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HomeMy WebLinkAboutx2020-2023 - Permits.r City of Newport Beach - Building Division IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2020-2023 100 Civic Center Drive, Newport Beach, CA 92660 2 0 2 0 2 0 2 3 :., Permit Counter Phone (949)644-3288 ;ry�p/�_ p/�� Project No: 1647-2020 u. +q Inspection Requests Phone (949)644-3255 O N S P rte. cf6 °uy�D„u+s�" Combination Type - MFP ELEC MECH PLUM Issued Date :1112412020 Inspection Area: 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1112512023 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: 713 FERNLEAVE NB ® CONSTRUCTION WORK Description: MFR -INTERIOR REMODEL (KITCHEN, BEDROOMS, BATHROOMS) 972 SF Legal Desc.: CORONA DEL MAR BLK 732 LOT 13 Owner: RAMSTHEL DOUGLAS Contractor: JOHN CHRISTOPHER CONSTRUCTION INC Address: 578 N COAST HWY Address: 17632 METZLER LN TUNIT 103 Address: $0.00 LAGUNA BEACH CA 90302 $0.00 HUNTINGTON BEACH, CA 92627 $0.00 Phone: 949-322-7458 Phone: (949)415-4534 Phone: Applicant: BELL JASON Con State Lic: 1001495 Engineer: Address: 1601 W MACARTHUR BLVD #11D Lic Expire: 11/30/2021 Address: SANTA ANA CA 92704 Bus Lic: BT30073589 Phone: 714-206-7244 Lic Exp Date: 11/30/2021 Phone: Code Edit: 2019 Type of Construction: V -B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units: 2 Bldg Height: 0 Bldg Sprinklers; Construction Building Permit Fee: $2,137.00 Plan Check Fee: $1,869.19 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $38.00 Energy Compliance: $175.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee: $10.00 TOTAL FEE: $5,716.84 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9239073 Expire: 11/30/2021 Building Setbacks Excise Tax: Additional Fee r Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %m: Rear: I Front: I Left: / Right: /, $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $149.59 $85.48 $192.33 Designer: Address: Phone: Architect ON SATURDAYS State Lic: BLACKIAN 19401 OLANA LANE HUNTINGTON BEACH CA 92646 o m e o m m 714.5934125 State Lic:S-005505 m 0 m �oommm m Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans: In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/VV Plan Check : $215.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $2,511.69 Zone: N G9CC m p mme• $0.00 $0.00 $26.00 $219.00 $564.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $3,205.15 PUBLIC WORKS APPROVAL: PLAN CHECK BY: c"L APPROVAL TO ISSUE: m mcean� o cmacoD D D �oceco 6@mD+ Fire Department $46.25 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: G9CC m p mme• $0.00 $0.00 $26.00 $219.00 $564.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $3,205.15 PUBLIC WORKS APPROVAL: PLAN CHECK BY: c"L APPROVAL TO ISSUE: m mcean� o cmacoD D D �oceco 6@mD+ 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 L) 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 im roved 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' Stale 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 legally 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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section0) of Division 3 4f the Business and Pr Sion ode nd m ense is in f II force and effect. License Class License No Date \— Contractor Signature WORKERS'.CQWWNSATION DECLARATION WARNING: FAILURE TO SURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE WSJ.0; COMPENRATIONFDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirmun`der penalty of perjury one of the following declarations: ELI have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th Rnance of *a "I ):k for which this permit is issued. Policy No. I�Je and wAl'mai`ntain workers' compensation insurance, as required by Section 3700 of the Labor Code, Idrlce carriel'dro policy number are: er • I*.. Policy Number for the performance of the work for which this permit is issued. My workers' Date JI`cert"$y that, Ono IpB pg rmance of the work for hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workeK!v! 'mpensation laws of California, and agre )>jL jf j Should becom rma c Ew rkers' c pe h this provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. • l/— 2y -7G igrtatdre of Ap1711paat. ` Dat IECLARATION REGA ING- STR I N LENDING AGENCY hereby affirm under penalty of perjury that ere 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 ly 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 corr ct. I agree to comply with all applicable city and coqne rdie and ate laws relating to building construction. I authorize representatives of this cit or count a ove entified roperty for inspection purposes.(/ �n�/� ....,.,f,,.e ^f D.., %i n,.,nnr nr Aidhnrivnd Anenf Print Property Owner's or Authorized Agent's Name /�{� �'S I - `C C Dat ' n�t ACTION DATE BY DECLARATON.OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RE TIONS PART 61 OFTITLE 40AND AQMD RULE 03 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED 0EPA PERMIT EXTENDED QMD PERMITFINAL ��"�� p� ASBESTPk N TIFICATTI NIS APPA B TO CERTIFICATE OF /✓� PR OSED,D O)L�ION' OCCUPANCYISSUED SIGN URE: f