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HomeMy WebLinkAboutX2020-1725 - Permitsv City of Newport Beach -Building Division �t 100 Civic Center Drive, Newport Beach, CA 92660 t~ �, 'Permit Counter Phone (949)644-3288 v 4* Inspection Requests Phone (949)644-3255 Combination Type- SFPELEC MECH PLUM COMB Permit: X2020-1725 II�IIIIIIIIIIIII�IIIIIIII�IIIUIIIIIIIIIIIIIIIIIII II r Project No : 1370-2020 Issued Date : 08/20/2020 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0812112023 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 Holic`ays Job Address: 219 NORTH STAR LN NB Description: SFR- KITCHEN REMODEL 300 SF. RIR 2ND FL REAR DECK. RIR WINDOWS & DOORS @ REAR OF HOUSE Legal Desc.: N TR 4224 LOT 104 Owner: CARR TIMOTHY WALTER T Contractor: Address: 140 NEWPORT CENTER DR Address: NEWPORT BEACH, 92663 Phone: Phone: Applicant: WOOLBERT CRAIG Con State Lic: Address: 5622 LITTLER DR Lic Expire: HUNTINGTON BEACH CA 92649 Bus Lic: Phone: 714-856-2605 Lic Exp Date: Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction OWNERIBLDR Architect: TIM CARR Address: 949-230-8454 Phone: OIB Engineer: SILVA CHRISTINA Address: 24482 MUELA - MISSION VIEJO CA Phone: 949-795-6256' 2019 Workers Compensation Insurance V-B Carder: R3/U Policy No: 0 Expire: 0 Building Setbacks Rear: 6 Front: 10 (water) Left: 6 Right: 6 Building Permit Fee: $739.00 Plan Check Fee: $642.93 Overtime Plan Ck $0.00 Investigation Fee: $0.00 Record Management: $22.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,567.39 PROCESSED BY: ZONING APPROVAL: State. Lic: 92692 State Lic:C-0372C1 Designer: WOOLBERT CRAIG Address: 5622 LITTLER DR HUNTINGTON BEACH CA 92649 Phone: 714-856-2605 Special Conditions: LIQUEFACTION AREA �e ocoo�0 0000 0 oc a oocoo� 0 0 0 0 co o�0 0 0 0 oa 0 00� o 0 0 oeo� 0 000 000s o� 000 0 0 0 Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : ($32.59) 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 %: $51.73 San Dist: $0.00 Mechanical %: $29.56 NMUSD Fee: $0.00 $0.00 Plumbing %: - $66.51 - $0.00 Plan Check Fee: $1,567.39 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: - - GRADING APPROVAL:. APPROVAL TO ISSUE I hereby affirm un_erpenalty of perury that I am exempt from the Contractors' State. License Law for the reason(s) indicated below by the checkmark(s),I have placed neat to the appli able:item(s) Section 7031.5, Bus ness and Professions Code: Any cityoreountythat requires a permit to construct, after, improve, demolish; or repair any structure, prior to its Issuance, also requires the applicant for ie permit to file,a sic ned statement thafhe or she is licensed pursuant to the>provisions of the•Contfactors":State License Law (Chapter (commencing with Section 7000) of Division 3 of the Business and tofessions: Code) or that he or she is.exempt fromalcensure 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). 7 1, 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 Profess 7ons 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 roved for the purpose of sale). 1' I, as owner of the property, am exclusively contracting with licensedContractorsto.Construct the project (Section 7044. Business and Professions Code: The Contractors' State License law does not 9 lyto: an owner of aopertywho builds or Improves thereon,: and who contracts forthe 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 belc, r t acknowledge that, except for my personal nce in which t m ave resided for at least one year prior to completion of the improvements covered by this permit I cannot legal) ell astructure that I ave built as an owner -builder If 1t has not. cons eked in its '=6y�ioansed contractors. I understand that a copy of the applicable law, Section 7044 of ht a BUSjhess nd 'rofessions' Code Is available upon :request when this applicatio Is subm' e I n Webslte;hftpJlw✓✓,v.leginfo.p.gov/calaw.hhnl. GGY/l// signature of Properh Owner or Authorized Age _ Data"b�,�/ .ICENSED CONT.�ACTOR'S DECLARA C3 ..� hereby affirm under panatty of perjury that I am licensed under provi ' s of.Chapter 9 (commencing with. Section 7000) of Division 3 of the Business and Pttofessions.Code d. rr hoer s rs in fuI1.Po nd effecL License.:crass License No Date Contractor Signaturar'"'�'>'>�"?�ka,�-�.�s VORKERS' COMPENSATION DECLARATION. rARNING: FAILURE TO S=CURE WORKERS'COMPENSATION-COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (f100,000), W ADDITION TO THI �OSTOFCOMPENSAMOL➢AMAGESASPROVIOEOFORINSECMN3706OFTHELABORCODE L4TEREST ANDATrOPNEY'SFEES. hereby affirm under penalty of perjury one of the: following declarations; I have and will r3intain 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 'orrnance of the workfor which this permit isissued. Policy No. have 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. tidy workers' compensal trance Carder and policy number are: Policy Number in the reby affirm under penalty of per thatthem is a: con: ier's Name ny signature belc:v,1 certify to each of the following: I am the propertyowner or authorizedto act on the pn I have read this :E.uprication and the informations have I agree to. comply Mth all applicable city and County I authorize repres.:,ntatives of this city. or county to.ent CERTIFICATE OF Date I shall not employ any person in any manner so as to become subject to the workers' compensaton aws of California, and agre ction:3700 of the Labor Code, I shall forthwith comply with those provisions. ' Date te✓rs '�r,s:< e- �r:, Sa�P.B:AS urt"''..x"FiS+Sr'�i'aiWURk�' :ncy for the performance of the work for which this permit is issued (Section 3097,. Civil Code). to building construction. Irinspection purposes. utU lrVNoF COMPUANCE WITH CODE OF FEDERAL REGULATIONS. PART 61 OF TNLE 40 AND AOMD RULE -1,-L `s_%A✓ OPOS DDEMO�ON ONIS eLE TO BESTOS ONLY Cat r✓ 13