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HomeMy WebLinkAboutX2021-1699 - PermitsCity of Newport b. sh - Building Division �IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2021-1699 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 6 9 9 P Project No : 1482-2021 h Permit Counter Phone (949)644-3288 u Inspection Requests Phone (949)644-3255 Issued Date : 06/3012021 Combination Type - SFP ELEC MECH PLUM Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED B Y 06/30/2024 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: 1736 HIGHLAND DR NB Description: SFR BATHROOM REMODEL 72 SF Legal Desc.: N TR 3057 LOT 55 Owner: STOKES JEFFREY Contractor: FETHER CONSTRUCTION Architect: Address: 1212 DEVON UN Address: PO BOX 3551 Address: NEWPORT BEACH, CA 92660 COSTA MESA CA 92628 Phone: Phone: 714-751-6409 Phone: State Lic: Applicant: FETHER KYLE Con State Lic: 357301 Engineer: Address: 3124 SUMATRA PL Lic Expire: 01/31/2023 Address: COSTA MESA, CA 92626 Bus Lic: BT30051705 Phone: 714-751-6409 Lic Exp Date: 01/31/2022 Phone: State Lic: Code Edit: 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9086025 Expire: 05/10/2022 Building Setbacks Rear: I Front: I Left: / Right: / Designer: FETHER KYLE Address: 3124 SUMATRA PL COSTA MESA, CA 92626 Phone: 714-751-6409 Special Conditions cc 0 U UJ ry C/�IL V ) Z Flood Zone: X Use Zone: ParKing Spaces: 0 Fire Hazard cone : N Construction Valuation: $20,000.00 Building Permit Fee: $416.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $361.92 Additional Fee : $0.00 Plan check Fee : $46.25 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $2.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $29.12 San Dist: $0.00 Building Green Fee : $1.00 Mechanical W $16.64 NMUSD Fee: $0.00 $0.00 Plumbing %: $37.44 $0.00 TOTAL FEE : $910.37 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $910.37 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: 14t- ``II )A�V PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 1 l 1 - 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, priorto 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). 1, 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, 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, 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 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). I 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 ell 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.[eginfo.ca.gov/calaw.html. signature of Propel ty Owner or Authorized Agent ate 411, .ICENSED CORTRACTOR'S DECLARATION h3rEb/ affirm uad.:I penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) ofplwslon 3 of the Business and Prof ssi n - full farce nd effect. Li�ensi Class License No Date e G - SJ�Z Ar,0Contractor Signature VORKERS' CCMPENSATION DECLARATION 'ARNING: FAILUFE TO S-CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED JST uF COMPENSA, ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. helaoy affirm under penalty of perjury one of the following declarations: IN ADDITION TO THE I hove and vri'I 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 o)nance of the work for which this permit is issued. Policy No. and wi.1 m&h,tain 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' carder snd policy number are: ne of Agent certify that, in the performal , if I should become subject of Policy Number Expiration Date Phone # 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 ;ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date' (p / 2 ZO � ]V — �[�) CLARATION REGARDING OI fST CTION ENDING AGENCY ;reby affirm under penalty of perjury t is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). rder's Name Lender's Address my signature below, I certify to eac of the following: I am the property owner or authorized to act on thehrovide wners I have read this application and the information I h d is c1 agree to comply with all applicable city and count (eaws reI authorize representatives of this city or county toove-I roperty for nature of Property Owner or Authorized Agent TION DATE BY R N OF COMP NCE WITH CC GU IONS PART fil OF TITLE 40 AND PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED OEPA PERMIT EXTENDED LJAQMD PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED .7 I•Z7-GZ ASBESTOS NOTIFICATION ISNOT PUCAE JAI ON GNATURE: i---i construction. n purposes. FOR OFFICE USE ONLY L.