HomeMy WebLinkAboutx2020-2023 - Permits.r City of Newport Beach - Building Division IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2020-2023
100 Civic Center Drive, Newport Beach, CA 92660 2 0 2 0 2 0 2 3
:., Permit Counter Phone (949)644-3288 ;ry�p/�_ p/�� Project No: 1647-2020
u. +q Inspection Requests Phone (949)644-3255 O N S P rte. cf6
°uy�D„u+s�" Combination Type - MFP ELEC MECH PLUM Issued Date :1112412020
Inspection Area: 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1112512023 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: 713 FERNLEAVE NB ® CONSTRUCTION WORK
Description: MFR -INTERIOR REMODEL (KITCHEN, BEDROOMS, BATHROOMS) 972 SF
Legal Desc.: CORONA DEL MAR BLK 732 LOT 13
Owner:
RAMSTHEL DOUGLAS
Contractor:
JOHN CHRISTOPHER CONSTRUCTION INC
Address:
578 N COAST HWY
Address:
17632 METZLER LN TUNIT 103
Address:
$0.00
LAGUNA BEACH CA 90302
$0.00
HUNTINGTON BEACH, CA 92627
$0.00
Phone:
949-322-7458
Phone:
(949)415-4534
Phone:
Applicant:
BELL JASON
Con State Lic:
1001495
Engineer:
Address:
1601 W MACARTHUR BLVD #11D
Lic Expire:
11/30/2021
Address:
SANTA ANA CA 92704
Bus Lic:
BT30073589
Phone:
714-206-7244
Lic Exp Date:
11/30/2021
Phone:
Code Edit: 2019
Type of Construction: V -B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units: 2
Bldg Height: 0
Bldg Sprinklers;
Construction
Building Permit Fee: $2,137.00
Plan Check Fee: $1,869.19
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$38.00
Energy Compliance:
$175.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$10.00
TOTAL FEE: $5,716.84
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9239073
Expire: 11/30/2021
Building Setbacks
Excise Tax:
Additional Fee r
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %m:
Rear: I
Front: I
Left: /
Right: /,
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$149.59
$85.48
$192.33
Designer:
Address:
Phone:
Architect
ON SATURDAYS
State Lic:
BLACKIAN
19401 OLANA LANE
HUNTINGTON BEACH CA 92646 o m e o m m
714.5934125 State Lic:S-005505 m
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Special Conditions:
Planning Department -
Plan check Fee
Fair Share
SJH Trans:
In -lieu Housing Fee
Public Works Department -
Park Dedication : $0.00
P/VV Plan Check : $215.00
San Dist: $0.00
NMUSD Fee: $0.00
Plan Check Fee : $2,511.69
Zone: N
G9CC
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$0.00
$0.00
$26.00
$219.00
$564.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $3,205.15
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: c"L
APPROVAL TO ISSUE:
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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:
G9CC
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$0.00
$0.00
$26.00
$219.00
$564.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $3,205.15
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: c"L
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)
(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 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
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).
I, 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' Stale License Law).
I 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:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section0) of Division 3 4f the Business and Pr Sion ode nd m ense is in f II force
and effect. License Class License No Date \— Contractor Signature
WORKERS'.CQWWNSATION DECLARATION
WARNING: FAILURE TO SURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP To ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
WSJ.0; COMPENRATIONFDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirmun`der penalty of perjury one of the following declarations:
ELI have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
Rnance of *a "I ):k for which this permit is issued. Policy No.
I�Je and wAl'mai`ntain workers' compensation insurance, as required by Section 3700 of the Labor Code,
Idrlce carriel'dro policy number are:
er • I*.. Policy Number
for the performance of the work for which this permit is issued. My workers'
Date
JI`cert"$y that, Ono IpB pg rmance of the work for hich this permit is issued, I shall not employ any person in any manner so as to become subject to the workeK!v!
'mpensation laws of California, and agre
)>jL jf j Should becom rma c Ew rkers' c pe h this provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
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igrtatdre of Ap1711paat. ` Dat
IECLARATION REGA ING- STR I N LENDING AGENCY
hereby affirm under penalty of perjury that ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,ode).
Ender's Name Lender's Address
ly 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 corr ct.
I agree to comply with all applicable city and coqne
rdie and ate laws relating to building construction.
I authorize representatives of this cit or count a ove entified roperty for inspection purposes.(/ �n�/�
....,.,f,,.e ^f D.., %i n,.,nnr nr Aidhnrivnd Anenf Print Property Owner's or Authorized Agent's Name /�{� �'S I - `C C Dat ' n�t
ACTION DATE
BY DECLARATON.OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
RE TIONS PART 61 OFTITLE 40AND AQMD RULE
03
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
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PERMIT EXTENDED
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