HomeMy WebLinkAboutx2021-1737 - Permitst41r�. City of Newport Beach - Building Division *X2021-1737" COMB Permit: X2021-1737
100 Civic Center Drive, Newport Beach, CA 92660
`;., Permit Counter Phone (949)644-3288 Project No : 1522-2021
Inspection Requests Phone (949)644-3255
"+atraa`" Combination Type - SFP Issued Date : 07/06/2021
9 Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/06/2024 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: 1831 PORT MANLEIGH PL NB
Description: SFR REMOVE 2ND FL BALCONY
8: ADD WINDOWS (3)
Legal Desc.: N TR 7029 LOT 15
Owner: LANGFORD LARA
Contractor:
J P CONTRACTING Architect:
Address: 1831 PORT MANLEIGH PL
Address:
3419 VIA LIDO #233 Address:
NEWPORT BEACH, CA 92660
NEWPORT BEACH CA 92663
Phone: 949-212-7265
Phone:
714-337-3700
Phone:
State Lic:
°
•°
Applicant: PALMERO JIM
Con State Lic: 620654
Engineer:
CHEN EMILY HSIAO HAN
° °
Address: 3419 VIA LIDO #233
Lic Expire:
05/31/2023
Address:
22629 LAKESIDE LN
P 1 • • • •
e , ° p ° o
NEWPORT BEACH, CA 92663
Bus Lic:
BT30046672
LAKE FOREST, CA 92630
�•J •, a
° °
Phone: 714-337-3700
Lic Exp Date:
07/31/2021
Phone:
310-617-9098 State Lic:C-07331� •
• • •°
Code Edit: 2019
Worker's Compensation
Insurance
Designer:
4�L.•.'°°',
•• °
Type of Construction: V-B
Carrier:
WC EXEMPT
Address:
! it ° ° ° °
• • • °
Occupancy Group: R3/U
Policy No:
(NO EMPLOYEES)
V ) ° ° o °
° • o
Added /New sq.ft. Bldg: 0
Expire:
Phone:
• • • ° v
......
Added /New sq. ft. Garage: 0
° ° ° • °
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions:
•
......
No of Units: 1
Front: /
o•°O0• ,`
a ° a
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
o°°,°•
°°,•�•
Flood Zone:
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $25,000.00
Building Permit Fee: $501.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $435.87
Additional Fee :
$0.00
Plan check Fee:
$52.00 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: $24.00
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
PNV Plan Check : $0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical W
$0.00
San Dist : $0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $1,013.87
Plan Check Fee
: $0.00 Fee Due at Permit Issuance :
$1,013.87
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
(�
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION w
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)
action 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
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
ifessions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
ainess 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
)rovements 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
)roved 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
)ly 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:
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 legallt
I 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
Ifessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi.
nature of IR"arty Owner or Authorized Agent Date
;ENSEOZGORACTOR'S DECLARATION
Rby affiQn under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 'f glvislgn 3 of the Business and Proles ' ns-Cd (nd my license is in full force
i effect. iL2nse Class License No Date �— oC Contractor Signature
BRKERS' COMPENSATION DECLARATION
INING: FAILUjiE =Q SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP I ONE HUN R THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE
yT OF COMNENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
)jEoy affirm under penalty of perjury one of the following declarations:
have and Ovjll,lflaintain 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,
formance of the work for which this permit is issued. Policy No.
tllve 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' compensatiol
prance cartigr.9nctpolicy number are:
of Agent""'
in the performance
become subiect to 1
of
Policy Number
Date
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 agre,
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date 6 1(-a�
w i ckInwr_ er_cury
:reby affirm under en ty 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).
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 county ordigpnces d s
I authorize representatives of this city or county to eyter the dentifiec
to building construction.
)r inspection purposes.
Print Prooertv Owner's or Authorized Aaent's Name
ACTION DATE BY X RECULAATTIONS PART TION OF 0MPLIANCE 61 OF TLE AN AND RCODE OF UBLE
PERMITEXPIRED I I x L-I SUWITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EpA
PERMIT FINAL k ('LC (Z JC<' P�ROAPOESTOS N TIIRCA IO �S NOTAPPLICABLE TO
CERTIFICATE OF V ll0 ((//yy NQ//I,'.r)".\-'
OCCUPANCY ISSUED IGNATURE: 1JIM
FOR OFFICE USE ONLY