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HomeMy WebLinkAboutX2020-1400 - PermitsArun City,of i�'e . port Beach - Building Division es. 100 Civ c Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM GRAD COMB Permit: X2020-1400 II@�X 2 0 20 1 4 0 0�%II Project No : 1079-2020 Issued Date: 09/1112020 Inspection Area : 2 PERMIT E XPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/1212023 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7.00 a.m. to 6:30 p.m, and Saturday from 8:00a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 22 LINDA ISL'_ NB Description: SFR, ENCLOSE PART OF COURYYARD 230 SF, CONV LIVABLE TO DECK 67 SF, INTERIOR REMODEL 2000 SF, ADD STORAGE 21 SF $ DRAINAGE Legal Desc.: N TR 4003 LCT 22 Owner: SMITH GEORGE Contractor: JENKINS CONSTRUCTION Architect: SMITH BRADFORD Address: 22 LINDA ISLE. Address: 168 MONTE VISTA AVE Address: 425 30TH ST #22 NEWPORT BEACH, CA 92660 - COSTA MESA, CA 92627 NEWPORT BEACH CA 92663 Phone: 949-631-3682 Phone: 714-345-9371 Phone: 949-631-3682 State Lic:C014146 .... • • • ° Applicant: SMITH BRADFORD Con State Lic: 901221 Engineer: GHOUL[ RAID ASAD • ° Address: 425 30TH ST 422 Lic Expire: 0713112021 Address: 26040 ACERO #100 • •+° ° • NEWPORT BEACH CA 92663 Bus Lic: BT30035239 MISSION VIEJO CA.92691 0 Phone: 949-631-3682 Lic Exp Date: 04/30/2021 Phone: 949-855-2300 State Lic:C-070882 , Code Edit: 2019 Worker's Compensation Insurance Designer: •e•o• Type of Construction: V-B Carrier: STATE FUND Address: Occupancy Group: F3/U Policy No: 9076367 ° Added /New sq.ft. Bldg: 163 Expire: 10/20/2020 Phone: Added /New sq. ft. Garage: -2 No of Stories: 2 Building Setbacks Rear. 25 Special Conditions: LIQUEFACTION ° • ° ° No of Units : 1 Front: 10 Bldg Height: 0 Left: 4 • ° ° ° Bldg Sprinklers: N Right: 4 .... Flood Zone: X Use Zone: Parking Spaces 0 Fire Hazard Zone . N Construction Valuation: - $505,500.00 -- - - Building Permit Fee: $3,�)09.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $3,320.51. Additional Fee : $0.00 Plan check Fee: $185.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: y54.00 Grading Permit Fee: $232.00 In -lieu Housing Fee: $0.00 Building Dept Adm $26.00 Energy Compliance: $103.00 Grading PC Fee: $195.00 Public Works Department - General Service $219.00 CA Seismic Safety: $65.71 WQ Insp. Fee: $0.00 Park Dedication: $0.00 Refund Deposit $564.00 Disabled Access : $0. PM Plan Check: $43.00 Grading Bond: $0.00 Hazardous Mat $ .00 Electrical %: $273.63 San Dist: $0.00 Building Green Fee : sr 1.00 Mechanical %: $156.36 NMUSD Fee: $0.00 $0.00 Plumbing %: $351.81 $0.00 TOTAL FEE . 9,919.02 Plan Check Fee: $9,919.02 Fee eat Permit I suance : $0.00 PROCESSED BY: PUBLIC WORKS AP ROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSU . I hereby affirm under penalty of perjury that I:am- exempt from the Contractors` -State License Law for the action 7031.5, Business and Professions Code: Any city or county that requires permit to construct, site permit to file a signed: statement that he or she is licensed pursuant to the provisions of the Contractors' fassions Code) of that he or she is exempt from'licensure and the basis;for the alleged exemption. Any v asowner of rents: are not intended or for the purpose of.sale).. 1, as owner of the property,em exclusively contracting with licensedContractors to_t y to an owner of property who builds or improves thereon,and who contracts for *a I am exempt from licensors under the Contractors' State License Law for the follow! ny signature below is:acknowledge that; except for my, personal residence in which a structure that ! have built as an ownerbulkler if it has not been constructed In its i bssions-:CodeL ys evadable upon request when thisapplication is submitted or at the ury that I am licensed under. provisions of Chapter (commencing, with License No DECLARATION contractors. EMPLOYER TO QFMMIMA narks) l have placed next to if e-applicable item(s) are, prior to its 'issuance, ;also equines the applicant for .ing with Section 7000) of Dive ron 3 of the Businessand nt fora permit subjects theap rlicant to a•civil penalty of 1 not intended or offered for sale (Section7044, Business sor improves the property, prc Aded that the -will' havethe;buMen of,provim, that it was not Will or IsCodd: The Contractors'StatrLicense rLawdoesnot Date ,P�enseis,infull force i51W.0001: IN:ADDITION :TO THE' .py affirm npder penalty of perjury one of the following declarations: .... leave and will maintain a certificate ofconsentto self -insure for workers' compensation, issued by%the Director of Industrial .Relations as provided for by Section 3700 of the Labor Code, for ceof the workforwhich this permit is issued. Policy No. irewrlLp+�Iitain workers' compensation: insurance, as required by Section 3700 of the Labor Code, for the rformance of the work for which this permit is issued. My workers' compensa' ee carder and policy number are: ar "' • Policy Number :Expiration .Date . s r..,....•... ....___ ,. If my signature Deiow. I cerbly to each at me totwwing: I am the: property owner or authorized toacton: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 ordinii+ces and state Is I: authorizerepresentatives of this city,or counUp entyrtfieahov�IB�entifiet DATE INSTALLED PERMITRIVAL RULE NOTIFICATION 15 NOT APPLICABLE TO orkers' compensation aws of California, and agm i97; Civil :Code), rll .Or