HomeMy WebLinkAboutX2019-0506 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIII�IIIIIIIIIIIIIIII� II COMB Permit: X2019-050
10 m Civic
Center port 8 Dative, N Beach, CA 92660 X 2 0 1 9 0 5 0 6 Project No:
s Inspection Requests Phone (949)644-3255
Issued Date : 02I79/2019
Combination Type - SFP PLUM
Inspection Area : 5
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 515 CAMEO HIGHLANDS DR NB
."°'"
Description: SFR REMODEL BATHROOM 74
SF (CITY STD PLAN)
'e;; ,.-
Legal Desc.: N TR 3519 LOT 117
f I
Owner: SANDRA DUDUM
Contractor:
OWNER/BLDR
Architect:
Address: PO BOX 4337
Address:
AUTH AGENT:
Address:
WALNUT CREEK CA 94596
JOHN REUTER
n `"
Phone: 925-766.7316
Phone:
Phone:
State Lic:
Applicant: REUTER JOHN
Con State Lic:
Ole
Engineer:
.41
Address: 515 CAMINO HIGHLAND
Lic Expire:
Address:
NEWPORT BEACH CA 92625
Bus Lic
Phone: 949-842-1199
Lic Exp Date:
Phone:
State Lic:
_
Code Edit: 2016
Worker's Compensation Insurance
Designer:--
--
Type of Construction: VB
Carrier:
Address:
Occupancy Group: R31U
Policy No:
Added /New sq.ft. Bldg: 0
Expire:
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: I
Special Conditions:
No of Units : 1
Front: /
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
Flood Zone: X
Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $6,000.00
Building Permit Fee: $168.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $146.16
Additional Fee:
$0.00
Plan check Fee : $40.00
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: $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 %:
$0.00
San Dist: $0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$15.12
$0.00
TOTAL FEE : $372.28
Plan Check Fee :
$0.00 Fee Due at Permit Issuance : $372.28
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, prior-tcits 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,
BusiQQ s 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
V,mprovefor the purpose of sale).
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(
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).
exempt from licensure under the Contractors' State License Law forthe following reason:
By my signature below I acknowledge that, except for my personal resi nice i hi ust have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal])
sell a structure that I have built as an owner -builder it has not be tr Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the usiness and
Professions Code, is available upon request whe 1s appli e r at t e following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent D
LICENSED CONTRACTOR'S DECLARATI N
I hereby affirm under penalty of perjury that I am ice under p visions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: 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.
I hereby affirm under penalty of perjury one of the following declarations:
111 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 th
performance 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'
rance carrier and policy number are:
Number
of Agent
Date
I certify that, in the performance of th rk f Molad this per ' s ' I shall not employ any person in any manner so as to become subject to the workers' compensatio laws of alifornia, and agre
ha if I should become bject to t D -..Be I visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. `` /,
signature of Applican Date] j4
)ECLARATION REG NS ENDI G AGENCY // �%,
hereby affirm under pe 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
)y 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&orret'.
agree to comply with all applicable city and county ordinances I relating to building construction.
I authorize representatives of this city or count to enter the e for inspection purposes.
signature of Property Owner or Authorized A en Print Property Owner's or Authorized Agent's Nam a
ACTION DATE BY D RATIO OF C&MqIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
EGULA.TIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO _
PERMITCANCELLED UEPA ,
PERMITEXTENDED QMD - -
PERMIT FINAL / %J ASBEST�NOTIFICATIAP TO
CERTIFICATE OF • (�\ PR OSE
OCCUPANCYISSUED SIGNATUR
1 o c L m m C N a �+'D a a m m N N 01 m T
c fO .� J c %ti ,�� : c N' m a y cmi :o v o c n c
p E m m p O C Y=`� j; C m �., o C N .L_. N N C N
N li y w ° m m° N 3 y Y N O a U C 'c5 J w0 O J N-0 E O
y Oc— E .oN ai'i c _ w aim _
com> O osoa�Eo Nn m m ma �c� :W Ox ...
C OI O m N N m .J J N m a J
L m Z C m m U L N C C N C V N« = N m N
0 U a C Q m O h ?' -O N N 7 J y C U w C N 9 T O C m y .-•
a1 y 9 p Q T N T J_'C -O m m U c) J a E
> aL. L m ._ 'C O. -O O. m N o N (i LO -O y N
-6' cm 13ma 0' m aNmn�O ;� $aci �� Ea:° c Oc E�
o c c u m O a._ E m m o m m 9 y N - N d N m
J '> >•v� LL `o na�mmorn TE - a 3m 3 T- `mc
o mm �c Z a mc� i� rJ om -mo �`-0 `-°cv QOSca °-3
T Er �• c c Y3m`m m mm c o me c$u.c wo
Y T wo m LL wm. °- L O O O N >+ C 0 p a d J m `. .L.. C
�c O L' (>D U og ms a as vo° 2U L�
ya O Z m m mL N rncmi T °- c Na m w um m E 6 u u o-
w m m C m 0 p C Q O m 'C L m a m O j a a �/1 - J m° 3 N
Z T C C H ' "' O. C> N N L` m Y 'dj N `L-' N p
C m E U O :ai �. y y m C U C O) C C C Or-
o O' > C m O T N .•L.. E° O >�
mA E J A T LL ,2, c E y m'>, 'm�j am cmi T:� m m 3
Lf)F Ti`-°>' d�m c �'smm>E as �cc m Nmm N-m°E �Em= p.
N ca
c\\ mY mJ°' w .o, m :2 cL N m3 a m°1w �'>� a?m� o.°N
w N 30 ` N« �- , g -O N m aai n ,N a N £ '� T ° m m N E `n U N a a m n N N
r n' Ym Lmm O 3 mn� �oE m� mE 3 �Nc yo` mE ��m
U a Q3 0U) Z o cEcDa) co mco m a) J TX m. w�`oc -yE
(n d J N T m o, T 3' m m O' O) - d T m O m O m O >, p m m J
N O O '� C w N` a L N Q. •• U n N N O
= O c,�an ..0 Z �in0JE = n� aN 20 Eooc Ac,'. -Nn
w n J c E N E o n 10 m e w c o v E a r c n m w c a3 co c
U N �N 0damm do 9°'m Qc oud mo-a0 U�3 -0 cc
m mY �c O �° m3 mm mwE �u a'omJ mca E
H Lm 3_ �LJ W Ncm-aaicm Nm �mm m-° oTm doE0 EmNy ppC�
Z EcOa 0--o J m ayT@-NE Ec cTd mm o.-a v�u0 °Naaio N3
n�mo`m cco O m c..c�a�a a� OEt N`O ''N-' nmm �3c° mac= 3nLm•
MntD-:°vac Z '� a)EvwO 'm rn° caui° c) Ems c°icEm L)—R Ooc
m N O C U m N E2 m > C m >, = O C
CO �� U IOD nama :o` �:c n - o EEBm aiAT - mmN
nc 'o wrn-JE. Nnc cc ,emu mcnm c a�u
mo�Mmam Q 9m co oo -om .o Jm ami �c0
E T O C C «, y m m C m :C L m d C m a U L w m E a T m
N m m _T 3 m U a a d T T a U c E w a C m T a O C N C C m -O C D
co>E'oONaxy w am mJoma w ° m�Jm aEv �`>c
3w° mHm E Ei MaE o �'w°c co
O c o.:� c m° Z �i m E E c- `-E d't E m
T°E>o10NOO1o� Li mmc°e0C mo aim m'c amu a)d) v am v
O. U a N N C N C N O O ?? m` O m O j N E .0 N N 'E to >, O J a) C
n m J C m Ol - m O N '� - N C -° J a. m - 6 C - S] o
o n oE• o uc .0 mo. -N -m mm -cca -mv mu
d m 0 m T C �i 'N U m m .0 T p� T N C E2 m 4 V N N E w N$ m I- 0 O C (� ao
c g m m m •> m E WW- c c E c E/^.;I o.f/,,p(p�7,m c c mm y of 3 r_ c a c
�CD
Q m�mo�o3m yJ3CCU C`--�I Q)�IIC co
CT� O(^�Imm
❑ r ET o.on O o�-Omo •�� JL Um Nm�ll llY, `03U`/Y-s
Z
-0
m n v n
D
Z
o, o
a
3
`CD
coi
� D0d
y
o
.D
y.o
3.},� °
o
^
is N a
O
N' c
7
o
D
D
m W O
I
N
in'' N a
N O a W
C
.c.1
0
O
O S
N
(CD d O
0
CID,
7
p
,.�.. < N
Cf.
C N .C.. N
N
CL
N
O.
D
d
m
m z w `<
Co
to
m
O
CD
a
CD
CD
I�
CD
M
C
a
0
Q
CD
fD
CD
CL
S
fD
J
m
8 0 -
CD CD 3 CD
D N N
4 °
N � S
m nm
c"a
fD
a° a
Q C (D
z
O
N
N
CCSp M
boo.
O N
�Y}\
i
m a
Z3 0
IN
cn S DTI
O D N
° (D 0 O' L'
J a
O CD
J 7,<=
—CD
S
C IDCD CD
J CN/l I N
-p w
Op. o
O Q N 0
N CD N
wO ID J CD
v O o `<O
o M �.m
J CAD CD
O fD CD
o CD a
m
vm�o
300
n w J
0
3 m o
-O `3G S
D w S
j —
NC
J
O
CD fD
w m
'o m
O a
O y
J
w COD
J y
CL
0
N w
� m z
CL
1
G0 N
CD
CD O
1
CO
w �
O �
O C
W ?
O
N
N
� NI
CD O/
m 3
N.
m
O 'C
CD
o
a CD
a0
oa
1 CD
m 0.
0 0.
�N
(D
D
O
7
o CD
1 1
O
CD
b ZofA
poao n=hFr
ID
m 0 a
N
a0
fD (O -O N N
m
J=O pDiNa
Cp O w
N N O N
Cl ff a Q
F O c
.w. J N y O J 0
CD N
O O O OM
sa o
!D ^'
J< p 3 N
M�
CG
W
C C'C SQO O
O c N 0
fDSam
Q w
wed.>>3wu+
-0fD p
O p J a° w n w
3amo
oJva—N 7N
K -00 w
CD O N N O 0 CD f0
ms_3ocd- c
Q
CO 0 J CD CD
C O 0 CD.
a
N CD y 3 vi ai
Q 7 N C
o
N 7 �<
w R£ O
00 4i w
= �< N N N
CL
p `I-iDno
�N0-
CZ S
v:,
D CO CD ' Cm a
C'aa. ,
M
Nw
j." � 0
w CD aw om�
CD Uri
CDCDworm
O O r °-
o'n'cD3
b
oa0<00
a� x o 3
0 N G N,
'
7
CD N' 'J C 'O N °
=CO Ol w 0
Q
O � CD
0
0
—0 0 C .J. Cn
7 O
F o
m o y' 3
A
? < a m
y fD C CD 0 CD
1
N V
m m
CDn
0 e
MOLL
o0a
w _Q
amCD CD
w
N
C•
CDCD M
w p
N
Cep 'w+ W
N O w Q C
C J D
�m =
01 0 3 c� 00
G
N �, `wG 0 CO N
CD
JQ
ww
0= Q fD w N 0
�• Q CD N T' ..
G S
N — i.
3 W
CD p_ `<
CD a n c C S
�y
CS 'O
°
`GU —0Ow
c
00F3
N S
CCDD
N CD 7 w
a w w o
O CD 0
a.< CD
w w c
CD
v CCD
N O O
N N O 0 O _w
j N
M CL
N -_ o.- �N
y
N (D 0'(D �! J w y CD
Cl w w w ! -
? O fD M 3 m' Cr0= g 7
n
—p a' CD O .C.. N aCD
<
< `G w N "O Z N 0) CD ° `wG
CD wS �a fD yC)SO
-O (D .O N .< O CD r N N Q
° Diw f0mnc
<0 = 0o
w-c aNm OOJ3aw� ^NwO
a?.
om7
CD
Jmy aw 0o<.w g
S w N. (D J
0 '0
M _ 7 cn
3 Ea a 1 �. cn m
co M
3 7 V G W W C W
CD C. J N C. w
°' w O CD N N w
mCL
N CD '< J Q O CD1 N
J 0o M
° Ny �ma wda3
0y 2-0
a COO Q O (D r w pl 10
a N W 'O 3 O7 y O
3 p y O J O
O CD w N C J
J a -O v J N
N Os O'O NC N N
CL N ? CD n
NCD 'O N a O w
7oco s
JCD-
-.0 _ _. 25 — J 3
N 1 N 0 J N O
O w a J 3 C0� w 00
N N y <. N [D O M '1
J - 3
m m o CD o 0 3 0
3
O Vwi J 0 a O N S
0
CD