The URL can be used to link to this page

Home My WebLink Aboutx2021-2675 - Permits`'I�a City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIUIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2675 100 Civic Center Drive, Newport Beach, CA 92660 X 2 8 2 1 2 6 7 5 4 Permit Counter Phone (949)644-3288 Project No : 2317-2021 +.: Inspection Requests Phone (949)644-3255 {ie s� Combination Type - SFP ELEC MECH PLUM Issued Date: 10/01/2021 0 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1010112024 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: 8 CAPE WOODBURY NB Description: SFR REMODEL KITCHEN & BATHROOMS (6) 2500 SF • STOP WORK 121-2973- CITY STANDARD Legal Desc.: N TR 15012 LOT 53 Owner: WARMINGTON DREW P Contractor: MATT WHITE CUSTOM HOMES INC Architect: Address: 8 CAPE WOODBURY Address: 3090 PULLMAN ST Address: NEWPORT BEACH, CA 92660 COSTA MESA CA 92626 Phone: Phone: 714-557-1325 Phone: State Lic: Applicant: WHITE MATT Con State Lic: 940163 Engineer: Address: 3090 PULLMAN ST Lic Expire: 11130/2021 Address: ° COSTA MESA, CA 92626 Bus Lic: BT30030932 M Phone: 714-329-2222 Lic Exp Date: 02/28/2022 Phone: State Lic: ...... .... Code Edit: 2019 Worker's Compensation Insurance Designer: WHITE MATT �• ° ® • °• ° Type of Construction: VB Carrier: INS CO OF THE WES Address: 3090 PULLMAN ST ...... Occupancy Group: R3/U Policy No: WVE506121800 COSTA MESA, CA 92626 °BpO ®� °°• Added/New sq.ft. Bldg: 0 Expire: 07/01/2022 Phone: ®• B° ° Added /New sq. ft. Garage: 0 • a..... c.... No of Stories: 2 Building Setbacks Rear: / Special Conditions: 121-2973 .�OJ . °°°•• No of Units : 1 Front: / /r L QoWtW \NA.�UT =..... Bldg Height: 0 Left: / Bldg Sprinklers: N Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $275,000.00 Building Permit Fee: $2,287.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,989.69 Additional Fee : $0.00 Plan check Fee : $52.00 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: $2,287.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $2.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $27.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $265.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00 Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 - Hazardous Mat $0.00 Electrical %: $160.09 San Dist : $0.00 Building Green Fee : $11.00 Mechanical %: $91.48 NMUSD Fee: $0.00 $0.00 Plumbing %: $205.83 $0.00 4 TOTAL FEE: $7,942.09 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $7,942.09 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 1 6 V 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 (_) 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 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 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.html. Signature of Property Owner or Authorized Agent Date LICENSED COnTaACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Ivision 3 of the Business and Profe�sjgrlA Code, and my license is in full force 3ru P&ct. Licesse.Class License No Date Contractor signature .��i/i/�QZ� WORIkERS' 00M ENSATION DECLARATION WARNING: FAILURE lO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000I, IN ADDITION TO THE COSTOF COMPEN%ATIOjJ, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. 1-hereby affirm-VVg,penalty of perjury one of the following declarations: EJ 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 j;b" ryance olfhoeVolk for which this permit is issued. Policy No. 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' carriecanc6wlicy number are: 6..0 . Policy Number Expiration Date Wof Agent -- certify that, in the . if I should becon of ice 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 laws of California, and agre to the workers_' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ateJQ 14ZI CLARATION REGARDING CONSTRUCTION LENDING AGENCY �reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Ider's Name Lender's Address 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county toe r above-Id'p�ntif" Fape r Inspection purposes. mature of Prooertv Owner or Authorized Aoent L17i%�Lh pv„C� —_lPrint P-EQperty Owner's or Authorized Agent's Name ACTION DATE BY RENS CLAW1 OF COMPLIANCE WIT 61 OF 4 TH CODE OF RULE \ KERA FOR OFFICE USE ONLY PERMIT EXPIRED I JJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED Y UEPA PERMITFINAL ,La^ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF: PROPOSED IION OCCUPANCYISSUED aq Z2 1 SI NATURE !_.�lw.�v— - / Civil Code).