HomeMy WebLinkAboutX2020-2050 - Permits (3)City of Newport Beach - Building Division 11111110111E 111113111111111111111IN1111111111111 COMB Permit: X2020-2050
100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1678-2020
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Permit Counter Phone (949)644 3288
„ Inspection Requests Phone (949)644-3255
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Issued Date: 07/09/2021
� " ��� , ' Combination Type - MFP ELEC
p Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0710912024 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: 1230 BERKSHIRE LN NB
Description: SFR REMOVE WALL IN BETWEEN KITCHEN AND DINING RM & INSTALL BEAM & POST
Legal Desc.: N TR 3031 LOT 20
Owner. NEWMAN RICHARD Contractor: OWNER/BLDR Architect: DENGHAUSEN HOWARD
Address: 1230 BERKSHIRE LN Address NEWMAN DONNA _ _ v..- Address: P.O. BOX 3381
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NEWPORT BEACH, CA 9?^�^'�gTi ATf NEWPORT BEACH CA 92659
Phone: P o e Phone:. 949-735-2580 State Lic.6014281 °° 0 000000
Engineer: o 0
Applicant: DENGHAUSEN HOWARD Date Co En g MORRIS KYLE
Address: PO BOX 3381 Lic Expir Add r s 1401
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' NEWPORT BEACH CA 92660 0'
NEWPORT BEACH, CA 2659 S Li
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Phone: 949 466-5283 cep D� F` '$ ,� Phone: 949-502-5323 State Lic C 072911
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Code Edit: 2019 W er s rra1Yton �sue4 g 6d iY4¢ °
Address:
Type of Construction: V-B "
Occupancy Group: R31U r Policy No:
Added /New sq.ft. Bldg: 0 Expire D
Phone: 0 ° 00
Added /New sq. ft. Garage: 0 �n4
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Special Conditions: o 0 0° 0 2f ``. ° 0 0 0 0°
No of Stories: 1 Builtitba s€?ea P
No of Units : 1 __ ,ont: I
Bldg Height: 0 1i 0
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Bldg Sprinklers: Right: /
Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone: N -
Construction Valuation: $5.000:®_ 0 f
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_ Fire Department
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Building Permit Fee: $161.00 xcis n,
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Plan Check Fee: $208.07 ' dit a~l F op,,10.
d.00 Plan check Fee : �_, ggrte Fire Inspection: $0.00
Overtime Plan Ck: $0.00 Grading/B9n�Jsl,��eeea=� �� b.00 Fair Share : (I $0`0'60 Fire Plan Rev $0.00
Investigation Fee: $0.00 Grading 1arlsvRar $4.00 SJH Trans : $0.00 Demolition Fee
- F?ecord Management: $6.00 Grading Permit Fee: $0.00 In Housing Fee : $0.00 Building DWe'
m $0.00
Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works ener $0.00
�A Seismic Safety: $0.003 dV Park Dedication : $0.00 R $0.00
"Disabled Access: $0.00 P/V1/ Plan Check: $0.00Insp. init�l $0.00
Hazardous Mat $0.00 Electrical %: Is : $0.00
Building Green Fee: $1.00 Mechanical %: _ $0.00
F P um ing °: $0.00 $0.00
TOTAL FEE : $439.34 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $439.34
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: 1l / _ 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 to its issuance, also requires the applicant for
the permit to file a signet{ 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 thatahe'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 HunIdre' d 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
111*1 (ovements 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
improved for the purpose"of sale).
as owner of the roperty, 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 o rop o aid—wh contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
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❑ I am exempt fro Ilicensure under the Co rs' tat " en_Law for the following reason ""`""
By my signaturecb�-_' w I actl as age that, e f er o e e In which I must have resided for at least one year pnor to completion of the improvements covered by this permit, I cannot legally
sell a structure#;el `nave 6ulh o een co cted in its entirety by licenseq poA ractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code., I �avaitable upon request wh . t "s li ion is subrlt or a e fbltovvirrg Web sltehi€pn€ afrra.gov/calaw.html.
Signature of (grope Ow', rized A - "%' i Date 'aj
LICENSED CONIRA OR'S CLA A %10,Li �* �.
I ne e'r affirm und�r pen; y of pe tha m Iicen 9u er pia s s f Chapte 9 comrr Icing with Section �(o o visi Y oAhfe�Bus�ness and Professions Code, and my license is in full force
and effect. Lir as Clas t ,& % se �,.. & �"�� Date Contractor Signature
W4�R`KERS' 0 -P'LPENS � aECLA OI� VE �'� � m to whom:
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�IARN.ING: FAILItRR8 T SiC ORKERS' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FI E HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPEMSsaT N, D VIDE ION 6 CHE LABOR CODE, INTEREST, AND ATTORNEY S FEES.
i tie`reby affirm under pen ity e - on e fo�
31 I tLave anal wI( rlsrain ace sate conse elf e fang coti is d by the Director of Industrial Relations as prodded for by Section 3700 of the Labor Code, for the
Derformance of�tt; work s per No.
I have andwil"I Pa mtain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for Ahich this permit is issued. My workers' compensatior
insurance carrier ayd`policy number are: r
Policy dumber
ie of Agent I II gj,a"�4 1 0
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certi that, in he P erForniance of the work for which Is a is i ued, I shall
if I should b - orne subject to thr; Wtr� provisions of Section 3700
signature ofAppl ani i
)ECLARATION E9
hereby affirm user
ender's Name
Iy my signature eloy
I am the prop
I have read this al
I agree to comply
I authorize repres
;ionature of Prooerty
CONSTRUCTION LENDING AGENCY
rti to each of the following:
er-otauthorized to act on t e
ration Date
ie #
biect to
Labor Code, I shall fba
(no Work sta
agency for the performance of the work for which this permit is issued
with all'applicable city and county ordinances and state laws relating to
antatives of this city or county, o e r the above-i - .I led property
Owner or Authorized Agent /.
ACTION
DATE
BY
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
e workers' compensation laws of California, and
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13f1J7, Civil Code).
gsa initials: u
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purposes.
erty Owners or Authorized Aqent's Name
OF COMPLIANCE WITH CODE OF FEDERALpR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
L.JAQMD
ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
ROPOSED DENWILITION
9 W I11,4AN Date