HomeMy WebLinkAboutX2020-1725 - Permitsv City of Newport Beach -Building Division
�t 100 Civic Center Drive, Newport Beach, CA 92660
t~ �, 'Permit Counter Phone (949)644-3288
v 4* Inspection Requests Phone (949)644-3255
Combination Type- SFPELEC MECH PLUM
COMB Permit: X2020-1725
II�IIIIIIIIIIIII�IIIIIIII�IIIUIIIIIIIIIIIIIIIIIII II
r Project No : 1370-2020
Issued Date : 08/20/2020
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0812112023 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 Holic`ays
Job Address: 219 NORTH STAR LN NB
Description: SFR- KITCHEN REMODEL 300 SF. RIR 2ND FL REAR DECK. RIR WINDOWS & DOORS @ REAR OF HOUSE
Legal Desc.: N TR 4224 LOT 104
Owner:
CARR TIMOTHY WALTER T
Contractor:
Address:
140 NEWPORT CENTER DR
Address:
NEWPORT BEACH, 92663
Phone:
Phone:
Applicant:
WOOLBERT CRAIG
Con State Lic:
Address:
5622 LITTLER DR
Lic Expire:
HUNTINGTON BEACH CA 92649
Bus Lic:
Phone:
714-856-2605
Lic Exp Date:
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction
OWNERIBLDR
Architect:
TIM CARR
Address:
949-230-8454
Phone:
OIB
Engineer:
SILVA CHRISTINA
Address:
24482 MUELA
-
MISSION VIEJO CA
Phone:
949-795-6256'
2019 Workers Compensation Insurance
V-B Carder:
R3/U Policy No:
0 Expire:
0
Building Setbacks Rear: 6
Front: 10 (water)
Left: 6
Right: 6
Building Permit Fee: $739.00
Plan Check Fee: $642.93
Overtime Plan Ck
$0.00
Investigation Fee:
$0.00
Record Management:
$22.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,567.39
PROCESSED BY:
ZONING APPROVAL:
State. Lic:
92692
State Lic:C-0372C1
Designer:
WOOLBERT CRAIG
Address:
5622 LITTLER DR
HUNTINGTON BEACH CA 92649
Phone:
714-856-2605
Special Conditions: LIQUEFACTION AREA
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Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
($32.59)
Plan check Fee:
$46.25
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share.:
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
-
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department-.
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PAN Plan Check: $0.00
Grading Bond:
$0.00
Electrical %:
$51.73
San Dist: $0.00
Mechanical %:
$29.56
NMUSD Fee: $0.00
$0.00
Plumbing %:
- $66.51
-
$0.00
Plan Check Fee:
$1,567.39 Fee Due at Permit Issuance :
$0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
-
-
GRADING APPROVAL:. APPROVAL TO ISSUE
I hereby affirm un_erpenalty of perury that I am exempt from the Contractors' State. License Law for the reason(s) indicated below by the checkmark(s),I have placed neat to the appli able:item(s)
Section 7031.5, Bus ness and Professions Code: Any cityoreountythat requires a permit to construct, after, improve, demolish; or repair any structure, prior to its Issuance, also requires the applicant for
ie permit to file,a sic ned statement thafhe or she is licensed pursuant to the>provisions of the•Contfactors":State License Law (Chapter (commencing with Section 7000) of Division 3 of the Business and
tofessions: Code) or that he or she is.exempt fromalcensure 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
of more than five hundred dollars'($500).
7 1, 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,
:usiness and Profess 7ons 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
nprovements 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).
1' I, as owner of the property, am exclusively contracting with licensedContractorsto.Construct the project (Section 7044. Business and Professions Code: The Contractors' State License law does not
9 lyto: an owner of aopertywho builds or Improves thereon,: and who contracts forthe 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:
y my signature belc, r t acknowledge that, except for my personal nce in which t m ave resided for at least one year prior to completion of the improvements covered by this permit I cannot legal)
ell astructure that I ave built as an owner -builder If 1t has not. cons eked in its '=6y�ioansed contractors. I understand that a copy of the applicable law, Section 7044 of ht a BUSjhess nd
'rofessions' Code Is available upon :request when this applicatio Is subm' e I n Webslte;hftpJlw✓✓,v.leginfo.p.gov/calaw.hhnl. GGY/l//
signature of Properh Owner or Authorized Age _ Data"b�,�/
.ICENSED CONT.�ACTOR'S DECLARA C3 ..�
hereby affirm under panatty of perjury that I am licensed under provi ' s of.Chapter 9 (commencing with. Section 7000) of Division 3 of the Business and Pttofessions.Code d. rr hoer s rs in fuI1.Po
nd effecL License.:crass License No Date Contractor Signaturar'"'�'>'>�"?�ka,�-�.�s
VORKERS' COMPENSATION DECLARATION.
rARNING: FAILURE TO S=CURE WORKERS'COMPENSATION-COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (f100,000), W ADDITION TO THI
�OSTOFCOMPENSAMOL➢AMAGESASPROVIOEOFORINSECMN3706OFTHELABORCODE L4TEREST ANDATrOPNEY'SFEES.
hereby affirm under penalty of perjury one of the: following declarations;
I have and will r3intain 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
'orrnance of the workfor which this permit isissued. 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. tidy workers' compensal
trance Carder and policy number are:
Policy Number
in the
reby affirm under penalty of per thatthem is a: con:
ier's Name
ny signature belc:v,1 certify to each of the following:
I am the propertyowner or authorizedto act on the pn
I have read this :E.uprication and the informations have
I agree to. comply Mth all applicable city and County
I authorize repres.:,ntatives of this city. or county to.ent
CERTIFICATE OF
Date
I shall not employ any person in any manner so as to become subject to the workers' compensaton aws of California, and agre
ction:3700 of the Labor Code, I shall forthwith comply with those provisions.
' Date te✓rs '�r,s:< e- �r:,
Sa�P.B:AS urt"''..x"FiS+Sr'�i'aiWURk�'
:ncy for the performance of the work for which this permit is issued (Section 3097,. Civil Code).
to building construction.
Irinspection purposes.
utU lrVNoF COMPUANCE WITH CODE OF FEDERAL
REGULATIONS. PART 61 OF TNLE 40 AND AOMD RULE
-1,-L `s_%A✓ OPOS DDEMO�ON ONIS eLE TO
BESTOS
ONLY
Cat r✓ 13