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HomeMy WebLinkAboutX2021-1031 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1031 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 0 3 1 Project No : 0946-2021 Permit Counter Phone (949)644-3288 "T Inspection Requests Phone (949)644-3255 Issued Date : c, Combination Type - SFP ELEC MECH PLUM a�yp+T Inspection Arearea :2021 5 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 BLVD NB Description: SFR INT ALTERATION. RMV WALL BETWEEN KITCHEN & 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 BLK Owner: CLJ LIMITED Contractor: OWNER/BLDR 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: Ole Engineer: FORBES DALE L Address: 18682 BEACHMONT AVE Lie Expire: Address: 1800 E 16TH ST #B N. TUSTIN2 92705 Bus LiW�:�/'� y�-+ONSTR fl-+-tION NOISE CONSTRUCTION 5=r A..r l..rlV A8270State Lic:C-030407 � Phone: 714-730.2723 Lie Exp'�6tA: 23 AR6ne . 4N6 52800 Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: Address: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 0 Expire: �✓! �d 9 1 Phone: ONSATURD fl/'1v Added /New sq. ft. Garage: 0 No of Stories: 3 Building Setbacks r �T Rear: / Special Conditions:�'� No of Units : 1 Front: / HIGH DENSI Bldg Height: 0 Left: / Bldg Sprinklers: N Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10,000.00 Building Permit Fee: $246.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $214.02 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: $8.00 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 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PfW Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $17.22 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $9.84 NMUSD Fee: $0.00 $0.00 Plumbing %: $22.14 $0.00 TOTAL FEE : $564.47 Plan Check Fee : $260.27 Fee Due at Permit Issuance : $304.20 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: 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 the 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 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 L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements 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 improved 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 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). Nam exempt from licensure under the Contractors' State License Law for the following reason: By n­V signature below I acknowledge that, except for my ynalsidence in which I must have resided for at least one year prior to completion of the improvements cover)sell structure that I have built as an owner -builder if it as oconstructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section ssions Code, is available upon request wh t is pp asubmitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent m DaEL LICENSED CONTRACTOR'S DECLARATI N I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION and and my license is in full force NARNING: 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 COST 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: ❑ 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 the aerormance of the work for which this permit is issued. Policy No. ❑1 have 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' compensation nsurance carrier and policy number are: barrier Policy Number Expiration Date Name of Agent Phone # rtify that, in the pertormanc of ork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compens ion ws of California, and agree Dure I should become subject t kers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.ofApplicant Dat�rJ>�� DECLARATION REGARDI ST UCTION LENDING AGENCY 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 ode). _ender's 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 prop rty owner's behalf. I have read this application and the information I hav pro ided Is korreI agree tocomply with all applicable city and county ordi nce ans relating to building construction. I authorize representatives of this city or county to nI e a veproperty for inspection purposes. � 22,, Signature of Property Owner or Authorized Agent Print PropertyOwner's or Authorized Agent's Name �/ y I Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED L1 I SUBMITTED ASBESTOS NOTIFICATION TO ' - PERMITCANCELLED LJEPA . 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