HomeMy WebLinkAboutX2020-1134 - Permits (3)Du"O'
City of Newport Beach - Building Division 'X2020-1134' COMB Permit: X2020-1134
100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0855-2020
HPermit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255Issued Date : 06114/2020
Combination Type - SFP ELEC MECH PLUM
Inspection Area: 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0811512023 Olt 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: 333 MORNING STAR LN NB
Description: SFR: CONVERT 143 SQ FT OF GARAGE INTO LAUNDRY ROOM. OMIT SINGLE GAR DOOR, ADD NEW WINDOW.
Legal Desc.: N TR 4224 LOT 172 INSPECTOR
Owner:
333 MORNING STAR LLC
Address:
504 EVENING STAR LN
NEWPORT BEACH, CA 92660
Phone:
Applicant:
BAILEY DAVID
Address:
23183 LA CADENA DR #101
LAGUNA HILLS CA 92653
Phone:
949-573-1050
Code Edit:
2019
Type of Construction:
VB
Occupancy Group:
R31U
Added /New sq.ft. Bldg:
143
Added /New sq. ft. Garage:
-143
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
X
Valuation:
Building Permit Fee: $963.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$24.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.50
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$1.0c
TOTAL FEE: $1,353.10
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
NEAL G M INC
Architect:
BAILEY DAVID
Address:
21761 HERMOSA LN
Address:
23183 LA CADENA DR #101
TRABUCO CANYON CA 92679
LAGUNA HILLS CA 92653
Phone:
949-589-5999
Phone:
949-573.1050 State Lic:CO27404
Con State Lic:
377452
Engineer:
WILSON KALEN
Lic Expire:
11/3012020
Address:
25 AMADOR WAY
Bus Lic:
BT30064170
ALISO VIEJO CA 92656
Lic Exp Date:
02/2812021
Phone:
714-576-6524 State Lic:C-083753
Workers Compensation Insurance
Designer:
Carrier:
STATE FUND
Address:
Policy No:
9041341
Expire:
01101/2021
Phone:
Building Setbacks
Rear: 6'
Special Conditions:
Front: 10'WATER
Left: 6'
Right: 6'
7-
P.Mm� n
Fire Hazard Zone
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$0.00
Fire Inspection:
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
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
Grading PC Fee:
$0.00
Public Works Department -
General Service
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
P/W Plan Check: $172.00
Grading Bond:
Electrical %:
$67.41
San Dist: $0.00
Mechanical W
$38.52
NMUSD Fee: $0.00
Plumbing %:
$86.67
a
:a
$0.0n
. L,.Ju
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,353.10
PUBLIC WORKS APPROVAL: f'� ��]
PLAN CHECK BY: �/^,C'/1 4/
APPROVAL TO ISSUE: , 11
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 L) 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 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I Cannot legall,
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.htmi,
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 Sect 7Q0 ) of ivision 3 of the Bu ' ss and Prof ns Code„�nIt my license is in full force
and effect. License Class License No a Contra Signature !/
NORKERS' 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 THOUSAND DOLLARS 1$100,000), IN ADDITION TO THE
COST OF COMPENSW. 1UN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm ur,r:er penalty of perjury one of the following declarations:
❑ I have and• wiF 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, forth
effformance of tine wurk for which this permit is issued. Policy No.
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'
camrr n--J policy number are:
Policy Number
n-- of Agent
Date
_ certify that, in !he performance 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
if I'should ub" to the workp�s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Ap.beco
nt �[ // teCLAgATIGt RDI G CONS UCTION LENDING AGENCY
�reby affirm uhaer`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).
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 an,o� county ordinance ate laws to building cons ion.
I authorize representatives of this city'�Lw�6unity to ent-icjefjiified property for inspection purpose
nature of Property Owner or Authorize ent v Print Prooertv Ow
or Authorized Aaeftskame C-,41ZY1J�i£a/ n ��6rf/3Gt;
ACTION DATE p BY. DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR �FFICE USE ONLY
I REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE
1403
PERMIT EXPIRED
PERMITCANCELLEO
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
NOTIFICATION TO
TO