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HomeMy WebLinkAboutX2021-1589 - Permits1tYk��x City of Newport Beach - Building Division IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1589 :off' 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 5 8 9 Project No.: Permit Counter Phone (949)644-3288 �/\ �^ - ' Inspection Requests Phone (949)644-3255 X / J Z I - I �g" 1 -* �'±asreyfi Combination Type - SFP Issued Date: 06121/2021 34 L- n 1-() (/l y- Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/21/2024 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: 345 LA JOLLA DR NB Description: SFR REMODEL 40 SF (2ND BEDROOM CLOSET) Legal Desc.: TRACT NO 444 LOT 2 FOR OF LOT AND POR ABAND STIR (BEACON STIR) Owner: LITTRELL NATHAN G Contractor: OWNER/BLDR Architect: Address: 345 LA JOLLA DR Address: LITTRELL NATHAN G Address: No of Stories: NEWPORT BEACH, CA 92663 No of Units : 1 Bldg Height: Phone: 949-574.2728 Phone: Flood Zone: Phone: State Lic: Applicant: LITTRELL NATHAN G Con State Lic: OIB Engineer: Address: 345 LA JOLLA DR Lic Expire: Address: NEWPORT BEACH, CA 92663 Bus Lic: Phone: 949-574-2728 Lic Exp Date: Phone: State Lic: Code Edit: 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage:` 0 No of Stories: $0.00 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Building Permit Fee: $144.00 Plan Check Fee: $125.28 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $318.53 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Designer: LITTRELL NATHAN G Address: 345 LA JOLL DR NEWPORT BEACH CA 92663 Phone: 949-574-2728 Special Conditions Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share : Fire Plan Rev SJH Trans : Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 PM Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $318.53 ° ° ° PLWC WORKS APPROVAL: 0 0 00 0 PLAN CHECK BY 0° .4 PROVAL TO ISSUE 0 0 0 0 c o oc ooc c o 00 00 000 Fire Department $46.25 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $318.53 ° ° ° PLWC WORKS APPROVAL: 0 0 00 0 PLAN CHECK BY 0° .4 PROVAL TO ISSUE 0 0 0 0 c o oc ooc c o 00 00 000 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) 3ectio.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 Contra nse 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 axe n. Any violation of tion 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of ogre than five hundred dollars ($500). ri' '�_ 7J , as owner of the property, or my employees with wages as their sole compensati n, will do w7 all of or u portions he work, and the structure is not intended or offered for sale (Section 7044, lu ines d Professions Code: The Contractors' State License Law does not apply t n owner of property who, t gh employees' or personal effort, builds or improves the property, provided that the n me is are not intended or offered for sale. If, however, the building or improvem 's sold within o r of completion, the Owner -Builder will have the burden of proving that it was not built or ro or 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 to 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: ly 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 legalh ell a structure that I have built as an owner -builder if't has not been constructed in its en' by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when h' application is submitted t t of ite:http://www.leginfo.ca.govlcalaw.htmi. D ♦ �` signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATI hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 commencing with Section 00) of Divisio, 3 of the Business and Profes jos Code, and my license is in full force not effect. License Class License No Date_ Imo% z Contractor Signature I VORKERS' COMPENSATION DECLARATION IARNING: 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 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 th erformance 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: Policy Number Date ne of Agent—i-none s certify that, in the performance of the work r hich 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 agre t, if I should become tbiect toth workers c pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date /y� I � 4 CLARATION REG/RD-MG CONSTRUCT LENDING AGENCY ereby affirm under enalty of perjury that t ere is a construction lending agency for the performance of the work for which this permit is issued (Section 309 Civil Code). Ider's Name Lender's Address 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 co my ordinances and state laws relating to building construction. I authorize representatives of this city or co ty o entertheabove-ide tified property to 'nspection purposes. nature of ProDertv Owner or Authorized Aoent 4 r 1 V ) _ not Property Owner's or Authorized Agent's Nam ll�yrl`Ll ACTION DATE BY JA REGaLA.TIONS PART 0MPLIANCE WITH CODE OF 61 OF TITLE 40 AND AQMD RULE�L FOR OFFICE USE ONLY PERMIT EXPIREDLJISU ITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EP • • PERMITFINAL - PROPOEST Sf ND IFICATIO NO APP CABLE TO CERTIFICATE OF PROPOSE DEM LITION • • • • • • • • • • • OCCUPANCY ISSUED SIGNAT I E: ••• •• •• • ••• •• ( V CA oaa occc u o anc. oe a 0 0 c o c xo c - A O OHO Q O O 60( c� N O) T �/1 O) a) T a1 1®aJ C J a) n @ c = N c0 w "O 'p N J C C w .'O. 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