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HomeMy WebLinkAboutX2022-1424 - Permitsg Ysy City of Newport Beach - Building Division c b 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 .. n Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM *X2022-1424* COMB Permit: X2022-1424 Project No : 0589-2021 Issued Date: 05/18/2022 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 1436 NEWPORTER WAY NB Description: DELTA 5 REVISION & ADD'L SCOPE: KITCHEN REMODEL REPLACE SWITCHES, LIGHTS, & OUTLETS. Legal Desc.: N TR 15011 LOT 40 Owner: HOGAN LISA Contractor: WORLD COMMODITIES INC Address: 1436 NEWPORTER WAY Address: PO BOX 128 NEWPORT BEACH, CA 92660 HUNTINGTON BEACH CA 92648 Phone: Phone: 714.750-5000 Applicant: LUCERO ISRAEL Con State Lie: 1065929 Address: 1228 S CEDAR ST Lie Expire: 06/31/2022 SANTA ANA CA 92707 Bus Lic: BT30074657 Phone: Lie Exp Date: 03/31/2023 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 Flood Zone: X Construction Valuation: I Building Permit Fee: $246.00 Plan Check Fee: $214.02 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $566.22 PROCESSED BY: ZONING APPROVAL: 9 Architect: MCGRAW ROBERT VJUG° Address: 305 N COAST HWY #K LAGUNA BEACH CA 92651 Phone: 949-494-0812 State Lic:C018387 ° Engineer: VOLPE ROBERTM a Address: 20321 LAKE FOREST DR STE D-6 °p LAKE FOREST CA 92630 ° Phone: 949-305-0700 x1 State Lic:C-025116 a o Worker's Compensation Insurance Designer Carrier: FALLS LAKE FIRE AND CASUALTY C Address: Policy No: FLA01777200 Expire: 09/29/2022 Phone: Building Setbacks Rear: / Special Conditions: Front: / Left: / Right: / Fire Hazard Zone : N Excise Tax: $0.00 Planning Department- Fire Department Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm Grading PC Fee: $0.00 Public Works Department - General Service WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit PAN Plan Check : $0.00 Grading Bond: Electrical W $17.22 San Dist: $0.00 Mechanical %: $9.84 NMUSD Fee: $0.00 Plumbing %: $22.14 Plan Check Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $566.22 PUBLIC WORKS APPROVAL: PLAN CHECK BY: YT 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 to its issuance, also requires the applicant for is 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 'rofessions 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). 3 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an ov7r"ttioroperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exerrTd4Tr'om licensure under the Contractors' State License Law for the following reason: Vy wy signaME bElgw I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legallt ell a'strudu';a thebl have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Irotessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. �iynature of Property Owner or Authorized Agent Date .ICENSEDOONTRACTOR'S DECLARATION Tigreby affirm u n$esr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of ivion 3 of the Business and Profession Code y license is in full force riq gffect. License Class License No Date --� Zvi —Contractor Signature WlikERS' EQMPENSATION DECLARATION I4Rf4V: 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 OV COMPEVSATLOSN.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm LF-ber penalty of perjury one of the following declarations: 7, *pgve 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, erformance of the work forwhich 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: Policy Number Expiration Date of Agent 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 , if I should become subject to 1Ae wolkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant DateX DECLARATION REGARUING CONSTRUC HUN LENDING AGENCY I 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). Lender's Name Lender's Address By 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 laws relating to building construction. I authorize representatives of this city or county to enter the above-ide d property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name9 Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LIEPA PERMIT EXTENDED QM D PERMITFINAL �-�I. ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF �/j PROPOSED DE_M7n1ITIO OCCUPANCYISSUED SIGNATURE: '71.