HomeMy WebLinkAboutX2020-0168 - Permitswso City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
v 1 Inspection Requests Phone (949)644-3255
°trsatiw'9 Combination Type - SFP ELEC MECH PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIII II COMB Permit: X2020-0168
x 2 6 2 6 0 1 6 6 Project No : 0143-2020
Issued Date: 0212112020
Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 315 CEDAR ST NB
Description: SFR -REMODEL KITCHEN AND WINDOW C/O TO FRENCH DOORS, INSTALL FLOOR WARMING MATS 500 SF
Legal Desc.: TR 772 LOT 4 BILK 16 ALL (EX SWLY 5 FT) THEREOF ANDSWLY 9 FT LOTS BILK
Owner:
LEAR JON 8 CAROL
Address:
315 CEDAR ST
14271 JEFFREY RD #502
NEWPORT BEACH, CA 92663
Phone:
801-560-7915
Applicant:
GRAFF BRAD
Address:
12231 BLUEBELL AVE
Con State Lic:
GARDEN GROVE CA 92840
Phone:
714.323-7830
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Contractor:
HAVEN DEVELOPMENT GRP INC
Architect:
Address:
14271 JEFFREY RD #502
Address:
Address: 12231 BLUEBELL AVE
IRVINE CA 92620
R31U
Phone:
949.788.9227
Phone: State Lic:
Con State Lic:
827901
Engineer:
Lic Expire:
01/31/2022
Address:
Bus Lic:
BT30046360
SJH Trans :
Lic Exp Date:
02/22/2020
Phone: State Lic:
•p•O
2019
Worker's Compensation Insurance
Designer: GRAFF BRAD
•o m
o me
VB
Carrier: WC EXEMPT
Address: 12231 BLUEBELL AVE
$0.00
R31U
Policy No: (NO EMPLOYEES)
GARDEN GROVE CA 92840
$0.00
0
Expire:
Phone:
'
0
$0.00.
Grading PC Consultant:
`
SJH Trans :
Building Setbacks Rear: I
Special Conditions:
• P
Grading Permit Fee:
Front: I
In -lieu Housing Fee:
$0.00
Building Dept Adm
Left: I
Grading PC Fee:
$0.00
Public Works Department-
Right: /
General Service
$0.00
x
Use Zone: Parkino Braces, 0
Fire Hazard Zone : N
Building Permit Fee: $526.00
Plan Check Fee: $457.62.
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$16.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTALFEE
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$40.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share:
$0.00
Fire Plan Rev
$0.00.
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PAN Plan Check: $0.00
Grading Bond:
$0.00
Electrical %:
$36.82
San Dist: $0.00
Mechanical %:
$21.04
NMUSD Fee: $0.00
$0.00
/___P umbing °/m:
$47.34
$0.00
4/6.82
Plan Check Fee:
$497.62 Fee Due at Permit Issuance :
$649.20
OVAL:
PUBLIC WORKS APP
J
PLAN CHECK BY:
APPROVAL TO ISSUE:
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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)
action 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
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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
ainess 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
)roved for the purpose of sale).
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
fly. 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).
am exempt from licensure under the Contractors' State License Law for the following reason:
I
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 legally
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
fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
nature of ProAM tiAner or Authorized Agent Date
SEN§ED CONTR'ACTOR'S DECLARATION
:"affirm urnjer 190lalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 f Divis n 3 of the Business and Prof sf�de, and (cense is in full force
I effect. License Class License No D to Contractor Signature
AgERS' COMPENSATION DECLARATION
tNING: FAILURE 70 SEEORE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
I= OPJOMPENdgQA, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
.ret9 affirm under pepalty of perjury one of the following declarations:
I` `have and will*mai;tain 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 thf
r8iVance of the work for which this permit is issued. Policy No.
.-•.
}lav2and w�IhnqiRij,Jin 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' compensatior
i ance carrier and pofty number are:
Policy Number Expiration Date
Agent ••••
Mce fy 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 agre(
12LXI should become subject the work ' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant)Q atm e=z i,
IECLARATION REG RDING CONSTRUCTION LENDING AGENCY
hereby affirm under Oenalty 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).
ender's Name Lender's Address
�y 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. �Ct77f—� S
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//t}m�/�,e rthe eve -identified property for inspection purposes.
lanature of ProDertv Owner or Authorized Aoe=1_ 1, Print Propertv Owner's or Authorized Aqent's Name _. V-� D3te—
ACTION DATEI BY REGULADECLARTIONS PART 61 OF OF IITLE 40 AN AQMD RULE CE WITH CODE OF AL I FOR OFFICE USE ONLY
PERMITEXPIRED I 1 III U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
PERMIT EXTENDED
NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF -1 T , SIGNATURE:
OCCUPANCYISSUED