HomeMy WebLinkAboutX2019-3018 - Permitst City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
pd+�rzx;9 Combination Type - SFP ELEC MECH PLUM
1111111111111111111111111111111111111111111111111111 it COMB Permit: X2019-3018
Project No: 2105-2019
Issued Date : 0912012019
Inspection Area : 8
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 20291 ORCHID ST NB
Description: SFR KITCHEN REMODEL, CONVERT CLOSET TO LAUNDRY RM AND (3) WINDOW CIO 360 SF
Legal Desc.: N TR 1500 LOT 18
Owner:
STEINMEYER MICHAEL & EMILY
Contractor:.
OWNER/BLDR
Architect:
$30.00
Address:
3905 MARCUS AVE
Address:
STEINMEYER EMILY
Address:
$0.00
Hazardous Mat
NEWPORT BEACH, CA
Building Green Fee :
$2.00
$0.00
NMUSD Fee:
Phone:
714-331-3130
Phone:
.714-331-3130
Phone:
State Lie:
Applicant:
STEINMEYER MICHAEL & EMILY
Con State Lie:
OIB
Engineer:
HUANG CHESTER
Address:
3905 MARCUS AVE
Lie Expire:
Address:
6847 E MONACO PKWY
NEWPORT BEACH, CA
Bus Lie:
ORANGE CA 92867
Phone:
714-331-3130.
Lie Exp Date:
Phone:
State Lic:C066221
Code Edit : 2016
Type of Construction: V -B
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation: $30.000.00
Building Permit Fee: $526.00
Plan Check Fee: $457.62
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$30.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,243.32
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: I
Lek: I
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$36.82
$21.04
$47.34
Designer:
Address:
Phone:
Special Conditions:
Planning Department -
Fire Department
Plan check Fee
$40.00
Fair Share
$0.00
SJH Trans
Fire Plan Rev
In -lieu Housing Fee:
$0.00
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$82.50
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee: $497.62 Fee Due at Permit Issuance : $745.70
PIJBLIC Wbhkb'lI.PPROVAL•
a
I`aLANCHKNYm
APPROVAL TO ISSUE:
� a
Fire Department
$40.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee: $497.62 Fee Due at Permit Issuance : $745.70
PIJBLIC Wbhkb'lI.PPROVAL•
a
I`aLANCHKNYm
APPROVAL TO ISSUE:
� a
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 th6•Busingss 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 L) 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
Eproved 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
ato 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 I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalll
sell a structure that I have built as an owner -builder if it h not been constr cted in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of t 1e B,� Si ass and
Professions Code, is available upon request when this I' i ed or at the following Web site:http://www.leginfo.ca.gov/calaw.html. rdh
Signature of Property Owner or Authorized Agent D
LICENSED CONTRACTOR'S DECLARATIO
I hereby affirm under penalty of perjury that I am licensed under 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'. License Class License No Date Contractor 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 ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
:11 have 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 the
ierformance 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' compensatiol
nsurance carrier and policy number are:
7arrier Policy Number Expiration Date
Name of Agent Phone #
I certify that, in the pert rmance 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' compens tion Imp of California, and agree
.h if 1 should bec0m j c e worker ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
V
signature of Applica
7ECLARATION R A I CONSTRUCTI LENDING AGENCY
hereby affirm un er Pei 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).
_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 county cKdinances and state ws relating to building construction.
I authorize representatives of this city or county, to r v property for inspection purposes.
signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name (�
ACTION
DATE
BY EC RATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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