HomeMy WebLinkAboutX2022-0502 - PermitsCity of Newport Beach - Building Division
0 Ley 100 Civic Center Drive, Newport Beach, CA 92660
F. r.. Permit Counter Phone (949)644-3288
cs. Inspection Requests Phone (949)644-3255
g tirn N'' Combination Type - SFP MECH ELEC PLUM
*X2022-0502*
COMB Permit: Xe'
Project No: 04e9-�022
Issued Date : 02118/2022
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED 3Y 02/16/2025 (IR PERMIT W1.'_L BE INV)
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.,n. No work on .Sundays or Hols'drys
Job Address: 441 ISABELLA TER NB
Description: SFR REMODEL 500 SF: KITCHEN 8 BATHROOM. WINDOW INFILL @ KITCHEN 8 BATHROOM.
Legal Desc.: N TR 1237 LOT 161
Owner:
OSBORNE MICHAEL
Contractor:
OWNER/BLDR
Architect:
Address:
441 ISABELLA TER
Address:
OSBORNE MICHAEL
Address:
CORONA DEL MAR, CA 92625
O/B FORM ATTACHED
Phone:
559-960-8364
Phone:
559-960-8364
Phone:
State Lic:
Applicant:
OSBORNE MICHAEL
Con State Lic:
O/B
Engineer:
MOBED MEHDIABADI SASAN
Address:
441 ISABELLA TER
Lic Expire:
Address:
3842 HENDRIX ST
CORONA DEL MAR, CA 92625
Bus Lic:
IRVINE CA 92614
Phone:
559-960-8364
Lic Exp Date:
Phone:
310-433.7927 State Lic:C-075884
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units: 1
Bldg Height: 0
Bldg Sprinklers: N
Building Permit Fee: $1,387.00
Plan Check Fee: $1,206.69
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$28.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$5.00
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical W
Mechanical W
Plumbing %:
Rear: I
Front: /
Left: /
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$97.09
$55.48
$124.83
TOTAL FEE : $2,956.09 Plan Check Fee
PROCESSED BY: VS
ZONING APPROVAL: P R
Designer: PLAN AND PERMIT LLC
Address: 9891 IRVINE CENTER DR #200
IRVINE, CA 92618
Phone: 714-715-0923
Special Conditions: FHSV ZONE
LANDSLIDE RISK
Planning Department -
Plan check Fee
Fair Share
SJH Trans:
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PNV Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$52.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $2,956.09
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER DEC-LARAT,014
I hereby affirm under peb.alty of pH.rjdry rnat i am e, empt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) 1 have placed next to the applicable item(s)
Section 7031.5, Business and Profe„siuns Ccde: Any city er county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
is permit to file a signed statement that he or she is Ilcenseo 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 lcensure 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).
1 I, as owner of the property, or my Pmployees with wages as tKair 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,
lusiness and Professions Code: T he Coltractor_' State L'cen^e I aw does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, providedthat the
nprovements are not inte.idod of offered for seen. 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 raved 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 buifds 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:
iy 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 legall,
ell a structure that I have built as an owner -builder if it has Qgit been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 ofilbe Business and
'rofessions Code, is available upon request when this appli ion d or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 7
signature of Property Owner or Authorized Agent %< Date / 8 z
.ICENSED CONTRACTOR'S DECLARATION
hereby 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 Class License No Date Contractor Signature
COMPENSATION DECLARATION
ING: 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
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
'ormance 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
Trance carrier and policy number are:
Policy Number
of Agent
Date
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
if I should become subject to the workers' compensation provisions of Section 370C of the Labor Code, I shall forthwith comply with those provisions. �c Iature of Applicant2S / `�./ / Date / 6 z�
IECLARATION REGmRDING CONSTRUCTION LENDING AGENCY
hereby 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).
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 is correct.
I agree to comply with all applicable city and county ordinance and state laws relating to building construction.
I authorize representatives of this city or county to enter th ,c��e/�}Identified property for inspection purposes.
ignature of Property Owner or Authorized Agent X l / � Print Propertv Owner's or Authorized Agent's Name I6 05�0 V
ACTION I DATE
PERMIT CANCELLED
PERMIT EXTENDED
PERMITFINAL
CERTIFICATE OF �l
OCCUPANCYISSUED
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AOMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
9/ ASBESTOS NOTIFICATIO 5 APPLICABLE TO
�V PROPOSED DEMOLITION
SIGNATURE: X
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