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HomeMy WebLinkAboutX2021-0524 - PermitsCity of Newport Beach - Building Division IIII�IIIIIIII�IIIIIIII�IIINIII�IIIIIIII�III�III� III COMB Permit: X2021-0524 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 t 0 5 z a N;' Permit Counter Phone (949)644-3288 :q Project NO : 0480-2021 Inspection Requests Phone (949)644-3255 L to a 1* Combination Type - SFP ELEC MECH PLUM Issued Date: 04/0912021 0 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/09/2024 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: 1827 TOYON LN NB Description: SFR -REMODEL KITCHEN, BATH & NEW LAUNDRY RM 1232 SF ' R s� e�� q Legal Desc.: N TR 3763 LOT 77 � ®�,il It:d �`g�s "� r_- 6.� R "_ Owner: MYER ANDREW Contractor: Address: 1827 TOYON LN Address: NEWPORT BEACH, CA 92660 Phone: Phone: Applicant: WRIGHT CARRIE Con State Lie: Address: 18305 EUCLID ST Lie Expire: FOUNTAIN VALLEY CA 92708 Bus Lie: Phone: 949-683-3984 Lie Exp Date: Code Edit: 2019 Type of Construction: VB Occupancy Group: R3IU Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $1,987.00 Plan Check Fee: $1,728.69 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $20.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $9.00 TOTAL FEE: $4,997.34 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: r MARSTON LEE CONSTRUCTION INC Architect: 713 115 LARKSPUR Address: NEWPORT BEACH, CA 92625 949-233-3280 Phone: 481631 Engineer: 10/3112021 Address: BT00009009 11/30/2021 Phone: Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9138444 Expire: 07/26/2021 Building Setbacks Rd Excise Tax: Additional Fee, Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 6 Front: 20 Left: 6 Right: 6 Parkino SDaoes $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $139.09 $79.48 $178.83 Plan Check Fee Designer: Address: Phone: State Lie: aae• .... SHAH DARSHAN •"' 10 LYNNFIELD ° IRVINE CA 92626 °°°° 949-573-0570 State Lic:S-003891 .... FELSMANN MANDI • .. . • ° 18305 EUCLID ST FOUNTAIN VALLEY CA 92708 •• • • •• Special Conditions: 0 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 $46.25 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $26.00 $219.00 $564.00 $0.00 $0.00 $0.00 $1,774.94 Fee Due at Permit Issuance : $3,222.40 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: • o • moo•• OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the !-mason(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 the 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 not more than five hundred dollars ($500). 111, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portionslof the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved for the purpose of sale). LJ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 71 apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature Ile"I acknowledge that, except for my personal residence in which I must have resided for at least c sell a structure thpLI ve built as an owner -builder if it has not been constructed in its entirety by licensed contractors. Professions Code, is available upon request when this application is submitted or at the following Web site:http://Ww .1 Qnaiure of Prop n Owner or Authorized Agent LICENSED CON"MCTOR'S DECLARATION I:IeT%V affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti and effect. License -Glass License No Da WGRIjERS' COMPENSATION DECLARATION Val IPP: FAILUR TO' ECERE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PI COST OF GOMPEN •IFAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 1411eteVy affirm under penalty of perjury one of the following declarations: • f have and vAl mtihtain a certificate of consent to self -insure for workers' compensation, issued by the Direct) derformance of fhework for which this permit is issued. Policy No. Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). e year prior to completion of the improvements covered by this permit, I cannot understand that a copy of the applicable law, Section 7044 of the Business and Date of the Busines Contractor in full force AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for and v4Irgla"ain 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' carder and policy number are: Policy Number I Expiration Date of Agent certify that, in the performance of he work for which this permit is issued, I shall not employ any person in any , if I should become subje workers' cgw e_t*ion provisions of Section 3700 of the Labor Code, I shall nature of Applic OF r/�/• NING � CLARATION ING CONSTRUCTION LENAGENCY 3reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city ang county ordi nces and state laws relating to building construction I authorize representatives of this city county to-e,Ateabove-iciroperty for inspection purposes. so as to become subject to the wor ers' compensation laws of California, and I comply with those provisions. to q-q-2 I this permit is issued (Section 3097, Civil Code). ACTION . _ 1 DATE DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE 6NL1� I �,% 1403 REGULATIONS PART 610E TITLE 40 ANDAOMD RULE PERMIT EXPIRED PERMITCANCELLED CERTIFICATE OF I ?-'7- (. (/ OCCUPANCY ISSUED I SUBMITTED ASBESTOS NOTIFICATION TO TO