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HomeMy WebLinkAboutX2021-2236 - Permitsy r City of Newport Beach - Building Division lllllllllllllllllllllllllllllllllllllllllllllllu COMB Permit: X2021-2236 a x- 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1503-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 08/24/2021 Combination Type - SFP ELEC PLUM MECH Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0812412024 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: 1532 KEEL DR NB Description: SFR "ADD SCOPE" CREATE NEW BATHROM & CLOSET IN BEDROOM, CONVERT GARAGE TO LAUNDRY RM 60 SF, NEW PATIO DOOR Legal Desc.: N TR 6152 LOT 115 Owner: DOYLE JOHNM Contractor: OWNER/BLDR Architect: Address: 1532 KEEL DR Address: DOYLE JOHN Address: CORONA DEL MAR, CA 92625 Phone: Phone: 714-726-3340 Phone: State Lic: Applicant: RUVALCABA MARTIN Con State Lic: O/B Engineer: RUVALCABA MARTIN V J Address: 4182 N VIKING WY Lic Expire: Address: 4182 N VIKING WY LONG BEACH CA 90808 Bus Lic: LONG BEACH CA 90808 ��9p-°1� ., . Phone: 310-741-2699 Lic Exp Date: Phone: 310-741-2699 State Lic:C-07�t^f3iF Code Edit : 2019 Worker's Compensation Insurance Designer: ` J Type of Construction: V-B-SPR Carrier: Address: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 60 Expire: Phone: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: / Special Conditions: REV21-1306 ssvv No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $30,000.00 Building Permit Fee: $1,395.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $1,128.33 Additional Fee : $0.00 Plan check Fee : $260.00 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 $0.00 Record Management : $44.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $61.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $50.75 Grading Bond: Hazardous Mat $0.00 Electrical %: $97.65 San Dist : $0.00 $0.00 Building Green Fee : $2.00 Mechanical %: $55.80 NMUSD Fee: $0.00 Plumbing %: $125.55 $0.00 TOTAL FEE : $3,220.08 Plan Check Fee : $589.08 Fee Due at Permit Issuance : $2,631.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: 'yny^q 1 1 \ 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 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 U 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 np�ax ements 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 fiyyOro d for the purpose of sale), al 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 y 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 Iicensure under the Contractors' State License Law for the following r son: ly my signature below I acknowledge that, except for my personal residence in which I have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegall, ell a structure that I have built as an owner -builder if it has not be n constructed in it a ety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Busines and 'rofessions Code, is available upon request when is appl c f is s Itted or 1 fo Web site:http://www.leginfo.ca.gov/calaw.html. signature of Prop Dr'� Owner or Authorized Agent Date 6 k c 2D �� .ICENSED CONT3ACTOR'S DECLARAT ON hereMw affirm under penalty of perjury that I am licensed under provisions of Cha ter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. LiOehse Ciass License No Date Contractor Signature COMPENSATION DECLARATION 'ARNING: FAILURE,TO SFCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE .7ST OF COMPENSATION, 7AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. her^hy 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 .r.`cnnance of the work for which this permit is issued. Policy No. hav9 and w0l mairtain 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' ranee carribr and policy number are: nei_ Policy Number Expiration Date ne 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 if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date CLARATION REGARDING CONSTRUCTION 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 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 ordinances and state aws relating to building construction. I authorize representatives of this city or county t//nt% the above-i proper y ction purposes. (//� M' �,/� nature of Prooertv Owner or Authorized Aoent �`o/P Gti Printertv Owner's or Authorized Aaent's Nam,/ k /uG ZL ACTION I DATE PERMIT EXPIRED PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED OF COMPLIANCE WITH CODE OF FEDERAL\ FOR OFFICE USE ONLY PART 61 OF TITLE 40 ANDAOMD RULE �`� I SUBMITTED ASBESTOS NOTIFICATION TO IS NOTAPPktCAKE TO