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HomeMy WebLinkAboutX2020-2394 - Permits:- X17 _ City of Newport Beach - Building Division IIIIIIIIIIIIIIII�I�IIIIIII�IIIIIIIIIIIIIIIIII II COMB Permit: X2020-2394 ` 100 Civic Center Drive, Newport Beach, CA 92660 a v p ' X 2 0 2 0 2 3 9 4 Project No: 1915-2020 E , � Permit Counter Phone (949)644-3288 +ft Inspection Requests Phone (949)644-3255 `r<rraa•1° -` Combination Type - MFP PLUM Issued Date: 11113/2020 - Inspection Area : 1 PERMITEXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111412023 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: 4111 SEASHORE DR NB Description: MFR KITCHEN UPGRADES, REPLACE SHOWER TILE IN THE MASTER BATHROOM & SINK, REPLACE SINKS @ (2) GUEST BATHROOMS Legal Desc.: THIRD ADD TO NEWPORT BEACH BILK 41 LOT 6 Owner: JACOBS JOHN BARRY Contractor: J P T CONSTRUCTION INC Architect: Address: 9380 SONOMA HWY Address: 409 62ND ST Address: KENWOOD CA 95452 NEWPORT BEACH CA 92663 Phone: Phone: 714-336-1966 Phone: State Lie: Applicant: J P T CONSTRUCTION INC Con State Lie: 879360 Engineer: STANGER CRAIG m ° • ° • ` Address: 409 62ND ST Lie Expire: 06/30/2022 Address: 2014 E WESTPORT DR #A ° NEWPORT BEACH CA 92663 Bus Lie: BT30014788 ANAHEIM CA 92806 Phone: 714-336-1966 Lie Exp Date: 01/3112021 Phone: 714-778.6691 Lic::S-003893 � ° ° ` ° • m ° o , ° g-Sttatte� NO Code Edit: 2019 Worker's Compensation Insurance Designer: Cr ONSTRUCTe®E� Type of Construction: VB Carrier: WESCO ®® ° Address: • • ° ®V°f/ i -'t ,. Occupancy Group: R3/U Policy No: WWC3462916 Added /New sq.ft. Bldg: 0 Expire: 04/07/2021 Phone: Added /New sq. ft. Garage: 0 °. `„ ° ° • ° No of Stories: 2 BuildingSetbacks Rear: / , Special Conditions: °• p ON No of Units : 2 Front: / oo„ .ATUR�3A1( ° Bldg Height: 0 Left: I ° Bldg Sprinklers: N Right: I ° Flood Zone: VE -15 Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $15.000.00 Building Permit Fee: $331.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $287.97 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 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $29.79 $0.00 TOTAL FEE : $704.01 Plan Check Fee: $287.97 Fee Due at Permit Issuance : $416.04 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). ❑ 1, 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, 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 im 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 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 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, 1 cannot legall) sell a structure that 1 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:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSE4F,QNTRACTOR'S DECLARATION I hereby affirm udder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti 00) of ivis' n 3 of the Business and Profes ons Code, nse is in full force and effect. • License Class License No Dae ( L I r1 Contractor Signature ORKEM' 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 HUNDRED USAND DOLLARS ($1100,001)), IN ADDITION TO THE c03r OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ]TOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I t�e reby affirm-V&r penalty of perjury one of the following declarations: �• Ihave and WIN fnaintain 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 th D rjormancP„ gPthawork for which this permit is issued. Policy No. •have and vflll 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 tante carrier igpolicy number are: _C•arrier • • • _ Policy Number Expiration Date ne tf Agent • • • " Phone # i leartify that, In the pe rmance of2theeork f rwhit is permi ' issued, I shall not employ any person in any manner so as to become subject to the workers' ompensation laws of California, and agre t, if I should become u t to thars' co pensation p visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisionsnature of Applicant Da CLARATION REGA ING NTIO LENDING AGENCY ;reby affirm under penalty�f p ury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 7, C' it Code). 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 property own is be I have read this application and the information 1 have provided is cot t. I agree to comply with all applicable city and coun ordinanc d to a laws re g to building construction. -- II I authorize representatives of this city or count nter as a -i a tifie operty for inspection purposes. Jry Dat nature of PfoDertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ACTION DATE BY Y DE TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED r E�PA PERMIT EXTENDED / / I r\OMD PERMITFINALCER FICATE OF ����' - SIGNATSE U1) D N OLIT ON ON ` PLICABLE TO OCCUPANCVISSUED 1)`