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HomeMy WebLinkAboutx2021-1351 - Permits+ ., City of Newport Beach - Building Division ����������������������������������������������������������� COMB Permit: X2021-1351 .: 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1190-2021 W °Fr _.. Permit Counter Phone .(949)644-3288 . Inspection Requests Phone (949)644-3255 P'�E,r,,4ita Combination Type - MFP ELEC MECH PLUM Issued Date : 0712012021 Inspection Area r4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/20/2024 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: 321 AVENIDA CERRITOS NB Description: MFR - KITCHEN & BATH REMODEL 1400 SF, WINDOWS & DOORS THROUGHOUT Legal Desc.: TR 5435 (L.L.84-214024) PAR 46 Owner: AMBERLEAF INVESTMENTS LLC Contractor: SILVERSTONE CONSTRUCTION Architect: HIGGINS LANCE NOLAN Address: 2618 SAN MIGUEL DR #485 Address: 2616 SAN MIGUEL DR, STE 485 Address: 35 ARGONAUT, STE B2 NEWPORT BEACH CA 92660 NEWPORT BEACH CA 92660 ALLISO VIEJO CA 92656 Phone: 949-945-8118 Phone: 949-945-8118 Phone: 949-939-4433 State Lic:C035814 000 : • o Applicant: HARRISON SCOTT Con State Lic: 1034387 Engineer: MADDUX KYLE LAWRENCE ° ° • ° Address: 2618 SAN MIGUEL DR #485 Lic Expire: 12/31/2021 Address: 35 ARGONAUGHT, STE B2 NEWPORT BEACH CA 92660 Bus Lic: BT30062223 ALISO VIEJO CA 92656 ° ° • a ° a Phone: 949-945-8118 Lic Exp Date: 02/28/2022 Phone: 805-815-8131 State Lic:C-086632 "•.° °° °'° °o 0 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: EXEMPT Address: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Building Permit Fee: $1,309.00 Plan Check Fee: $1,138.83 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 : $5.00 TOTAL FEE: $2,796.63 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: 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: / Front: / Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $91.63 $52.36 $117.81 Phone: Special Conditions: Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist : $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee: $1,051.83 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: �/ as o a o • o>aaa° o ° aaoao• as°aa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,744.80 OWNER -BUILDER DECLARA 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 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 iot more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the '.mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or 'mproved for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegall� sell a structure that lalaae built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code; is'dvailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. EtailalQr$ of Prdpeaf Mner or Authorized Agent Date LIFEhjSED CONTRACTOR'S DECLARATION laheteby2ffirm under penalty of�erjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) o Divi ion 3 of the Business and Profess 6n ,and y license is in full force and effect. License Glass `s License No I Oyg S? % Date 7 ZO ' t Contractor Signature �IOR.ERS' C©I ki%SATION DECLARATION AAjRNING: FAILURE WP$WURE 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 VS rbP FOMPEN%TJ0V,LAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I'h'e O* affirm under penalty of perjury one of the following declarations: R... 4 h.aee and will rmintain 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 pert r ance of ltre word for which this permit is issued. Policy No. Fy vE and viil: mairaain 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 urance carrier and policy number are: Policy Number of Agent Date 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 workers' compensation laws of California, and agre if I should become subje t to the workers' compens tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. latu re of Applicant /� Date �/Z �fZ\ CLARATION REGARDING it0'N`CERDING AGENCY areby 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). Ider's Name Lender's Address 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 ordinances and state laws relating to building construction. I authorize representatives of this city or countytp.ente abovuv - antified property for inspection purposes. mature of Property Owner or Authorized Agent / Z —� Print Property Owner's or Authorized Agent's Name ACTION DATE BY REGULATIONS PPA PART OF IIT E 40 AND CE WITH ODE OF AQMD RULE FOR OFFICE USE ONLY PERMIT EXPIRED LJ SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMITEXTENDED _ QMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED �tj QY SBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPO�EjdjbEM O �f-- SIGNAT R Dat4