SHARMA SHALINI
Address:
4 APRILLA
IRVINE CA 92614
Phone:
949-872-7656
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units: 1
Bldg Height: 0
Bldc Sorinklers:
Contractor:
TIMELESS TOUCH HOME REM.
Architect:
Address:
PO BOX 80517
Address:
RSM CA 92688
Phone:
949-842-5951
Phone:
Con State Lic:
808818
Engineer:
Lic Expire:
06/3012022
Address:
Bus Lic:
BT30074284
Lic Exp Date:
02128/2022
Phone:
Workers Compensation Insurance
Designer:
SHALINI SHARMA
Carrier:
NO EMPLOYEES
Address:
4 APRILLA
Policy No:
IRVINE CA 92614
Expire:
Phone:
949-872-7656
Building Setbacks Rear: I
Front: I
Left: I
Right: I
State Lic:
State Lic:
Special Conditions: LANDLSIDE AREA, IRSD
Flood Zone:
X
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $30,000.00
Building Permit Fee:
$559.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $486.33
Additional Fee :
$0.00
Plan check Fee:
$46.25
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:
$2.00
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 %:
$39.13
San Dist:
$0.00
Building Green Fee :
$2.00
Mechanical %:
$22.36
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$50.31
$0.00
TOTAL FEE : $1,207.38
Plan Check Fee
: $486.33
Fee Due at Permit Issuance :
$721.05
71
PI:IBLIC'WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: AP.PRO11k. TO ISSJa;
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, 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
ire roved 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
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 legally
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:http://www.leginfo.ca.gov/calaw.html.
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 70 of iV'sio 3 of the Business and Prof ssio s�C and y sic ns is in full force
and effect. License Class License No Date Contractor Signat
WORKERS' COMPENSATION DECLARATION
NARNING: 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 ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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
rormance of the work for which this permit is issued. Policy No.
have and will maintain 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' compensa
❑ance carrier and policy number are:
Policy Number
of Agent
Date
JI 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 agree
tat, if I should become bjec o the workers'ccomppee9sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applican � l f- -�! Dd> e 21/ b/z /
)ECLARATION RE RD G CONSTRUCTION L NDING AGENCY f I
hereby affirm and penalty of perjury that there is a truction 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 s relating to building construction. q
I authorize representatives of this city or county �i en r, property for inspection purposes. Name Y� S M �Ly'1 �� )D �Z/1,61Z
lianature of Property Owner or Authorized Aaent X Print Propertv Owner's or Authorized Aaent's Na e
ACTION DATE BY DECLARATION IOF COMUf*eE-40ANDAQ OF RULEFEDERAL I FOR OFFICE USE ONLY REGULATIONS
PERMITCANCELLED r UEI`
PERMITEXTENDED 41 0A+)
PERMITFINAL U ASBE OS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF ` ` _ L PROP j1E D ITJ,L1�1
OCCUPANCY155UED 51 TIUR 1