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HomeMy WebLinkAboutX2021-1729 - Permits�"'Po City of Newport Beach - Building Division L 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-328$ isfi Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM COMB Permit: X2021-1729 Project No : 1517-2021 Issued Date : 07/06/2021 Inspection Area 3 CC rIN PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/06/2024 OR PERMIT IMLL BE 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 Holic Job Address: 1720 KINGS RD NB Description: DEMO (E) SFR WATT GARAGE 1,692 SF (3 BEDROOMS) Legal Desc.: Owner: WERNER ERIC Address: 1720 KIN GS RD NEWPORT BEACH CA 92663 Phone: Applicant: LONGMAN NEIL Address: 2782 CIRCLE DR NEWPORT BEACH CA 92663 Phone: 949-722-7711 Code Edit: 2019 Type of Construction: VB 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: $10,000.00 Building Permit Fee: $122.00 Plan Check Fee: $223.00 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: $2,598.98 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: LONGMAN CONSTRUCTION CO INC Architect: Address: 2782 CIRCLE DR Address: NEWPORT BEACH CA 92663 Phone: 949-722-7711 Phone: State Lic: Con State Lic: 393881 Engineer: Lic Expire: 08/31/2021 Address: Bus Lic: BT00001921 Lic Exp Date: 03/3112022 Phone: State Lic: Worker's Compensation Insurance Designer: Carrier: STATE COMP INS FUND Address: Policy No: 9062475 Expire: 0710112022 Phone: 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: I larkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $152.00 $0.00 $0.00 $10.98 Plan Check Fee Special Conditions: HAULER; JD DEMO NO CITY TREES ON SITE 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 Fire Department $104.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: 0 LI.J Ct- Co vo $0.00 $0.00 $27.00 $265.00 $1,692.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $2,598.98 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 st: ,:-lire, 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 ot 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, 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). 3 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: iy 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 legalh 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.leginfo.ca.gov/calaw.htm]. signature of Property Owner or Authorized Agent OltDate .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section the Business and Pro ssi n ens i II force nd effect. License Class License No Date i Contractor Signatu PORKERS' COMPENSATION DECLARATION IARNING: 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 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. 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, for th Pgo1pana&of the work for which this permit is issued. Policy No. ;IIrllave and will int l workerscom ensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensatiol nsurance carrier an olicy number ar barrier Pq y e Expiration Date Name of Agent Phone # :1I certify that, in the performance of t or wZ�nprovisions is issued, I shall not employ any person in any manner so as to become subject to the workers' cKode), I s of California, and agre hat, if I should become su ject to ers' co of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.^ / signature of Applicant CatG DECLARATION REGA G CONSTRUCTION LEN AGENCY hereby affirm under penalty of perjury that there is onstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil -enders Name Lender's Address 3y 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 1 have provided is orrect. I agree to comply with all applicable city and county ordina nd sta elating to building construction. I authorize representatives of this city or count toe aL ve-id property for inspection purposes. 00 signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Na - • Aa t. ACTION DATE BY RATION OF COMPLIA CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULNIO111 PART11 OF TITLE 40 AND AQMO RULE 1 3 PERMIT EXPIRED SUB ED ASCESTOSRIOTIFICATION-0 PERMITCANCELLED PA - PERMIT EXTENDED QMD PERMITFINAL ASBESTOS hOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF akc W- PROP MOLITION OCCUPANCYISSUED SIGN TU 0960629 2110002626Te& % — £ R =CO _) �K�Cj i ❑ ax» \/#\ 62 �_- l| �//� � § ®6a I#k� ,! 2�V§ \ - 3