HomeMy WebLinkAboutX2021-1683 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
l Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
'X2021-1683'
COMB Permit: X2021-1683
Project No : 1467-2021
Issued Date: 11/18/2021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 11/18/2024 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: 1112 SANTIAGO DR NB
Description: SFR KITCHEN REMODEL, REMOVAL OF LOAD BEARING WALLS, NEW WINDOW 325 SF -
Legal Desc.: N TR 4224 LOT 198
Owner:
SALANGA MARIA T M
Contractor:
MG CONSTRUCTION GROUP INC
Architect:
Address:
1112 SANTIAGO DR
Address:
8430 SANTA MONICA BLVD #203
Address:
NEWPORT BEACH, CA 92660
WEST HOLLYWOOD, CA 90069
Phone:
Phone:
213-431-4953
Phone:
Applicant:
FRANK LAUREN
Con State Lic:
1031761
Engineer:
Address:
8950 W OLYMPIC BLVD STE 569
Lic Expire:
03/31/2022
Address:
BEVERLY HILLS, CA 90211
Bus Lic:
BT30077248
Phone:
323-806-1366
Lic Exp Date:
11/30/2022
Phone:
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: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Construction Valuation: $50,000.00
Building Permit Fee: $799.00
Plan Check Fee: $695.13
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$12.00
Energy Compliance:
$0.00
CA Seismic Safety :
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,719.93
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9229955
Expire: 04/18/2022
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: I
Left: I
Right: /
'arkina Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$55.93
$31.96
$71.91
Plan Check Fee
Designer:
Address:
Phone:
State Lic:
STANDLEY CRAIG
15233 VENTURA CIR
SHERMAN OAKS CA 91403
916-333-9225 State Lic:C-087675
Special Conditions:
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
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$741.38 Fee Due at Permit Issuance : $978.55
PUBLIC WORKS APPROVAL: p\�
PLAN CHECK BY: !"\ _
APPROVAL TO ISSUE: F
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 L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
iusiness 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 `he 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 or property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
' r m exempt f^om licensure under the Contractors' State License Law for the following reason:
ly my signature oelow 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 Iegalll
el. 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
"ofemons Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
licnatuve of PronPrfy 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) o D'vi n f the Business and Prof s ions(C�gq% qnd rAy license is in full farce
nd effect. Licence C'ass License No Date 6 Contractor Signature T b �-{ ePJ
VORKERS' COMPENSATION DECLARATION
iARIANG: FAILURE TJ SELLRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
nereoy 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 the
erformance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
me of Agent
I certify that, in the pi
d, if I should become
of
Policy Number
Date
of the work forwhich 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 agree
he wprkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ev Date
IECLARATION REGARDING 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
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 provided is correct.
I agree to comply with all applicable city and county ordin ces and state laws relating to building construction.
I authorize representatives of this city or county to an r h o ? entified property for inspection purposes. \,
ionature of Pronertv Owner or Authorized AGent N/ Print ProDertv Owners or Authorized Agent's Name JC [_ao i It � n)I— Date,V (l/ i_{�q,
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
EPA
PERMITEXTENDED
AQMD
PERMITFINAL
ESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF
SZY
P OPOSE DTAOLI1ft0i6J.� O..
OCCUPANCYISSUED
SIGNATURE: ��y'�� n