HomeMy WebLinkAboutX2021-0930 - PermitsCity of Newport Beach - Building DivisionIIIIII�IIIIIIIIIIIIIIIIIIIIIII���III�IIIIII� II COMB Permit: X2021-0930
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 m" Project No : 0861-2021
e.. Permit Counter Phone (949)644-3288
V. - Inspection Requests Phone (949)644-3255
':�;po,�pc* Combination Type - MFP ELEC MECH PLUM Issued Date: 04/2112021
6
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0412112024 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: 114 46TH ST NB
Description: MFR KITCHEN REMODEL (120 SF)
Legal Desc.: RIVER SECTION BLK 45 LOT 7
,� f
Owner: HUHN GREGORY M
Address: PO BOX 204
Contractor:
Address:
CLARKE THOMAS J
6912 BREELAND OR
Architect:
Address:
�..s
LA HABRA CA 90633
HUNTINGTON BEACH CA 92647
Phone:
Phone:
949-378-4048
Phone:
State Lid:
Applicant: CLARKE THOMAS
Con State Lie:
874710
Engineer:
N®
Address: 6912 BREELAND DR
HUNTINGTON BEACH CA 92647
Lie Expire:
Bus Lie:
0313112022
$T?'LC> Ayz-
Address:
V i 9 P
`CVNS-r`r�0..� 9P'AJf'!1 NOISE
Phone: 949-378-4049
Lic Exp Date:
rjcyi.j .?�JZ.L
Phone:
State Lie:
Code Edit: 2019
Worker's Compensation Insurance
Designer:
CLARKE THOMAS
Type of Construction: VB
Carrier:
EXEMPT
Address:
6912 BREELAND D
Occupancy Group: R31U
Policy No:
�� ��t4°
HUNTINGTON SEAC A 92 s
Added /New sq.ft. Bldg: 0
Expire:
Phone:
` °
Added/New sq. ft. Garage: 0
°®OB°
0
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions: LIQUEFACTIbN ....
No of Units: 2
Front: I
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: /
Flood Zone: X
Use Zone: Parking Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $45.000.00
y °♦ a
°o°cn
Building Permit Fee: $739.00
Excise Tax:
$0.00 Planning Department
-
Fire Department
Plan Check Fee: $642.93
Additional Fee :
$0.00 Plan check Fee :
$46.25 Fire Inspection: .10.8Q
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00 Fair Share :
$0.00 Fire Plan Rev fl $0180
Investigation Fee: $0.00
Grading PC Consultant :
$0.00 SJH Trans:
$0.00 Demolition Fee - °
Record Management : $2.00
Grading Permit Fee:
$0.00 In -lieu Housing Fee:
$0.00 Building Dept Adm a'Vflyff
Energy Compliance: $0.00
Grading PC Fee:
$0.00 Public Works Department -
General Service $0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00 Park Dedication :
$0.00
Refund Deposit $0.00
Disabled Access : $0.00
PIW Plan Check:
$0.00
Grading Bond: $0.00
Hazardous Mat $0.00
Electrical %:
$51.73 San Dist:
$0.00
Building Green Fee : $2.00
Mechanical %:
$29.56 NMUSD Fee:
$0.00
$0.00
Plumbing %:
$66.51
$0.00
TOTAL FEE: $1,579.98
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$0.00 Fee Due at Permit Issuance : $1,579.98
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) 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
he 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
Irofessions 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
iot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
tusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
n roved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall,
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Irofessions Code, is available upon request when this application is submitted or at the following Web site:hltp:/Aw .leginfo.ca.gov/calaw.html.
lignature of Property Owner or Authorized Agent - Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that t am licensed under provisions of Ch ter 9 commencing with S io 00) of ivisio 3 of the Bu and Professi Code, and_3 liceM In force
and effect. License Class License No `$"1 6 o e '� 2.1 d2 bontrac 'gnature 'rl h.GZveJ� �1 .�'a o.--
VORKERS' COMPENSATION DECLARATION L?
IARNING: 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
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm unleippr ally of perjury one of the following declarations:
7 I have and willmaintain 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
rawoce of tbo gvprk for which this permit is issued. Policy No.
elle 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' compensatioi
rznca carrier and policy number are:
Policy Number
Date
coAify that, i0h%o4iformance 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
.�^ gt t L hould beCDme%ubject jp�\t a worke�rs' compensate proves/
y' s(,,�/ddj�} SectipV� 3700 of the Labor Code, I shall forthwith comply with those provisions.
` �aI}�r of App nt T3° Lb � l � � Cc
DECLARATH Al2DING CONSTRUCTION LENDING AGENCY
l4woebyaffirm under 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).
L'eDdBrs'Name ;y Lender's Address
By my signature below,4 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 ordinances and state laws relating to building construction.
I authorize representatives of this city o c�ou�n�ty to the above-identif' d pro y r inspection purposes. A �^ N 11 r� r
Sionature of Prooertv Owner or Authorized BellRtt dwz� �e%`3�'rint Property Owner's or Authorized Ag4r"RgName (T `� Ub _ h
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE BY TDECLARATION OF I REGULATIONS PART 1 OF COMPLIAIITLE 40 AND ACIMD RULECE WITH CODE OF RAL FOR OFFICE USE
W 2111( l
TO
NOTIFICATION IS NOTAPPLICABLE
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