HomeMy WebLinkAboutX2021-0580 - Permits1v City of Newport Beach. - Building'Division
is 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
COMB Permit: X2021-0580
Project No : 0536-2021
Issued Date : 03/1912021
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0311912024 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 r Holidays
Job Address:
1314 E BALBOA BLVD NB ,
Description:
SFR INTERIOR REMODEL 212 SF. 2 BATHS �
Legal Desc.:
BALBOA TR EAST SIDE ADD LOT 8 BILK 21 ALL -INC POR STS ADJ-(AND BAL A
Owner:
Address:
DEVINE A Contractor: DRAKE CONSTRUCTION INC Architect: MORGAN JOHN T. JR
1519 BAY AVE E Address: 7422 MOUNTJOY DR Address: 18682 BEACHMONT AVE
NEWPORT BEACH, CA 92661 HUNTINGTON BCH CA 92648 N. TUSTIN CA 92705
Phone:
Phone: 714-369-5550 Phone: 714-730-2723 State Lic:CO22567
Applicant: MORGAN JOHN T. JR
Con State Lie:
881821
Address: 18682 BEACHMONT AVE
Lie Expire:
07/31/2022
N. TUSTIN CA 92705
Bus Lie:
BT30051436
Phone: 714-730-2723
Lie Exp Date:
06/3012021
Code Edit : 2019
Worker's Compensation Insurance
Type of Construction: V-B
Carrier:
STATE COMP FUND
Occupancy Group: R3/U
Policy No:
9022425
Added /New sq.ft. Bldg: 0
Expire:
08/30/2021
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: I
No of Units : 1
Front: I
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
Construction Valuation: $30,000.00
Building Permit Fee: $659.00
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: $1,211.38
PROCESSED BY:
ZONING APPROVAL:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lie:
Special Conditions: HIGH DENSITY
LIQUEFACTION AREA
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Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee:
$46.25
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PAN Plan Check: $0.00
Grading Bond:
$0.00
Electrical %:
$39.13
San Dist: $0.00
Mechanical %:
$22.36
NMUSD Fee: $0.00
$0.00
Plumbing %:
$50.31
$0.00
Plan Check Fee:
$532.58 Fee Due at Permit Issuance :
$678.8D
PUBLIC WORKS APPROVAL:
�AA
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE
OWNER -BUILDER DECLARATION
1 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 ftem(s)
'action 7031.5, Business and Professions Code: Any city or county that requires a permit to constmct, alter, improve, demolish, or repair any stmcture, 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
rofessions 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
of 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,
usiness 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
nproved for the purpose of sale).
11, 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
pply 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
y 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
all 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
rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htnil.
ignature of Property Owner or Authorized Agent Date
JCENSED CONTRACTOR'S DECLARATION
hereby affirm urldet penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of D' ' ion 3 of the Business and P ssions Code and my jense is in full force
pd effect. Licen"Gless License No Date � Contractor Signa a
OA r1S' CQNLPENSATION DECLARATION
AQNINrV FAILURE4e SBQIRE 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
BSTAF QOMPENSATIQN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
herel!;affirm under pegalty of perjury one of the following declarations:
;1 rt�v2 and will maiptain 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
;VgTlance of thaworkfor which this permit is issued. Policy No.
1 dare' and wiIPrTAiTltain 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
w,rq g carrier and policy number are:
• • Policy Number Expiration Date
ro® of Agent • • Phone #
I•c•iftify that, hpthe4rformance 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 Califomia, and agre
t, if I should becomL3sub' to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date3//
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
neby 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:
1 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 county to er a above -identified property for inspection purposes. s L
mature of Pmnertv Owner or Authorized ADent ��� a� Print Property Owners or Authorized Agent's Name I+.i7�i D
ACTION DATE I BY DECLARATION OF I REGULATIONS PART061 OF IITLE 40 AND AQMD RULECE WITH CODE OF
FOR OFFICE USE ONLY
PERMITCANCELLEO
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
I SUBMITTED ASBESTOS NOTIFICATION TO
NOTIFICATION IS NOT APPLICABLE TO