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HomeMy WebLinkAboutX2021-0607 - PermitsCity_of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0607 4 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 1 0 6 0 7 Project No : 0559-2021 w Permit Counter Phone (949)644-3288 ' Inspection Requests Phone (949)644-3255 Issued Date: 04/0112021 `:Ixrvaxe's`b Combination Type - MFP ELEC MECH PLUM Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0410112024 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: 9 VALORE DR NB Description: MFR "STOP WORK" REMODEL KITCHEN AND (2) BATHROOMS, REPLACE (2) DOORS 618 sf (120-2719) Legal Desc.: TRACT 14773 LOT 3 OF PROJECT 935.34 LOCATED ON AP 478-071-16 Owner: STIEN ALLEN Address: 9 VALORE DR NEWPORT COAST, CA 92657 Phone: Applicant: SMITH BRADFORD Address: 425 30TH ST #22 NEWPORT BEACH CA 92663 Phone: 949-631-3682 Code Edit: 2019 Type of Construction: V-B Occupancy Group: R2 Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 5 Bldg Height: 0 Contractor: MC MILLEN BUILDERS INC Architect: SMITH BRADFORD Address: 22392 CANAVAERAS Address: 425 30TH ST #22 MISSION VIEJO CA 92691 NEWPORT BEACH CA 92663 Phone: 949-586-5055 Phone: 949-631-3682 State Uc:C014146 Con State Lic: 498908 Engineer: Lic Expire: 0913012022 Address: Bus Lic: BT30066640 Lic Exp Date: 09130/2021 Phone: State Lic: Worker's Compensation Insurance Designer: Carrier: PREFERRED PROF Address: Policy No: ON1015201 Expire: 0810112021 Phone: Building Setbacks Rear: I Front: I Left: I Rioht: I Special Conditions: 120-2719 P11 *'q+- i Z) ACTOR' .ig aPu.n c,: Flood Zone: Use Zone: - Parking Spaces: 0 Fire Hazard Zone Construction Valuation: $50.000.00 Building Permit Fee: $799.00 Excise Tax: $0.00 Planning Department - Plan Fee: $46.25 Fire Department Fire Inspection: $0.00 Plan Check Fee: $695.13 $0.00 Additional Fee : Grading Bonds Fee: $0.00 $0.00 check Fair Share : $0.00 Fire Plan Rev $0.00 Overtime Plan Ck: Investigation Fee: $799.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 $0.00 Demolition Fee Building Dept Adm $0.00 Record Management : $20.00 Grading Permit Fee: $0.00 $0.00 In -lieu Housing Fee : Public Works Department - General Service $0.00 Energy Compliance: $0.00 Grading PC Fee: WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 CA Seismic Safety: $0.00 PNV Plan Check : $0.00 Grading Bond: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Electrical %: $55.93 San Dist: $0.00 $0.00 Building Green Fee : $2.00 Mechanical %: $31.96 NMUSD Fee: $0.00 $0.00 Plumbing %: $71.91 TOTAL FEE : $2,521.18 Plan Check Fee: $741.38 Fee Due at Permit Issuance : $1,779.80 PROCESSED BY: ZONING APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: GRADING APPROVAL: - " 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 the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (chapter a (commencing with section 7000) of division 3 of the Business and Professions 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do Business and Professions Code: The Contractors' State License Law does not apply to an owner (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, improvements are not intended or offered for sale. If, however, the building or improvement is solof property who, through employees' or personaleffort, builds or improves the property, provided that the roved for the purpose of sale). d within one year of completion, the Owner -Builder will have the burden of proving that it was not built or LJ 1, 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 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, I cannot legall, 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 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govtcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000) f Ni;fion 3 of the Business and Firofe s' Cod , and m nee is in full force and effect. License Class License No at ! 2/ Contractor Signatu WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. RED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE hereby affirm under penalty of perjury one of the following declarations: 1 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 thi o ance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number of Agent Date Ul certify that, in the performance of the work for which thi 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 that, if I should become subject he workers' compens n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant V ���•p�p,�,,��[{// 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 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 laws relating to building construction. I authorize representatives of this city or county to ent the above-identifie perty for inspection purposes. C 3i nature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's Name 7z Cm I L�' ate 1 Z ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED QM D PERMIT FINAL CERTIFICATE OF -/D'>9 �x-�-� ASBESTOS NOTIFICATION IS NOTAPPLICABLE�T0 OCCUPANCYISSUED R POSED DEMOU ON ,f // arun ..e-1 it 24, 1 . _ ,