HomeMy WebLinkAboutX2021-1425 - Permitsw.t� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIII
,; 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1
u Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
.. ea{xao�ta _ Combination Type - MFP MECH ELEC PLUM
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1 4 2 5
II COMB Permit: X2021-1425
Project No : 0605-2021
Issued Date: 06/0412021
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST
BE COMPLETED BY 0610412024 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: 44 CHANDON NB
Description: MFR -REMODEL KITCHEN 120 SF *CHANGE OF CONTRACTOR"
Legal Desc.: TRACT 14565 LOT 4 OF PROJECT 936-46 LOCATED ON AP 461-251-13
Owner: HAWKINS Contractor:
NEWPORT CONSTRUCTION SVCS
Architect:
Address: 44 CHANDON Address:
PO BOX 10611
Address:
NEWPORT COAST, CA 92657
NEWPORT BEACH CA 92658
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Cn
Phone: Phone:
714-915.9622
Phone:
State Lie:
Applicant: HAWKINS ANDY Con State Lic: 1065935
Engineer:
SILVA CHRISTINA
Address: 44 CHANDON Lie Expire:
05/3112022
Address:
24482 MUELA
NEWPORT COAST, CA 92657 Bus Lie:
BT30072178
MISSION VIEJO CA 92692
Phone: 949/910.9260 Lie Exp Date:
06130/2021
Phone:
949-795-6256 State Lic:C-037201
Code Edit: 2019 Worker's Compensation Insurance
Type of Construction: V -B Carrier: EXEMPT
Designer:
Address:
Occupancy Group: R31U Policy No:
Added /New sq.ft. Bldg: 0 Expire:
NO EMPLOYEES
Phone:
0
Added /New sq. ft. Garage: 0
No of Stories: 2 Building Setbacks
Rear: I
Special Conditions: LANDSLIDE, LIQUEFACTION,
No of Units : 2
Front: /
VHFHSZ, FUEL MODIHAZARD
--
Bldg Height: 0
Left: I
REDUCTION ZONE
Bldg Sprinklers: N
Right: I
Flood Zone: X Use Zone:
Parking Spaces: 0
Fire Hazard Zone : Y
Construction Valuation: $10.000.00
Building Permit Fee: $246.00 Excise Tax:
$0.00 Planning Department-
Fire Department
Plan Check Fee: $0.00 Additional Fee :
$0.00 Plan check Fee:
$0.00 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: $26.00 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 Band: $0.00
Hazardous Mat $0.00 Electrical %:
$17.22 San Dist:
$0.00
Building Green Fee : $1.00 Mechanical %:
$9.84 NMUSD Fee:
$0.00
$0.00
Plumbing %:
$22.14
$0.00
TOTAL FEE : $322.20
Plan Check Fee : $0.00
Fee
Due at Permit Issuance : $322.20
PROCESSED BY:
ZONING APPROVAL:
6 f O O O O O
1' PUBLIC�WORIJS APPROVAL:
U o 0 0
` PLANUHECKBY:
GRADING APPROVAL: 66 o y, APPROVAL- TO ISSUE:
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OG OGG G G 00 flp 006
OWNER -BUILDER
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(
(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 applical.; or
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 L) 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
improved 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' 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:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Dat
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio ,70 0) ivi i n 3 of the Business and Pro Sion e, a g1cl nse is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
❑ I 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,
cerformance 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' compensatior
nsurance carrier and policy number are:
;arrier Policy Number Expiration Date
Jame of Agent Phone #
rtify that, in the performance of the for hich this permit i , I shall not employ any person in any manner so as to become subject to the workers' compensa on la?s of California, and agre,
at, if I should become ubject to the w ers' ensation Isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. &/,//W
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signature of Applican D N
)ECLARATION RE RDING CON C NDING AGENCY
hereby affirm under penalty of perAify 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
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 co my ordinances and state la relating to building construction.
I authorize representatives of this city or coq to enter the a -ide i ed property for inspection purposes.
signature of Property Owner or Authorized A en Print Property Owners or Authorized Agent's Nam
ACTION DATE BY DECLAR T N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULA IONS PART 61 OFTITLE 40 AND, RULE
PERMIT EXPIRED
PERMITCANCELLED
PERMIT FINAL
CERTIFICATEOF S"'Z'�
OCCUPANCVISSUED
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APPLICABLE TO