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HomeMy WebLinkAboutX2018-2009 - PermitsCity of Newport Beach - Building Division "X20182009* is 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 "ru $ Inspection Requests Phone (949)644-3255 ,nazrvexv'x Combination Type - MFP ELEC MECH PLUM Construction Hours: Monday -Friday 7:00 a.m. to 6:30 p.m. and Saturd m 8:00 fi�rp�I0'66p m Job Address: 3640 FIFTH AVE NB �1 Description: MFR KITCHEN REMODEL 700 SF 010 O� Legal Desc.: TR 11949 LOT 3 UNIT 53 OF PROJECT LOCATED ON AP 458.652-11 T HER O. Owner: STRITTMATERJON Contract OWNER/BLD x ° Architect:.lt('}®� Address: 3640 FIFTH AVE A s: STRIT ER JON w� o AddA. NEWPORT BEACH, CA -\ �ws�,, Phone: Phone: F7- A: �`,; ti Phone: Applicant: STRITTMAGTER JON Address: 506 ORCHID AVE Record Management: NEWPORT BEACH, CA Phone: 949-648-3500 Code Edit : 2016 Type of Construction: V -B Occupancy Group: R21U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 4 Bldg Height 0 Bldg Sprinklers: Building Permit Fee: $758.00 Plan Check Fee: $659.46 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $14.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 °s /Citate Lic: O/B x , 4;3,=, eer: Lc Exrye. , Bus ®. Lic p Date g - W is 64d"s on Insuran arrier: Expire: . )Wadi s, m" 'Q COMB Permit: X2018-2009 D :'1574-2018 Issued Date 07/25/2018 Y�"*k'on Sundays or State Lic: POWERS MARTIN 22032 ESPLENDOR #201 MISSION VIEJO CA 9269 ptt.,;.✓ 949-770-2723 S tdo 3754 mo Vi '� � -+^�y =fir Designer: r.1 Address: Fn etback e / 1 ront: / Left: / Right: I Ua'a" one: Parkin S k G Excise ax F, $0.00 j i' Planning Depa Additio I Fe :/y $AJI�� Plan c ee Grading onds e: ��1.00 F . hare GradingP Consultant: $0.00 SJH Trans Grading Pe it Fee: $0.00 Bk�In-li oust•f Grading PC as: / i�s�mWor&''s Dep WQ Insp. Fe %i $0.00 RaKDedication .r P/W Plan Check Electrical %: 3.0§,, '"'. San Dist: Mechanical %:30`. i2 NMUSD Fee: Plumbing %: ° ..,.. $68.22 II TOTAL FEE : $1,623.56 Plan Check Fee PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: ��((��F,,CyCyr S Convitlios" NER/BLDR AT \\ � 6 a . Fire Fire Department oe c ° o c oc c $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $696.96 Fee Due at Permit Issuance: $926.60 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: ° o o ° ° o � o°oor �o c 000�- 0 0 ° oomouo Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm nt- General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 oe c ° o c oc c $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $696.96 Fee Due at Permit Issuance: $926.60 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: ° o o ° ° o � o°oor �o c 000�- 0 0 ° oomouo 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 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 (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 70114, 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 im roved for the purpose of sale). s 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my Son al residence in which I must have resided for at least one year prior to completion of the improvements covered this permit, I cannot Iegalll sell a structure that I have built as an owner-builderif it s een structed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 44 of the Business and Professions Coplg,is available upon request when this ppli i n is Itted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of.11roperty Owner or Authorized Agent ZD O LICF,NSED CbNTRACTOR'S DECLARATIO/ bhareby affir� un'd�e� penalty of perjury that I am� censed uri g provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. l.Iitense Class License No Date Contractor Signature A/CiRKERS' CbMIPENSATION DECLARATION :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 DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. affirm uAder penalty of perjury one of the following declarations: 'e an; wire 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 nceof titile work for which this permit is issued. Policy No. have and NYILrne rance carrier and 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' number are: Policy Number Date i of Agent ' " Phone # certify that, in the p or nce 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' c mpensation laws of California, and I, if I should becom su jec to th rk ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. tI �7 nature of Applican Dat CLARATION RE ARDI CONSTRUCTION LENDING AGENCY rreby affirm and pena of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 , 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 rovided is correct. 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