HomeMy WebLinkAboutX2020-0495 - Permitswl,n City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiIi COMB Permit: X2020-0495
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 4 9 5
r p Project No :0385-2020
�, Y Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM Issued Date : 0311112020
Inspection Area : 3 .....
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 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays . • '
Job Address: 1612 HIGHLAND DR NB • • • • oc
Description: SFR ADD 400 SF, REMODEL KITCHENIBATHROOMS 800 SF
Legal Desc.: NTR 3800 LOT
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Owner:
AMBER REBECCA
Address:
4 RENATA
Record Management:
NEWPORT BEACH, CA 92657
Phone:
949-285-6933
Applicant:
AMBER REBECCA
Address:
4 RENATA
Hazardous Mat
NEWPORT BEACH, CA 92657
Phone:
949.285-8933
Code Edit: 2019
Type of Construction: V -B
Occupancy Group: R31U
Added /New sq.ft. Bldg: 400
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Building Permit Fee: $2,441.00
Plan Check Fee: $1,942.82
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$30.00
Energy Compliance:
$122.50
CA Seismic Safety:
$22.75
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$7.00
TOTAL FEE: $6,960.52
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor
Address:
Phone
Con State Lic:
Lic Expire:
Bus Lic:
Lic Exp Date:
OWNER/BLDR
REBECCA AMBER
0/B
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 6
Front: 20
Left: 6
Right: 6
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$170.87
$97.64
$219.69
Plan Check Fee:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
JONSSON JEFFREY
946 CALLE AMANECER #C
SAN CLEMENTE CA 92673
949-412-3955 State Lic:CO27314
JONSSEN JEFFREY
946 CALLE AMANECER #C
SAN CLEMENTE CA 92673
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Designer: ° ®• • • m °
Address:
Phone: INSPEC . R•
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Special Conditions: WASTE MANAGMENT TO HAUL
OWNERIBLDR ATTACHED
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share:
SJH Trans :
In -lieu Housing Fee:
Public Works Department -
Park Dedication : $0.00
P/W Plan Check : $41.25
San Dist: $920.00
NMUSD Fee: $0.00
$2,225.32 Fee Due at Permit Issuance :
PUBLIC WORKS APPROVAL:
Jk-
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$24.00
$197.00
$564.00
$0.00
$0.00
$0.00
$4,735.20
Fire Department
$160.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$2,225.32 Fee Due at Permit Issuance :
PUBLIC WORKS APPROVAL:
Jk-
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$24.00
$197.00
$564.00
$0.00
$0.00
$0.00
$4,735.20
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)
ction 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 bid
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 Tanalty of
mgrO Kien five hundred dollars ($500).
I, a?8W r of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
;inlss 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
fovamarytS 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).
Ii ag owryry,ervf 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
qfo dlAewner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am'exEmeffrom licensure under the Contractors' State License Law for the following reason:
n)7 SRatdre below I acknowledge that, except form personal residence in which I must have resided for at least one year prior to completion of the improvements covered b this permit, I cannot legal)
a structure that I have built as an owner -builder if it as ne nst din its e ' ety by licensed contractors. I understand that a copy of the applicable law, Section 7 444 of the Business and
Passions CodPy is available upon request when thi app' n I sub 'tt r a e f owing Web site:http://www.leginfo.ca.gov/calaw.html. Dat
nat4e yv Property Owner or Authorized Agent J
penalty of perjury that I am
Class
under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions
License No Date Contractor Signature
and my license is in full force
tygiRKERS;COMPENSATION DECLARATION
NAMING: FAILUR@@40 GECURE 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
.OST OF COMPI?N ATION, DAMAGES -AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
•IRTeby affirm�dintl�npenalty of perjury one of the following declarations:
M 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
)erformance of the work for which this permit is issued. Policy No.
:1I 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' compensatiol
nsurance carrier and policy number are:
carrier Policy Number Expiration Date
Jame of Agent Phone #
:3I certify that, in the perfor nce of the or which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' ompensation laws of California, and agre,
hat, if I should become But
' o ker co sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
3ignature of Applicant /te� �`)ECLARATION REGAR ING CONSTRUCTION LENDING AGENCY
hereby affirm under pe alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sectionvil Code).
-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 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 count ord' antes tate laws relating to building construction.
I authorize representatives of this city or county to a e -i atifi p perty for inspection purposes.
3i nature of Property Owner or Authorized Agent riot Property Owner's or Authorized Agent's Name Date 3? f
ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED J�LII SUBM ITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
PERMITFINAL DOS OTIEICAT OT APP. CABLE TO
CERTIFICATE OF V �l C/
OCCUPANCYISSUED SIGNAT
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