HomeMy WebLinkAboutX2021-0248 - PermitsOno@ City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0248
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• 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 1 0 2 4 8 Project No : 0267-2021
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Issued Date :0310112021
Combination Type- MFP ELEC MECH PLUM
NInspection Area: 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/OWQ r'9R PEtlR�MIT 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 `oir4,J or Holidays
Job Address: 209 40TH ST NB �s `.°®�r
Description: MFR KITCHEN AND (3) BATHROOMS REMODEL 455 SF ' U
Legal Desc.: CANAL SECTION BLK 140 LOT 10
N
Owner: FUN 4 FIVE INVESTORS LLC Contractor: YCD INC Architect:I�
Address: 7333 TRASK AVE Address: 7070 SULTANA AVE Address: it
PLAYA DEL REY, CA 90293
FONTANA CA 92336
YS
Phone:
310-266-0428
Phone:
951-258-7010
Phone:
State Lic:
Applicant:
YOUNG TREVOR
Con State Lic:
1011691
Engineer:
YEOMAN MIKE
Address:
7070 SULTANA AVE
Lic Expire:
03131/2022
Address:
330 ALABAMA ST #F
FONTANA, CA 92336
Bus Lic:
BT30067194
REDLANDS CA 92373
Phone:
951-258-7010
Lic Exp Date:
0113112022
Phone:
909-748-0999 State Lic:C-046363
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:
Building Permit Fee: $643.00
Plan Check Fee: $559.41
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$14.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,436.26
PROCESSED BY:
ZONING APPROVAL:
Workers Compensation Insurance
Carrier: FALLS LKAE FIRECO
Policy No: FLA01689400
Expire: 12114/2021
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical W
Plumbing %:
Rear: I
Front: I
Left: I
Right: I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$45.01
$25.72
$57.87
Designer:
Address:
Phone:
Special Conditions: LIQUEFACTION
HIGH DENSITY
Planning Department -
Plan check Fee:
Fair Share:
SJH Trans :
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$43.00
San Dist:
$0.00
NMUSD Fee:
$0.00
rrd Zone : N
ff� ,
Fire Depkiednt
$46.25
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
Plan Check Fee : $648.66 Fee Due at Permit Issuance : $787.60
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: 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 the applicant for
1e 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 U all of or <_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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).
1 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
pply 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:
ly 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 legally
all 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under pmvisions of Chapter 9 (commencing with Section 700, of Division 3 of the Business and Pro essi s Code Ice Is in full force
nd effect. License Class License No m0Z Z Contractor Signature
IIORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby 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, forth,
ormance of the work for which this permit is issued. Policy No.
YI eve 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' compensatior
Is ance carrier and policy number are:
rrier Policy Number Expiration Date
lame of Agent Phone #
]I 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:
Iat, if I should become ssuu/bje t to the workers' a n_ Non r of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant J� Dale3—/ 21
CLARATION REG DI G CONSTRUCyTd6N LENDING AGENCY
:reby 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).
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 and county ordinances and stw
etyg to building construction.
I authorize representatives of this city or county t enter the ab IS
Fly for inspection purposes. \ `
nature of Prooertv Owner or Authorized Anent /
Print Prooertv Owner's or Authorized Aoent's Name V
ACTION DATE BV \I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
UG LATIONS PART 61 OF TITLE 40 AND AQMD RULE
ASBESTOS NOTIFICATION TO
PERMITC4NGELLED UEPA
PERMIT EXTENDED 0AQMD
PERMITFINAL J SBESTOS NOTIFICATION IS NOT
CERTIFIC4TE OF PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE:' i
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