The URL can be used to link to this page

Home My WebLink Aboutx2021-2514 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2021-2514 .'� 100•Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 2 5 1 4 Project No: 0344-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date: 09/2312021 Combination Type - SFP .. Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/23/2024 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: 216 20TH ST NB Description: DELTA 4 - INCR SCOPE OF WORK. RIR DRYWALL & INSULATION THROUGHOUT (REV21.1451) Legal Desc.: R BK 60 PG 16 PAR BOwner: ERIC INC �pU{+I7�-lpp'� T p NOISE MI ;tb STRUCjTION NOISE Address: PO BOXlTZ 2 1426 Addressor 4 9 62NO ST Address: Address: 11207 LA LOS ANGELES CA 90024 NEWPORT BEACH CA 92663 LAGUNA BEACH CA 92651 Phone: Phone: 714-336-1966 Phone: 949-378-3895 State Lic:C017042 Applicant: J P T CONSTRUCTION INC Con State Lic: 879360 Engineer: Address: 40962ND ST Lic Expire: 06/30/2022 Address: ®� l"�� 1AtCC1lCAI® WEEKEND NEWPORT BEACH CA 92663 Bus Lic: BT30014788 Phone: 714-336-1966 Lic Exp Date: 01/31/2022 Phone: State Lic: Code Edit : 2019 - Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: WESCO Address: Occupancy Group: R3/U Policy No: WWC3520405 Added /New sq.ft. Bldg: 0 Expire: 04/07/2022 Phone: _ Added /New sq. ft. Garage: 0- No of Stories: 2 Building Setbacks Rear: / Special Conditions: REV21-1451 No of Units : 1 Front: / Bldg Height: 0 Bldg Sprinklers: Left: / Right: Ii - p UN Flood Zone: Use Zone: Parkin Spaces: 0 Fire Hazard Zone : N lJ 6 - Construction Valuation: $100,000.00 Building Permit Fee: $1,209.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $13051.83 Additional Fee : $0.00 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 : $4.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $2,264.83 Plan Check Fee : $1,051.83 Fee Due at Permit Issuance : $1,213.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION j 1 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 applicablOtem(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 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 Professions 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 not 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, 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 improvements 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). ❑ 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 apply 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 legally sell a structure that I 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section OOL� f Divis'on 3 of the Business and Professions my license is in full force and effect. License Class License No Da i 'L. T Contractor Sig natur WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED SAND DOLLARS ($100,000), IN ADDITION TO THE COST 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: 1 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 the 'E"Vrmance of the work for which this permit is issued. Policy No. JI ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensatioi n ante carrier and policy number are: 3arrier Policy Number Expiration Date Vame of Agent Phone # :1I certify that, in the performance of th w ch this s issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree hat, if I should become subject to the r pe provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. e TT Signature of Applicant CA", I l2. ) I2 IECLARATION REGA DI C STRU Tf6N_LE DING AGENCY v` hereby affirm under pe ty erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -enders Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's b I have read this application and the information I have provided is Co c . 1 agree to comply with all applicable city and c unty ordin n es ap s to law relating to building construction. I authorize representatives of this city or cou to enter t entified for inspection purposes. /y�'�'1 �,7��7� Signature of Property Owner or Authorized Ag Print Property Owner's or Authorized Agent's Nam - 1 . ' " '� � Date ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED LIASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION