HomeMy WebLinkAboutx2021-3449 - Permitswrr� City of Newport Beach - Building Division IIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�III COMB Permit: X2021-3449
100 Civic Center Drive, Newport Beach, CA 92660 Project No: 3022-2021
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 Issued Date : 02/01/2022
Combination Type - SFP MECH ELEC PLUM
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0210112025 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: 315 33RD ST NB
Description: SFR REMODEL 50 SF
Legal Desc.: LAKE TR BLK 233 LOT 17
Owner: HASTINGS DOROTHYIMARK
Address: 315 33RD ST
NEWPORT BEACH, CA 92663
Phone
Applicant:
SECORJOHN
Address:
14181 YORBA ST #202
TUSTIN CA 92780
Phone:
714-832-1700
Code Edit: 2019
Type of Construction:. VB
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:
Flood Zone: X
Valuation: $10,000.00
Building Permit Fee: $246.00
Plan Check Fee: $214.02
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $560.97
Contractor:
NEW ERA HOME SERVICES LLC
Address:
11132 LEXINGTON DR
LOS ALAMITOS CA 90720
Phone:
562-794-3754
Con State Lic:
1069180
Lic Expire:
09130/2022
Bus Lic:
BT30077862
Lic Exp Date:
02/28/2023
Worker's Compensation Insurance
Carrier: EXEMPT
Policy No: NO EMPLOYEES
Expire:
Building Setbacks Rear: /
Front: /
Left: /
Right: /
Use Zone:
Architect:
Address:
Phone: State Lic:
Engineer:
Address:
Phone: State Lic:
Designer:
Address:
Phone:
Special Conditions: LIQUEFACTION AREA as"`mA
Excise Tax:
$0.00
Planning Department-
Fire Department Ir
-
Additional Fee :
$0.00
Plan check Fee:
$0.00
Fire Inspe ��
Fire
$0.00
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Grading PC Consultant :
Grading Permit Fee:
$0.00
$0.00
SJH Trans :
In -lieu Housing Fee:
$0.00
$0.00
DemP Fee
Building Dept Adm
�,$
Grading PC Fee:
$0.00
Public Works Department-
General Service
u3.M
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit q��
O
$0.00
PAN Plan Check :
$50.75
Grading Bond:
$0.00
Electrical %:
$17.22
San Dist;
$0.00
Mechanical %:
$9.84
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$22.14
$0.00
Plan Check Fee:
$214.02
Fee
Due at Permit Issuance :
$346.95
PROCESSED BY: tIrn o^ CA
-JI n,
ZONING APPROVAL: G
GRADING APPROVAL:
PUBLIC WORKS APPROVAL:
0
PLAN C°H@C°K BY'o m
APPROVAL TO I.3FsUE ® o
0
0
`co
�
W(_
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 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).
❑ I 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://w .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 7000 0 • Division 3 of the Business and Professio Cod , and I!/ force
and effect. License Class License No Date'- qO 'oZ_. Contractor Signature
NORKERS' COMPENSATION DECLARATION
NCOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ARNING: 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
hereby affirm under penalty of perjury one of the following declarations:
—11 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
)erformance of the work for which this permit is issued. Policy No.
-11 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' compensation
nsurance carrier and policy number are: -
:arrier Policy Number Expiration Date
Ja fAgent Phone#
I certi that, in the performance of the w rk for " ich 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
a , if I ouldpbbecome subject t e w are, c p on p�ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
31 re ofA Applicant / �.
)ECLARATION REGARD( CONSTRUCTION LENDING AGENCY
Dat
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).
_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 behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county or inane s a stajB-JawS�lating to building construction.
I authorize representatives of this city or county toe r t abo I of ed at
for inspection purposes.
>ignature of Property Owner or Authorized Agent Print Prooertv Owner's or Aufhnn7pd AnenPs Nna i nln
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
NOTIFICATION TO
PERMITEXTENDED
PERMITFINAL I /^ 17 {7 1 A5BVTO5 yO ?IFICg�TIONIy�p f ICAB E TO
CERTIFICATE OF I6 t' (l(/i l,/J unn3nccn nvr. urA.- /%f /
OCCUPANCY ISSUED
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