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HomeMy WebLinkAboutX2021-2315 - PermitsQ wwrn4 City of Newport Beach - Building Division *X2021-2315* COMB Permit: X2021-2315 ' n100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2319-2019 Permit Counter Phone (949)644-3288 I s action Re uests Phone (94M644-3255 v n P q I l Issued Date : 0912012021 ,.J Combination Type -MFP �Q INSPE Inspection Area * � PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/20/2024 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: 121 25TH ST NB Description: MFR -DELTA 5 -ADD'L SCOPE. RE -CONSTRUCT STAIRS @ UNIT 2 Legal Desc.: NEWPORT BEACH CITY BLK 25 LOT 25 Owner: VITA ABBONDANTE PROPERTY DEV Address: 121 25TH ST NEWPORT BEACH CA Phone: Applicant: MORGAN JOHN T. JR Address: 18682 BEACHMONT AVE N. TUSTIN CA 92705 Phone: 714-730-2723 Code Edit : 2019 Type of Construction: V-B 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: Construction Building Permit Fee: $331.00 Plan Check Fee: $287.97 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $38.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $709.97 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: ROBERT OWEN CORPORATION Address: 2218 LAUREL PL NEWPORT BEACH CA 92663 Phone: 949-633-3248 Con State Lic: 471754 Lic Expire: 08/31/2023 Bus Lic: BT30037884 Lic Exp Date: 0113112022 Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: / Right: / larkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Architect: MORGAN JOHN T. JR Address: 18682 BEACHMONT AVE N. TUSTIN CA 92705 , Phone: 714-730-2723 State Lic:CO22567 Engineer: - Address: -° Phone: L State Lic: ° - Designer: Address: Phone: Special Conditions: -' Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $339.97 Fee Due at Permit Issuance : $370.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: - ✓ � l 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 items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto 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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of 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). 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 apply 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: By 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 legalll sell a structure the" h.,ve 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 Professions Code, i= a"ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. S'gnatwe of Property Owner or Authorized Agent Date LICENSED CCNTGA :TOR'S DECLARATION I hEreby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectioV7Divisiopn 3 of the Business and Pro *,iod�, nd y iD in full force a:.d ef`cct. License Class License No Da Contractor Signature WORKERS' COMPENSATION DECLARATION N. RNII.C. 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 COST OF COMPENSA', JUN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hPmhv affirm under p.malty of perjury one of the following declarations: I f.sj2 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 rformance of the work for which this permit is issued. Policy No. , ,lave 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' compensa jran:e carrier rrd pricy number are: Policy Number of Agent Date rtify that, in the perfor an hew rwhich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compens lion laws of California, and agre if I should bec a ub ct t wo compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I/�yr .a _ 'signature of Applica Dafle/� IECLARATION RE ING CONSTRUCTION LENDING AGENCY hereby affirm under penal 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). order's Name Lender's Address 'y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have proved correct. agree to comply with all applicable city and county or�if� ndVses relating to building construction.authorize representatives of this city or cou to y tp a/n t aYe-property for inspection purposes. N / I� ( ,, %/ / ianature of PrODertv Owner or Authorized Aaent V {� Print Prooertv Owner's or Authorized Anent's Nam1 lii. S7 ( C41—, Dater %k ACTION DATE BY v ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED AQMD PERMITFINAL '_—(9-2 1 SBE5TOS NOT TI NI N PPLIC BLE TO CERTIFICATE OF O JI RO SED OCCUPANCY ISSUED SIGN. CARE