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HomeMy WebLinkAboutX2021-0887 - Permitsg xrlt� City of Newport Beach - Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 s� Inspection Requests Phone (949)644-3255 £assrr�%4�'`s Combination Type - SFP ELEC MECH PLUM COMB Permit: X2021-0887 IIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Project No : 0821-2021 Issued Date : 05/30/2021 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0513012024 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: 312 UNDO AVE NB INSPECTOR `V ��'ye® Description: SFR INTERIOR ALTERATION @ 2 BATHS 90 SF Legal Desc.: EAST NEWPORT BLK A LOT 120 Owner: HONIG KEITH Contractor: Address: 312 UNDO AVE Address: NEWPORT BEACH, CA 92661 Phone: 818-515-7085 Phone: Applicant: MORGAN JOHN T. JR Con State Lie: Address: 18682 BEACHMONT AVE Lie Expire: N. TUSTIN CA 92705 Bus Lie: Phone: 714-730-2723 Lie Exp Date: 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 : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: 0.2 % Building Permit Fee: $559.00 Plan Check Fee: $486.33 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $6.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $2.00 TOTAL FEE: $1,254.38 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: AUS BUILD, INC 93 RUE MONET FOOTHILL RANCH CA 92610 949.514-3409 798684 09130/2021 BT30066644 03131/2021 Worker's Compensation Insurance Carrier: EXEMPT 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 Left: / Right: / Parking SAaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $39.13 $22.36 $50.31 Plan Check Fee Architect: MORGAN JOHN T. JR Address: 18682 BEACHMONT AVE N. TUSTIN CA 92706 Phone: 714-730-2723 State Lic:CO22567 Engineer: Address: NO h'+�A' �PeWretTION NOISE State Lie: 0..e P� Address: 1 O{� a ¢�TIA pPhoneg: 1 V ^" �j0pys&QUEFACTION noise agreement signed on plans Fire Planning Department - Plan check Fee: Fair Share: SJH Trans: In -lieu Housing Fee: Public Works Department - Park Dedication: $0.00 P/W Plan Check : $43.00 San Dist: $0.00 NMUSD Fee: $0.00 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: 00 0 m o 0 0< 0 0 cmooco $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $575.58 Fee Due at Permit Issuance : $678.80 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: e o meeeeo m o oomoo 0 omeoo o 000co 0 0 0 0 0 cooemo c o m•mm 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 nextto the applicable item(:) ;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 Iicensure 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 i�m 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 Iicensure 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 Propejv,Owner or Authorized Agent Date LICENSED COJJTVCTOR'S DECLARATION ' C1 affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec 00) f D�'vision 3 of the B sand Profess Cdde,� my license is in full force Bn a eK License Class License No �. /.�L�� Contr PQRURS' COMPENSATION DECLARATION �� 7 IVARMNG: 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 CAST qp COMPENpAti111Q QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :h21' (affirm ultd"enally of perjury one of the following declarations: ©-1-have and -will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relationsasprovided for by Section 3700 of the Labor Code, for thl Dedwclance onflle Mrk far which this permit is issued. Policy No. PCM011 and will maintain tain 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' compensatior msuranee carrier and policy number are: �y• .� Policy Number Expiration Date 41yof Agent• • • • • • Phone # certify that, in the performance 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 wWat ompensation laws of California, and agre, t4.,if I should become subject to t e wo k rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applic DECLARATION RID CONSTRUCTION LENDING AGENCY I hereby affirm 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). Lender's Name Lender's Address By 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. f 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 cl o county�t� th/e ab identified property for inspection purposes. Signature of Pro ertv Owner or AuthorA9ent l Print Property Owners or Authorized Agent's Na n "i `;%.Z/ ACTION DATE BY v DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY F / REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I I I U I SUBMITTED ASBESTOS PERMITFINAL toI�bf,�� �n CERTIFICATE OF 1` OCCUPANCYISSUED TO