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HomeMy WebLinkAboutX2021-2184 - Permits' City of Newport Beach - Building Division z * ' 100 Civic Center Drive, Newport Beach, CA 92660 .. Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MFP ELEC MECH PLUM 11111111111111111111111111111111111111111p11111111111COMB Permit: X2021-2184 Project No: 1889-2021 Issued Date : 08/30/2021 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0813012024 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: 815 GARDENIA WAY NB Description: MFR KITCHEN REMODEL 200 SF Legal Desc.: N TR 12245 LOT 36 Owner: COON GREG Contractor: ENCLAVE REMODELING INC Address: 815 GARDENIA WAY Address: 7700 IRVINE CENTER DR STE 800 NEWPORT BEACH, CA 92625 IRVINE, CA 92618 Phone: 949-382-0329 Phone: 714-747-3409 Applicant: NAVE OMRI Con State Lic: 1021471 Address: 7700 IRVINE CENTER DR #800 Lic Expire: 12/31/2022 IRVINE, CA 92618 Bus Lic: BT30076282 Phone: 949-439-3656 Lic Exp Date: 08/31/2022 Code Edit : 2019 Type of Construction: Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Valuation: $40,000.00 Building Permit Fee: $679.00 Plan Check Fee: $590.73 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,459.53 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9169229 Expire: 11/05/2021 Building Setbacks 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: I irking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $47.53 $27.16 $61.11 0 Architect: Address: Phone: State Lic: Engineer; Uorinn u�= o c-450' 2Lo Address: yam. 6%4MWT1J Ist Phone: GtilIIB"'tb I i-N.5 State Lic: Designer: NAVE OMRI Address: 7700 IRVINE CENTER DR #800 IRVINE, CA 92618 Phone: 949-439-3656 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 Plan Check Fee : $642.73 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: Fee Due at Permit Issuance e ° PUBLIC WORKS APpRCVA,L:' PLAN CHECK BY: APPROVAL TO ISSUff:v ° °" $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $816.80 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 ie 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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). 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 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: ly 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 legall, ell 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.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION - hereby affirm under penalty of Perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Div ion of the Business and Pro si n o my license is in full force nd effect. License Class License No Date Contractor Signatur / VORKERS' COMPENSATION DECLARATION IARNING: 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 erfqjrmance of the work for which this permit is issued. Policy No. �I h ve 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. My workers' compensatior nsur ce carrier and policy number are: er Policy Number Expiration Date Jame of Agent Phone # :1I certify that, in the perf n f the w 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 agrel hat, if I should become subject a pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Dat ,I )ECLARATION REGARDJAO CONSTRUCTION LENDING AGENCY 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). _ender's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. O I have read this application and the information I have provided is correct. r J I agree to comply with all applicable city and county ordinanc and state Pws relating to building construction. \ I authorize representatives of this city or t-tu-Brderthe-a roperty for inspection purposes. 3ignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam - -�,. Date ACTION DATE BY '-qCLARATION OF COMPLIANCE V ITR-00t ' FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE • 1401 ••• ••• PERMITEXPIRED • • • IS;BMITiED ASe€STOS NOTIFICATION TO PERMIT CANCELLED • • • cPA • • ` PERMITEXTENDED LJAQMD PERMITFINAL© SBESTOS - IRC ON IA'L SNOTAPPLICABLE TO CERTIFICATE OF ��/��%S •• ••• �0 a$E OCCUPANCY ISSUED • aGNARSIRE.