The URL can be used to link to this page

Home My WebLink AboutX2021-1031 - Permits (3)� wi•f,4,� City of Newport Beach - Building Division (,TlO i NOISE r�, � - o COMB Permit: X2021-103' 100 Civic Center Drive, Newport Beach, CA 92660 ' V Project Na : 0946-2027 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 IssuedDateAr510312021 Combination Type- SFP ELEC MECH PLUM N� SATE pRDAYS ®1 I V Cl !�1 ! Inspection Area : 5 V s7I'1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0510312024 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: 2800 OCEAN LN NB Description: SFR INT ALTERATION. RMV WALL BETWEEN KITCHEN 8 MEDIA ROOM.30 SF. RELOCATE OVEN Legal Desc.: RESUB OF CORONA DEL MAR LOT 7 BLK 34 NLY 96 FT(ANDNLY 96 FT LOT 8 ELK Owner: -T40 }1 ("e..(u, Contractor: OWNERIBLDR Architect: MORGAN JOHN T. JR Address: 2800 OCEAN BLVD Address: THON CARL Address: 18682 BEACHMONT AVE CDM CA 92625 N. TUSTIN CA 92705 , Phone: Phone: 949.500.0132 Phone: 714-730-2723 State Lic:CO22567 Applicant: MORGAN JOHN T. JR Con State Lic: OIB Engineer: FORBES DALE L - Address: 18682 BEACHMONT AVE Lic Expire: Address: 1800 E 16TH ST #B = N. TUSTIN CA 92705 Bus Lic: SANTA ANA CA 92701 Phone: 714-730-2723 Lic Exp Date: Phone: 714-835.2800 State Lic:C-030407 Code Edit: 2019 Type of Construction: V-B Occupancy Group: R31U Added New sq.ft. Bldg: 0 Added New sq. ft. Garage: 0 No of Stories: 3 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: Valuation: $10,000.00 Building Permit Fee: $246.00 Plan Check Fee: $214.02 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $8.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $564.47 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: Policy No: Expire: 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 larking Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $17.22 $9.84 $22.14 Plan Check Fee Designer: Address: Phone: Special Conditions: HIGH DENSITY 0 Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PM Plan Check : $0.00 San Dist : $0.00 NMUSD Fee: $0.00 Fire Department $46.25 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $564.47 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE:C7� yea 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) Bection 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 �e 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 fessions 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 re than five hundred dollars ($500). as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, ss 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). 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). I am exempt from licensure under the Contractors' Stat icens La for the following reason: ly my signature below I acknowledge that, except for my er onal id no n which I must have resided for at least one year prior to completion of the improvements covered by this perm' , I cannot legally ell a structure :t.a2 i have built as an owner -bull r if t as of be co st cted in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7244 ofre B sines and 'rofessions Cod in available upon request whe Is ppl atio su ted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ignatdre of Prnperty Owner or Authorized Agent A0 I t h!Y .ICEIJSED ONTF<ACTOR'S DEC LA hereby affirm under penalty of perjury that I am I ense nder provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Co e, and my license is in full force nd Pfrect. License Class icerise No Date Contractor Signature YOF.KERS' COMPENSATION DECLARATION fAR'l: NG: 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 ($100,000), IN ADDITION TO THE DST OF COMPENSA PON, 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 ``cve 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 e, formance of the-.vo,-k for which this permit is issued. Policy No. :i_a 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' iraice carrier and policy number are: , Policy Number Date me of Agent Phone # I certify that, in the perfor ineof the' o r h this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co pensatio aws f California, and agre t, if I should becomes bj hew ' kers' o ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.(nature of Applican Date �ICLARATION REGA ST ON LENDING AGENCY areby affirm under nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil C de). 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 pro rty owner's behalf. I have read this application and the information I hav pr I d is o ct. I agree to comply with all applicable city and cod^ or In nc s a ate laws relating to building construction. I authorize representatives of this city or courv;y t/o nte� @ ovv tified property for inspection purposes. Signature of Property Owner or Authorized Agent V Print Property Owners or Authorized Agent's Name / /V Me ACTION DATE BY RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY IF REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT CANCELLED EPA PERMIT EXTENDED AQN PERMITFINAL Q_�AA �7�f ASBESI CERTIFICATEOF W— IR OSEL OCCUPANCYISSUED SIGNA B APPLICABLE TO