HomeMy WebLinkAboutX2020-1387 - PermitsCity of Newport Beach - Building Division I IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-1387
i4 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 1 3 8 7 Project No: 1066-2020
H ,. Permit Counter Phone (949)644-3288
ei. Inspection Requests Phone (949)644-3255
`:°+r��x's'' Combination Type - MFP MECH ELEC PLUM Issued Date
9
Inspection Area : 8
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Jab Address: 1957 SAN BRUNO NB
Description: MFR REMODEL 1,300 SF, W/PEX RE -PIPE *STOP WORK 120-1563
Legal Desc.: TR 6227 (L.L.84-214032) PAR 36 o
Owner: BURNS KEVINIELENA
Address: 1957 SAN BRUNO
NEWPORT BEACH, CA 92662
Phone:
Applicant:
ALLEN RANDALL
Address:
4227 COTTONWEED PL
Record Management :
RIVERSIDE CA 92506
Phone:
951-317-3772
Cade Edit : 2019
Type of Construction: VB
Occupancy Group: R2IU
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 4
Bldg Height: 0
Bldg Sprinklers: N
Building Permit Fee: $652.00
Plan Check Fee: $567.24
Overtime Plan Ck:
$0.00
Investigation Fee:
$652.00
Record Management :
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $2,047.14
PROCESSED BY:
ZONING APPROVAL:
Contractor:
INLAND FLOORING CONT. INC
Address:
26941 CABOT RD #134
Fair Share :
LAGUNA HIILS CA 92653
Phone:
949.215-8689
Con State Lic:
737496
Lic Expire:
0613012021
Bus Lic:
BT30071931
Lic Exp Date:
05/3112021
Worker's Compensation Insurance
Carrier: FALLS LAKE FIRE
Policy No: FLA00013203
Expire: 0710112020
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: 1
Right: I
$0.00
$0.00
$0.00
$0,00
$0.00
$0.00
$0.00
$45.64
$26.08
$58.68
Architect: AS BUILT PERMIT Z
Address: EXPOSE ALL STRUCTURAb
Phone: ELECTRICAL Pate Lic: ING,
EngineerMECHANICAL C®IS
Phone: State Lic:
Designer: ALLEN RANDALL 0
Address: 4227 CATCHWOOD "5II7
RIVERSIDE CA 92506 •�6i
Phone: 951-317-3772
Special Conditions:
Planning Department -
Fire Department
Plan check Fee:
$41.50
Fair Share :
$0.00
SJH Trans:
Fire Plan Rev
In -lieu Housing Fee:
$0.00
Public Works Department -
Park Dedication :
$0.00
PMI Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $2,047.14
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PtJ1BL.IC;N%1RkS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: ° 6`APPRZiVASL TO ISSUE:
Fire Department
$41.50
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $2,047.14
• 9 obb • 6®i 0
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PtJ1BL.IC;N%1RkS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: ° 6`APPRZiVASL 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' Stale 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 tc3 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 (_) 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
improv,ments 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
im- -'for the purpose of sale).
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
apt , (o 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 legally
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:hltp://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent to
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I -am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Division 3 of the Business and Profv,/. s , de, a n 1 n 'slrTfull force
and effect. License Class -. License No Dat 5"CA~ zcxnContractor Signatu
WORKERS' COMPENSATION DECLARATION /
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUyDRROR DURAND DOLLARS (E100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
111 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provi ed for by Section 3700 of the Labor Code, for th
Derformance of the work for which this permit is issued. Policy No. /
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the
rance carri d policy num �e{ are: ('�
Icr _ III), 0\ �� 1111Policy Number Expin
flame of Agent)
:3I certify that, in the pr
hat, if I should become
Signature of Applicant _
)ECLARATION REGAI
hereby affirm under p4
-ender's Name
3y my signature belo ,
I am the prope of
I have read t s apF
I agree to c mply w
I authorize repres
Signature of P ope O
ACTION
PERMITCANCELLED
PERMIT EMENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
of
which this permit is issued. My workers'
Date
ice f th io 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
to t le orkers' mp n tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iA S �� rr e Z&2
r2UCTION LENDING AGENCY
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 Address
:r.6r authorized to act on the property owner's behalf.
ion and the information 1h e p oWded is orrect.
all applicable city and cou y ordi anc and ate laws reIlaitlng to building construction.
ives of this city or county enter the a ov -1 roperty for inspection purposes.
er or Authorized Agent Print Property Owner's or Authorized A
DATE BV D7LARATION 0 CO PLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
EGULATIONSPA 61 OFTITLE 40 AND AQMD RULE
1403 • •+• • •••
LJ I SUBMITTED ASBESTOS NOTIFICATION TO • 3 • «
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.SBESTOS NOTIFJ 10 NOT PLICABLE TO
PROPOSED DE TI/ •' • `' • • `o•
SIGNATURE: _ ` • °
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