HomeMy WebLinkAboutX2022-0209 - PermitsCity of Newport Beach - Building Division *X2022-0209* COMB Permit: X2022-0209
n 100 Civic Center Drive, Newport Beach, CA 92660
p Project No : 0996-2019
W,, v Permit Counter Phone (949)644-3288
"Inspection Requests Phone (949)644-3255
{ n Combination Type - MFP ELEC MECH PLUM Issued Date : 01/24/2022
e I o" r �-F Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0112412025 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: 121 42ND ST NB
Description: MFR REMODEL KITCHEN & (2) BATHROOMS 800 SF *STOP WORK 119.0418 (RENEW EXPIRED PERMIT)
Legal Desc.: RIVER SECTION BILK 42 LOT 19
Owner: HEGARTY BRIAN
Contractor:
OWNER/BLDR
Architect:
AUST ERIC
Address: 39 VIA TORINA
Address:
DISHON NICOLE
Address:
62 BALBOA COVES
SAN CLEMENTE, CA 92673
NEWPORT BEACH CA 92663
°
° ....
Phone:
Phone:
310-702-6220
Phone:
949-637-5220 State Lic:CO29374
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Applicant: AUST ERIC
Con State Lie:
CIE
Engineer:
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Address: 62 BALBOA COVES
Lie Expire:
Address:
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NEWPORT BEACH CA 92663
Bus Lie:
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Phone: 949-637-5220
Lie Exp Date:
Phone:
State Lie:
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Code Edit : 2016
Worker's Compensation Insurance
Designer:
•mm•
m
mm e o 0
Type of Construction: V-B
Carrier:
Address:
Occupancy Group: R3/U
Policy No:
Added/New sq.ft. Bldg: 0
Expire:
Phone:
m°• °•
m ` 1,
Added/New sq. ft. Garage: 0
• ••
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No of Stories: 2
Building Setbacks
Rear: /
Special Conditions: OWNER/BLDR ATTACHED
NoofUnits : 2
Front: /
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Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
Construction Valuation:
$0.00
Building Permit Fee:
$0.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $0.00
Additional Fee :
$1,316.00
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:
$0.00
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 :
$0.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL
FEE : $1,316.00
Plan Check Fee
: $0.00 Fee
Due at Permit Issuance :
$1,316.00
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)
fiction 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 requireslhe applicant for
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
ifessions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, *�
$iness 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
)rovements 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
)roved for the purpose of sale).
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
tyto 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:
my signature beloy✓.I acknowledge that, except for my personal residen a in which I must have resided for at least one year prior to completion of the improvements covered by this permit. I cannot legalll
a structure that have built as an owner -builder if it has not b din its entirety
-by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Busin as and
�fessions Code; VdAvallable upon request when thi applicasu or at the f flowing Web site:http://www.leginfo.ca.gov/calaw. html.
AM; of PropDaX Qyvner or Authorized Agent Dat
,04SED CONTRACTOR'S DECLARATI
Ilepy'Bffirm under penalty of perjury that I am licensed under provisions of apter 9 ommencing with Section 7000) of Division 3 of the Business and Professions Code, d my tense in full force
I effect. License Gass License No Date Contractor Signature
YP, jERS' COMPASATION DECLARATION
WING: FAILURR"SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, A D HALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
i7Df FOMPENSATLOV,D.AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR E, INTEREST, AND ATTORNEY'S FEES.
:fdb� affirm under penalty of perjury one of the following declarations:
•••••
1 ha're and wdll 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 the
)rformAnce ofElI,-,e4org for which this permit is issued. Policy No.
.••00
,I,tWe and will ma"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' compensatiol
surance carrierccl policy number are:
arrier Policy Number Expiration Date
ame of Agent Phone #
I certify that, in the performance of the for w ich this permit is iss d; I shall not employ any person in any manner so as to become subject to the workers' compensation laws o California, and agre,
at, if I should become ct to the w ensation provisi of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
subj r n'7
gnature of Applicant Date
ECLARATION REGA ING C W UCTION E DIN ENCY
iereby affirm under penalty of p ury that there is a c tru ion lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode).
order's Name Lender's Address
y my signature below, I certify each of the follow g:
I am the property owner or But ' to act arty owner's behalf.
I have read this application and the information a provided is correct.
agree to comply with all applicable city and c unty o e d state law elating to building construction. A F
I authorize representatives of this city or cogpf to v identifi property for inspection purposes. N1AMIA I I firm 14A ��%LPI rliC
DATE I BY
PERMITEXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
REGULATIONS
EPA
SIGNATURE:
VCE WITH CODE OF FEDEI
ITLE 40 AND AQMD RULE
NOTIFICATION TO
ISNOTAP (CABLE TO
FOR OFFICE USE ONLY
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