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HomeMy WebLinkAboutX2021-1183 - PermitsCity of Newport Beach - Building Division b 100 Civic Center Drive, Newport Beach, CA 92660 4 Permit Counter Phone (949)644-3288 " a Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1183 x 2 e 2 1 1 1 e 3 Project No : 0127-2021 Issued Date: 05113/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0511312024 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: 1228 MARIAN LN NB Description: SFR *ADDITIONAL SCOPE* REMOVE CEILING JOISTS FOR VAULTED CEILING Legal Desc.: N TR 1973 LOT 18 Owner: INSPECTOR JONES JEFF Contractor: REES J CONSTRUCTION Architect: METODIEV TRIFON Address: 1228 MARIAN LN Address: 325.5 MARGUERITE AV Address: 155 ROCHESTER NEWPORT BEACH, CA 92660 CDM CA 92625 COSTA MESA CA 92627 Phone: Phone: 949-441-6742 Phone: 949-293-2176 State Lic:C037844 Applicant: GARCIA RON Con State Lic: 860577 Engineer: BURKE THOMAS " Address: 155 ROCHESTER DR Lic Expire: 09/30/2022 Address: 151 KALMUS DR #140 COSTA MESA CA 92627 Bus Lic: BT30074689 COSTA MESA CA 92626 " Phone: 949-612-7257 Lic Exp Date: 03/21/2022 Phone: 949-494-0776 State Lic:S-005088 Code Edit: 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Construction Valuation: Building Permit Fee: $127.00 Plan Check Fee: $110.49 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $297.63 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: WIC EXEMPT Policy No: Expire: 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: / Left: / Right: / parking Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $8.89 $0.00 $0.00 Plan Check Fee Designer: Address: Phone: Special Conditions: REV21-0731 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 Zone 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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $156.74 Fee Due at Permit Issuance : $140.89 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO 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 theapplicant for he 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 Irofessions 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 iot more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 mproved for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade: 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 not legal 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 70LoaLsProfessions Cod,% r available upon request when this application is submitted or at the following Web site:http://wwlv.leginfo.ca.gov/calaw.htmi. Signature of Frnperty Owner or Authorized Agent Date IICF.WSED CONTRACTOR'S DECLARATION I hereby affim, ul,der penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectiagJ.O f T isi 3 of the Busine s d Profession Code, and effect. License Class License No D Contract Sign WORKERS' COMPENSATION DECLARATION .IARN.NG: FAILUAa . U JLCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T O AND DOLLARS ($100,0001, IN ADDITION TO THE CUST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm urder nenalty of perjury one of the following declarations: ❑ ; 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 th Kmanse of the work for which this permit is issued. Policy No. ave 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' compensatiol i.i.:Lr „ce carrier and policy number are: C..N iJr Policy Number Expiration Date Name of Agent Phone # certify that, in the performance of the work for which 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 agre if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. f Signature of Ap-per,@/nt DECLARATION" REGARDING CONSTRUCTION LENDING AGENCY I 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). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized tAcou property ow is Shelf. I have read this application and the infove pro is cc act. I agree to comply with all applicable city ordi anc an state laws relating to building construction.I authorize representatives of this city onte the v'e ified property for inspection purposes. \, n D e Signature of Prooertv Owner orAuthorized Print Property Owner's or Authorized Agent's Naq(e �4� ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE 1403 PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFIfATION TO PERMIT EXTENDED 4M PERMIT FINAL /� S ESTOS OTIFI ATIO ESN LICA E TO CERTIFICATE OF 1 1�� / P O D DE LI ION OCCUPANCY ISSUED S