HomeMy WebLinkAboutX2020-2451 - Permitswnr'�r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-2451
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 4 5 1 Project No : 1960-2020
?., Permit Counter Phone (949)644-3288
c1 +c Inspection Requests Phone (949)644-3255
Issued Date :1012fi12020
Combination Type - SFP
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/27/2023 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: 1824 PORT STIRLING PL NB
Description: SFR KITCHEN REMODEL 120 SF
Legal Uesc.: N TR 6565 LOT 77
Owner,. RIGBY CHASE
Contractor:
OWNERIBLDR
Architect: i NP IZO R
Address: 1824 PORT STIRLING PL
Address:
RIGBY CHASE
V
Address:
1
NEWPORT BEACH, CA 92660
Phone:
Phone:
Phone: State Lie:
Applicant: RIGBY CHASE
Con State Lie:
Ole
Engineer: CHEN EMILY HSIAO HAN
Address: 1824 PORT STIRLING PL
Lie Expire:
Address: 22629 LAKESIDE LN
NEWPORT BEACH, CA 92660
Bus Lie:
LAKE FOREST, CA 92630
Phone: 415-496-0410
Lie Exp Date:
Phone: 310-617-9098 State Lic:C-073319
o o ° °
Code Edit: 2019
Worker's Compensation Insurance
Designer:
Type of Construction: V-B
Carrier:
Address:
Occupancy Group: R31U
Policy No:
Added /New sq.ft. Bldg: 0
Expire:
Phone:
- -
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: I
Special Conditions: OIB FORM ATTACHED
No of Units : 1
Front: /-
-
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $18,000.00
. .
Building Permit Fee: $382.00
Excise Tax:
$0.00
Planning Department - Fire Department
Plan Check Fee: $332.34
Additional Fee :
$0.00
Plan check Fee : $46.25 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: $20.00
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
P/W Plan Check: $0.00 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$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 : $781.59
Plan Check Fee :
$0.00 Fee Due at Permit Issuance : $781.59
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
��^^
PLAN CHECK BY: l ,, Q,
GRADING APPROVAL:
APPROVAL TO ISSUE:
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
ie 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
'rofessions 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
of more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
np Vements 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
n 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
pply n 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 Iicensure under the Contractors' State License Law for the fallowing 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 legally
ell a structure that I have built as an owner-builde " it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Secti 44 of the Business and
'rofessions Code, is available upon request when tVkapplication is Mr d r at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Dat 1- 2G
.ICENSED CONTRACTOR'S DECLARATIO
hereby affirm under penalty of perjury that I am li ensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, 'ad my license is in full force
nd effect. License CILss License No Date Contractor Signature
V0lF%KFRS' CGIA?ZNSATION DECLARATION
'PRNING: FAILURE lG SE,:URE 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
05' OF "DMPENSATroN, 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:
I , have and w;E 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 IN
erformance of the -work for which this permit is issued. Policy No.
!1 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' compensatio
nsurance carrier a.id policy number are:
.anier Policy Number Expiration Date
gPme of Agent Phone #
21 c3.tify that, :ri th 3rfonnance of the work 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
hat, if I should bec subject 0 ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applic _ Date
)ECLARATION RF,gAlkDIN9 CONSTRUCTION LENDING AGENCY �l
hereby affirm and f pen y of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Ci it Code).
-ender's 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 count ordinances and state laws relating to building construction.
I authorize representatives of this city or cou to me a above-i entified property for inspection purposes.
signature of Property Owner or Authorized Agent ° Print Property Owner's or Authorized Agent's NameXI(`A*E 41" Date / 7b 2j,
ACTION DATE BY ECIARATION OF C PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RE TIONS PART 610F TITLE 40 AND AQMD RULE
PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
PERMITEXTENDED / _ OMD f
PERMITFINAL ID(Z� I "'- R POSED EN TIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF I .y.�
OCCUPANCYISSUED t�O SIG URE.
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