HomeMy WebLinkAboutX2021-0368 - PermitsCity of Newport Beach - Building Division *X2021-0368* COMB Permit: X2021-0368
` 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0366-2021
N ` Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
fi p i# Combination Type - MFP ELEC MECH PLUM Issued Date : I2021
Inspection Arearea :7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/03/2024 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: 212 41ST ST NB St: 1 FI: 1 Unit: A
Description: MFR INTERIOR REMODEL KITCHEN, (2) BATHROOMS, RELOCATE BEDROOM WALL AND FAU A
Legal Desc.: CANAL SECTION BLK 140 LOT 7 t g��
Owner: LEWIS BRIAN M TR Contractor: J P T CONSTRUCTION INC Architect: t
OR
Address: 44700 VILLAGE CT #100 Address: 409 62ND ST Address:
PALM DESERT, CA 92260 NEWPORT BEACH CA 92663
Phone: Phone: 714-336-1966 Phone: State Lie:
Applicant: J P T CONSTRUCTION INC
Address: 409 62ND ST
NEWPORT BEACH CA 92663
Phone: 714-336-1966
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $1,049.00
Plan Check Fee: $912.63
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$8.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$4.00
TOTAL FEE : $2,272.68
PROCESSED BY:
ZONING APPROVAL:
Con State Lie:
879360
Lie Expire:
06/30/2022
Bus Lie:
BT30014788
Lie Exp Date:
0113112022
Worker's Compensation Insurance
Carrier: WESCO
Policy No: WWC3462916
Expire: 04/07/2021
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: I
Front: I
Left: I
Right: I
3arkine Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$73.43
$41.96
$94.41
Plan Check Fee
Engineer: STANGER CRAIG
Address: QOIt ESTPORT DR #A
gut 0 o'eoo
�o, -
Phone: 714-778-fib �^-"tlST6e ceS�g088
Designer:
Address:
Phone: trt SA7' 000.o°
�JAY
Special Conditions: LIQUEACTION
00 00
°
00 0
Planning Department -
Plan check Fee:
Fair Share :
SJH Trans :
In -lieu Housing Fee:
Public Works Department -
Park Dedication:
$0.00
PM Plan Check:
$43.00
San Dist:
$0.00
NMUSD Fee:
$0.00
o m
o®oomm
0
Fire Department
$46.25
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00.-.
Demolition Fee
$0.0b� -
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$1,001.88 Fee Due at Permit Issuance : $1,270.80
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: w APPROVAL TO ISSUE:
0
0 0
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mono 0
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0
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OWNER -BUILDER DECLARATION _
I here( affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons Indicated below b the checkmark s I have laced next to the applicable item s
Y P Y P I rY P O� Y O P PP O
(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 U 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' 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 legall,
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.htmi.
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 Section 7000) of ivi Qn 3 of the B s and Professions e, nd my license ism 1 force
and effect. Lioan9e.Class License No Cont or Signature
NORKERS'COMPENSATION DECLARATION
llw.IG: FAILOR�TdWCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUMOR THO AND DOLLARS I$100,000I, IN ADDITION TO THE
.OST OF COMFTW AjWN,DAMAGESAS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
affirm upder penally of perjury one of the following declarations:
and -will %aintain 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
ce o°fdHs work for which this permit is issued. Policy No.
and%vil), 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' compensa
carrier ai policy number are:
Agents
y that, in the performance of the work r I, hich this It is issued,
hould besioros, subject to the worke compeesa it is
lignature of App
)ECLARATIO GARDING COWRUCTION LENDING AGENCY
hereby affirm un er penaltyg erjury that there is a construction lending
ender's Name
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(
I have read this application and the information I have provi is
- r
I agree to comply with all applicable city and county ordinan S and
I authorize representatives of this o county to ente -Ide
lignature of Propertv Owner or Authoraent
Expiration Date
all not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
13700 of the Labor Code, I shall forthwith comply with those provisions. -
n� �r3 2
for the performance of the work for which this permit is issued (Section 3097, Civil Code)
s Lender's Address
ilding construction.
Ispe purposes. \ ``
Print Prop v Owner's or Authorized Aaenl's iJ� 1 1 � \S ate r} c
DATE I If REQULATIONS PART610 TIITE 40ANDAQMD RULE
CE WITH CODE OF RAL
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED L14QMD
PERMITFINAL [,1 6 BESTOS NOT LE TO
CERTIFICATE OF R OSED DEMOLIT
OCCUPANCY ISSUED qu;NAT1JRF- G
V FOR OFFICE USE ONLY
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