HomeMy WebLinkAboutX2020-1769 - Permits,g'W1 City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
E q Permit Counter Phone (949)644-3288
" Inspection Requests Phone (949)644-3255
r:+¢irnu�`M Combination Type - MFP ELEC MECH PLUM
*X2020-1769* COMB Permit: X2020-1769
Project No: 1414-2020
Issued Date: 09/1612020
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 09/17/2023 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: MFR KITCHEN,
SEASHORE NB St: 1 FI: 2 Unit: B INSPECTS
Description: MFR -REMODEL KITCHEN, LAUNDRY RM 8 OFFICE/BDRM 300.5E
Legal Desc.: THIRD ADD TO NEWPORT BEACH BLK 47 LOT 4
Owner:
SALMON TIM
Address:
4707 SEASHORE DR
NEWPORT BEACH CA 92663
Phone:
602-363-1663
Applicant:
CARLSON JAMES
Address:
2300 CLIFF DR
NEWPORT BEACH CA 92663
Phone:
949-645-3061
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stores: 3
No of Units: 2
Bldg Height: 0
Bldg Sprinklers:
Construction
Contractor:
KOA DEVELOPMENT
Address:
3800 MARCUS AVE
NEWPORT BEACH CA 92663
Phone:
949-338-6862
Con State Lic:
971401
Lic Expire:
03/31/2022
Bus Lic:
BT30039477
Lic Exp Date:
03/3112021
2019
Worker's Compensation Insurance
VB
Carrier:
NO EMPLOYEES
R31U
Policy No:
0
Expire:
0
Building Setbacks
Rear: /
Front: /
Left: /
Right: /
VE 15
Use Zone:
Parrino Snaces: 0
Building Permit Fee: $559.00
Plan Check Fee: $486.33
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$26.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,706.39
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Architect:
CARLSON JAMES
Address:
2300 CLIFF DR
NEWPORT BEACH CA 92663
Phone:
949-646-3061 State Lic:C013773
Engineer: ABA,p47��gtrU{,EZZ JJO�SE Mtn,
Address: a RS ICA 926ABrOlyST
Phone: 714-277-9896 State Ele. N WORK
Designer.
Address:
Phone: /►
®N S'ATURD •mmm.m
t..9
Special Conditions: LIQUEFACTION �'b• ....
m
Excise Tax:
$0.00
PlanningDepartment-
Additional Fee:
$0.00
Plan check Fee:
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant:
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
PNV Plan Check : $258.00
Electrical %:
$78.26
San Dist: $0.00
Mechanical %:
$61.49
NMUSD Fee: $0.00
Plumbing %:
$50.31
Plan Check Fee :
e 6
oa.omm
a
e m m
so 0
Fire Department
$185.00
Fire Inspection:
• • $0¢00
$0.00
Fire Plan Rev
° •$QQO
$0.00
Demolition Fee
$0.00
Building Dept Adm
'„Keg
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $1,706.39
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: r
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the mason(s) Indicated below by the checkmark(s) I have placed next to the applicable Rem(s)
Election 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
is permit to Me 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
'rofessions Code) at 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 penally of
of more than five hundred dollars ($500).
11, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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 prof erty, provided that the
nprovements 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 'hat it was not built or
nproved 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 _icense Law does not
pply to an owner of properly 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:
iy 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 Iegalll
ell astructure 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
'rofessions Code, is available upon request when this application is submitted or at the following Web sfte:http:/A~.Ieglnfo.ca.gov/calaw.html.
Ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under panalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr as d a license is in full force
nd effect. License Class 6 License No971401 DXSeptember 17, 2020 ConJ[actor Signature
VORKERS' COMPENSATION DECLARATION n
RE TO SECURE WORKERS' COMPENSATION CO'
CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (A013.000), IN ADDITION TO THE
hereby affirg?Mr penally of perjury one of the following declarations:
•.•
] 1 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 cf the Labor Code, for
&fblmancepMil, 4rk for which this permit is issued. Policy No.
.•••
�I.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. Ply workers' compensa
is.yj9nce carrieiand policy number are:
�arper Policy Number Expiration Date
of Agent _
••
lily that, IN
I should be
of the work for which this permit Is issued, I shall not employ any person In any manner so as to become subject to the workers' compensation hrys of California, and
+a,/�/ � f1T�1ihe workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Failure of Apf4LJP {, -T "\ _Q a Sem pteber -i 7 2020
Jt.4RATIG R GARDING CONSTRUCTION LENDING AGENCY r
geby affirm Gilder penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
der's Name.... Lender's Address
Air signal, a halaw, I certify to each of the following:
1 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 coun Did antes an relating to building c lion.
I authorize representatives of this city or ve-identified property for Inspection purpos r q„.„ \/i++ - s _ September n, 2020
ACTION
DATE I 9" DECLARATION OF
'00eI REGULATIONS PA TO610 TIITLE 0AND AOMD RULERAL
NOTIFICATION TO
PERMtTFINAL ti�r I `��� PqIrNAT'ETOO I IC TION IS NOTAPPUCABLE TO
CERTIFIDITEOF 6 `III J
OCCUPANCYISSUEDHi
OFFICE USE ONLY
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