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HomeMy WebLinkAboutX2021-0405 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2021-0405 '+'� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 4 0 5 Project No: 0392-2021 - Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 "-r Ar rub & Combination Type - MFP ELEC MECH PLUM Issued Date: 0212312021 9 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED B Y 02/24/2024 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: 25 DAUPHINE NB+mea-tsssemf 0+sac�mFc :eRseamm7 Description: MFR KITCHEN REMODEL 152 SF SCO Legal Desc.: TRACT 14588 LOT 8 9,JFECT 936.46 LOCATED ON AP 461-201-61 Owner: TRUXAW WILLIAM Contractor HERITAGE GLASS & HARDWARE LLC Architect: 1• SHEPHERD STEVEN C ,way.+rs� , pp 0/- i 0 Address:. 25 DAUPHINE r s '` - D ' AD l�,,v��{0t 3r®..10 WAO RFONT D dres . 9462 TE R 0000 NEWPORT BEACH CIA B - �.1 ` '' NGE ". p�m HUNTINGTON BEACH 92646 °.°OC° Phone: { 6 2 t® ,1.7 r Y'fiii. 714-785-9404 Sta LicCO23684 0 0 00 0 000000 Applicant: HUBACEKJEREMY ; Con State Lie: 1042858 Engineer. Address: 2618 SAN MIGUEL O ¢ Lic Epi 8/ 2 Address: NEWPORT BEA H, Cm m o Phone: 714-719-3511 a x Gt; Code Edit: 2019 e%�w Type of Construction: V -B- Occupancy Group: R21U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units: 6 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation I& Exp i. f f. Phone: 4 •'"�81 r ,.. nsatif ah' 11 _..., Designer: Carrier: ATAIN SPECIALTY INS Address: Policy No: CIP352700 0 Expire: 08/1412021 Phone: 0 qg ° �3gild ng �tF2 ar: I : s pe, i yo -p itio is: I a Qm>S a s" 8 4 r nt: I �,, ca.. iLl" N Right: d)1 Building Permit Fee: $1,009.190 Excise Tax: $0.00 Plan Check Fee: $877.83 I Additional Fee : $0.00 Overtime Plan Ck: $6. 0- Grading Bonds Fee: $0.09 Investigation Fee: $O:DO`�` u an o Record Management: $8.00 Grading Permit Feer $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Disabled Access : $0.00 0 0 0 0 Hazardous Mat $0.00 Electrical W $70.63 Building Green Fee : $3.00 Mechanical %: $40.36 $0.00 Plumbing %: $90.81 TOTAL FEE : $2,145.88 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee 0 Fire Hazard Zone : N mm o ve Depart nt 0 0 Lie: moo 0 0 o m ® 0 $0.00 00 0 0 0 $6.00 Fire Plan Re 0 o c omm0o 0o ec o oommo m $0.00 Building Dept Adm $0.00 000000 00 0 0 o m $0.00 p c co' Refund Deposit $0.00 000000 0 0 0 0 cc0©°c 0omc Planning Departmen�p ve Depart nt Plan check Fee i 8t'"y) ti'$ht�., . Fire Insoe on: $0.00 Fair Share $6.00 Fire Plan Re $0.00 'a In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Public Works Department - General Service $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $924.08 Fee Due at Permit Issuance : $1,221.80 a PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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) 1 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 (_) 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). ❑ 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 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 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 Cor%; is auailable upon request when this application is submitted or at the following Web site:hftp:/Aw .leginfo.ca.gov/calaw.html. Signatrire of Pr*bftl Owner or Authorized Agent ate LICENSED QONT'RIkCTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) f Di ision 3 f the Business and P sio s Co c ndm license is in full force Rhd e%ct. Licence Class License No Date - Contractor Signature WOWERS' C®NjPPcNSATION DECLARATION NARNIN01. FAILURE4e SEOURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU NO O RE ($700,000), IN ADDITION TO THE COSPOF COMPEINIEATIOIJ DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. heraby.affirm VgftpEnalty of perjury one of the following declarations: 51°have and wig 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 th �MDrice of toe work for which this permit is issued. Policy No. have and ;R Wa;ain 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' compensatioi suranr;E carrier-and Policy number are: warner, Policy Number Expiration Date Vame of Agent Phone # :1I certify that, in the performa e f th ork 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 become bjec to t e co pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Dat4ml DECLARATION REGA DING S UCTION LENDING AGENCY hereby affirm under penalty ry that there is a-construction lending agency for the performance of the work for which this permit is issued (Section 3097,ode). -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 props owner's behalf. I have read this application and the information I have ovi ed is correct. I agree to comply with all applicable city and count or inan as and state relating to building construction. I authorize representatives of this city or count n r the 'd property for inspection purposes. rt-� �i 42 3i nature of Property Owner or Authorized A ent Print Property Owners or Authorized Agent's Name J s5"1/ 9�.�%IZ Date ACTION DATE BY DEC A N LANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RE TIONSP T61OFTITLE40ANDAQMD RULE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED CERTIFICATE OF OCCUPANCYISSUED NOTIFICATION TO ISNOTAPPLICABLE TO