HomeMy WebLinkAboutX2021-2735 - Permits (2)City of Newport Beach - Building Division
4 p 6
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone
(949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG ELEC PLUM
NO CONSTRUCTION NOISE
COMB Permit: X2021-2735
Project No : 2380-2021
Issued Date : 10/07/2021
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1010712024 OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and SajeTday-(cgr t,8Q0,a�lr,jq fr,QQ p.m. No work on Sundays or Holidays
Job Address: 1519E BAY AVE NB lJl�1 f 9I u W9
Description: SFR GAS/ELEC TO BBQ & 6' X 13 LF (INSIDE P/L)
Legal Desc.: BALBOA TR EAST SIDE ADD LOT 9 BLK 24 E1/2 -INC S112 ABAN ST ADJ ON
Owner: LUMPKIN CHARLES KEITH
Contractor:
LEWIS R W CONSTRUCTION
Architect:
Address: 938 VIA LIDO SOUD
Address:
1063 BAYPORT WAY
Address:
NEWPORT BEACH, CA 92663
NEWPORT BEACH CA 92660
Phone:
Phone:
714-321-4126
Phone: State Lic:
Applicant: LEWISRAY
Con State Lic:
597309
Engineer:
Address: 1863 BAYPORT WAY
Lic Expire:
0613012022
Address:
NEWPORT BEACH CA 92660
Bus Lic:
BT00021581
Phone: 714-321-4126
Lic Exp Date:
0313112022
Phone: State Lic:
Code Edit: 2019
Worker's Compensation Insurance
Designer: LEWSI RAY
Type of Construction: VB
Carrier:
CONTINENTAL INDEMNITY
Address: 1863 BAYPORT WAY
Occupancy Group: U
Policy No:
46864922
NEWPORT BEACH CA 92660
Added /New sq.ft. Bldg: 0
Expire:
1211112021
Phone: 714-321-4126
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: 5'
Special Conditions:
No of Units : 0
Front: 5'
Bldg Height: 0
Left: 4'
Bldg Sprinklers:
Right: 4'
Flood Zone: AE 8 _
Use Zone: Parking Spaces: 0
Fire Hazard Zone : N
Building Permit Fee: $144.00
Plan Check Fee: $126.28
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee
. $1.00-
TOTAL FEE: $295.32
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Excise Tax:
$0.00
Planning Department -
Additional Fee:
$0.00
Plan check Fee
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant:
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check :
$0.00
Electrical %:
$10.08
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$12.96
Plan Check Fee : $0.00
Fire Department
$0.00
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
Fee Due at Permit Issuance : $295.32
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAITO ISSUE:
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
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 (_) all of or U 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 itwas not built or
im roved 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).
❑ 1 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 Iegall�
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://wwev.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent D e
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70(p) of ivi on of the Business an Of ns C e, my license is in full force
and effect. License Class License No Date Z Contractor Sig
WORKERS' COMPENSATION DECLARATION
NARNING: 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 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
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
:a of the work for which this permit is issued. Policy No.
have and will
rance carrier
ne of Agent
certify that, in the performance of
if I should becomke s/ybject to the
iature of Aoolicant Y
as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Number
Date
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
I provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
1_ /.r
reby affirm under p nalty 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).
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 t ropedy w or' behalf.
I have read this application and the Informati I have provided is cbrrect.
I agree to comply with all applicable city and ordinanc d state laws relating to building construction.
I authorize representatives of this city or c ty to r th a ove-Id ified property for inspection purposes.
nature of Pronertv Owner or Authorized Aoe t / _ Print Property Owner's or Authorized Agent's No
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BY' DECLARATIOIVOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED
c�{Z UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION