HomeMy WebLinkAboutX2020-0858 - Permitsagw oq City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIII II COMB Permit: X2020-0858
�� 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 0 0 8 5 8 Project NO : 0586 2020
r. Permit Counter Phone (949)644-3288
FS Inspection Requests Phone (949)644-3255
r'�My,ry4�� Combination Type - SFP MECH ELEC PLUM Issued Date: 09115120 20
4) Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/16/2023 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 Holfr ays
Job Address: 21 JUPITER HILLS DR NB
Description: SFR ADD 400 SF 8 REMODEL 1,200 SF
Legal Desc.: N TR 15388 LOT 7
Owner:
RING SETH/MOLLY
Contractor:
Address:
21 JUPITER HILLS DR
Address:
NEWPORT BEACH, CA 92660
Phone:
Phone:
Applicant:
RING SETH
Con State Lie:
Address:
21 JUPITER HILLS DR.
Lie Expire:
NEWPORT BEACH CA 92660
Bus Lie:
Phone:
714-580-1696
Lie Exp Date:
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 400
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee: $2,733.00
Plan Check Fee: $2,200.35
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$60.00
Energy Compliance:
$140.00
CA Seismic Safety:
$26.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$8.00
TOTAL FEE: $6,727.92
PROCESSED BY:
ZONING APPROVAL:
OWNERIBLDR Architect:
RING SETH Address:
714-580-1696 Phone:
O/B
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks Rear:
10
Front:
10
Left:
5
Right:
5
NIEMERSKI KENNETH
2031 ORCHARD DR
NEWPORT BEACH CA 92660
949-553-9100 State Lic:CO2397"
Engineer: VAN GAALE MARK
Address: 1845 W ORANGEWOOD #200
ORANGE CA 92868
Phone: 714-978-9780 State Lic:C-058680
Designer:
Address:
Phone:
Special Conditions: i %S� r ECT
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee:
($152.03)
Plan check Fee :
$185.00
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
$26.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$219.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$564.00
PAN Plan Check: $172.00
Grading Bond:
$0.00
Electrical %:
$191.31
San Dist: $0.00
Mechanical %:
$109.32
NMUSD Fee: $0.00
$0.00
Plumbing %:
$245.97
$0.00
Plan Check Fee
: $2,373.32 Fee Due at Permit Issuance :
$4.354.60
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
I h.reby affirm under penalty of perjury that I am exempt from the Contractors State License Law far the mason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Secdm 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 pe mtitto 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
Profesions 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 toa civll,penalty of
not more than five hundred dollars ($500).
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,
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 ndedaroffered for sale. If, however, the buHding or improvement is sold within one yearof completion, the (Tuner -Builder will have the burden of proving that it was not built or
imprnyed eof sale).
I, as a property, am exclusively contracting with licensed Contractors to consWct the project (Section 7044, Businessnt and Professions Cade: The Contractors State License Law does not
o an owner of property who 6ufids or improves thereon, and who conbacts for the projects wiN a licensed Contractor pursuant to the Contractors' State license Law),
m exempt from licensure under the Contractors Slate license Law forthe following reason:
ysignature below I ackrwwledge that, except for my personal residence in which I must have resided forat (east oneyear priortocompletion of the improvements covered by this partnkin carrot legal)
sell a truclure that I have built as anowner-builder if h has Trot been shucled in its enOreTy by lirensed contractors. l understand that a copy of the applicable law, Section 7044 of- B mess and
Prate sions Code, is avaiWWeupon requestwhen this application is rattha following Web s@e:hHp//wxw.leginfo.ca.gov/calaw.html.
Signature of Property Owner orAuthorzed Agent bile f - as e
LICEItlISED CONTRACTOR'S DECLARATI
I herery affiMU erpenalty of perjury that I am ricensed uncle pro ' c of apter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in lull force
anderfecL License Class Lie No Date Contractor Signature
VOR KERS' COMPENSATION DECLARATION
IAW✓tlCa:FAILURE TO SECUREWORKERS 0DI PENSATION COVERAGEIS UNLAWFUL AND SWILL SUBJECTAN EDPLOYERTO CRILMLPENALTES AND CIAL RNES UP TOONE NUNOREDTNOUSINO DOLLARS(SIaa00N,
.'O'ST c F COMPENSATION DAWCESAS PROVIDED FOR INSECnoN n" OFTNEIAROR CODE PFTMWMANDATTORAE SFEES.
herem,y affirm under penalty of perjury one of the following declarations:
I I lave 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
for.nattce of the work forwhich this permit is issued. PolicyNo.
hx:ve 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 W workers' compensa
ire nce carrier and policy number are:
Policy Number
Date
in the pedormence of the rk 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
becomes ubjectto the ors' compensafion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Piles ni� Dat§X— jF//r�/"L6a
affirm under penalty of ptryNat there i construdon lending agency for the performance of the work forwhich this permit is issued (Sedan 3097, C'Nil Code).
Name l Lender's Address
my signature oeiow, I centry to awn orme rwtomng:
I ,m the property owner or authorized to act on the property owner's behalf.
I .ave read this application and the information I have provided is correct
I :,grse to comply with all applicable city and county ordinances and state In
I :iuthadze representatives of this city or countytq enter the aoveddendfied
AM IN I DATE I BY
construction.
n purposes.
AOMD RULE
check appropriate box
PERMrrFINAL DZ/Oy/Zil k I IJASEESTOS NOTIFICATION IS NOTAPPUCABLE TO
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