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HomeMy WebLinkAboutX2020-2245 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM *X2020-2245* COMB Permit: Project No : Issued Date : 10/06/2020 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1010612023 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: 8 IRONWOOD DR NB Description: SFR REMODEL GUEST BATHEOOM (NO STUCTURAL CHANGES) Legal Desc.: N TR 15390 LOT 7 Owner: NYBERG RICHARD Contractor: OWNER/BLDR Architect: Address: 8 IRONWOOD DR Address: NYBERG RICHARD Address: NEWPORT BEACH, CA 92660 Phone: 949-222-2292 Phone: Phone: Applicant: NYBERG RICHARD Con State Lic: Ole Engineer: Address: 8 IRONWOOD DR Lic Expire: Address: NEWPORT BEACH, CA 92660 Bus Lic: Phone: 949-222-2292 Lic Exp Date: Phone: Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: Address: Occupancy Group: R31U Policy No: Added Mew sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: No of Units : 1 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flnnd 7nne: Use Zone: Parking Spaces: 0 Fire Hazard Zone Construction Valuation: $7,500,00 Building Permit Fee: $212.00 Excise Tax: $0.00 Planning Department - Plan Check Fee: $184.44 Additional Fee : $0.00 Plan check Fee Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : Record Management: $2.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety : $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access : $0.00 PAN Plan Check : $0.00 Hazardous Mat $0.00 Electrical %: $14.84 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $8.48 NMUSD Fee: $0.00 Plumbing %: $19.08 TOTAL FEE: $488.09 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: IN%DL�T� 1171 State Lic: State Lic: 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 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $488.09 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 items) (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 J 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 rovements 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 %n oved far the purpose of sale). 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 Iicensure 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 co red by this permit, I cannot legally sell a structure that I have built as an owner-builderp has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Se Ion 7044 of the Business and Professions Code, is avoilable upon request (cation i submi or at the following Web site:http://www.leginfo.ca.gov/calaw.html. \ q Sivralor= of Prop�rt' Owner or Authorized A t a LICENSED CONTRACTOR'S DECLA O I hereby affirm undar 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 my license is in full force aad e(f::ct. License Class License No Date Contractor Signature WORKERS' C'OMPF'4SATION DECLARATION WARNMU; 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, D'1MAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I h-mIw affirm under penalty of perjury one of the following declarations: I I.6va 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 p�orformaTce of the work for which this permit is issued. Policy No. nave 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' compensatiol insui anoe carrier and pdicy number are: Carrier Policy Number Expiration Date me of Agent Phone # ertity 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 agree 9t, if I should p omB the worker en do pr f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Si nature of licant h a�tE���/ s�Z� Hari wow a ovr r` v !reby affirm under penalty of perjury that there is a const le ing 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: 1 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 1 elul Ing c on. _ I authorize representatives of this city orfvmRyLto-epter*)e above-i pro art fo Inspection purposes. n.� _ L I\, Or of PrODertv Owner or AL ACTION I DATE r / BY PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED CERTIFICATEOF OCCUPANCY ISSUED OF PART0MPLIANCEVVITH 61 OF TLE40AN OYE OF AQMD RULERAL FOR OF Cl USE ONLY 1403 LJ I SUBMITTED ASBESTOS NOTIFICATION TO IS NOTAPPLICOLE TO