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HomeMy WebLinkAboutx2020-1162 - PermitsR1' City of. Newport Beach - Building Division � _ -100 Civic Center Drive; Newport Beach, CA 92660 _ Permit Counter Phone (949)644-3288 -0Y Inspection Requests Phone (949)644-3255 -r'a.a=a, Combination Type -SFP ELEC MECH PLUM P I IIIIIIIIIII�IIIBIII�III�III�I�IIIII�IIIIIII1Jill COMB Permit: X2020-1162 Project No: 0883-2020 - Issued Date: 07107/2020 Inspection Area : 1 - PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07108120123 Ot Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and ! t' o I ays Saturday from 8:00 a.m. to 6:00 p.m. AJq Job Address: 221 VIA SAN REMO NB _ Description: SFR INTERIOR REMODEL (CREATE NEW BEDROOM/BATHROOM) AND KITCHEN REMODEL 900 SF Legal Desc.: N TR 907 LOT 198 Owner WARNER BRETT Contractor: OWNER/BLDR Architect: /� 1t ON SA_VUR®AyS Address: 4718 OAKWOOD AVE Address: WARNER BRETT Address: LA CANADA, CA 91011 Phone: 818-632-9262 Phone: 818-632-9262 Phone: State Lie: Applicant: WARNER BRETT Con State Lie: O/B Engineer: MUTKA JASON RICHARD Address: 4718 OAKWOOD AVE Lie Expire: Address: PO BOX 77144 LA CANADA, CA 91011 Bus Lie: CORONA CA 92877 Phone: 818-632.9262 Lie Exp Date: Phone: 951-235-0276 State Lic:C-072255 Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier. - Address: Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0No _ _-Rear: of Stories: 2 Building Setbacks ISp� s : LIQUEFACTION ^y of Units : Front: I t� ($.�� I S! E �.(rt H gh density orm signed BNo ldg 0 / V V , ` Bldg Sprinklers: Right: I Flood Zone: X Use Zone: Parkin S aces: 0 Fire Hazard Zone : N Construction Valuation: $85.000.00 Building Permit Fee: $1,069.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $930.03 Additional Fee: $0.00 Plan check Fee: $41.50 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: $30.00 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 PIN Plan Check: $42.50 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $74.83 San Dist: $945.00 Building Green Fee : $4.00 Mechanical %: $42.76 NMUSD Fee: $0.00 $0.00 Plumbing %: $96.21 $0.00 TOTAL FEE: $3,275.83 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee: $958.21 Fee Due at Permit Issuance : $2,317.62 PUBLIC WORKS APPROVAL: 0 00 0 0 c` 0 0 o0 0 0 0 0 00p © o oo° o0 0 o PLAN CHECK BY: APPROVAL TO ISSUE: hereby affirm under penalty of perjury that I am exempt from the Contractors State License law for the reason(s) Indicated below by the chedunark(s) I have placed ned to the applicable Rem(s) :lion 7031.5, Business and Prdessions Code: Any cityany structure, or county that requires a permit to construct, alter, improve, demolish, or repair astructure, prior to its issuance, also requires the appticantfor owmlt 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 assions 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 far a permit subjects the applicant to a civil penalty of more Nan five hundred dollars (3500). I, as owner of the property, or my employees with wages as their sale compensation, will do U all of or U ponmrs; of the work, and the structure is rot intended or offered for sale (Section 7044. mess 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 nvemenls are n ' tended aroffered for sale. If, however, the budding or improvement is soldwithin one year of completion, the Owner•Builderwill have the burden of proving that it was not bulk or rived WWe,, a of sale). I, as o r'R properly, sun exclusively contracting with licensed Contractors to construct the project (Section7044, Business and Professions Code: The Contractors' State License Law does not �to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuamw the Contractors' State License Law). am exempt iron licensure under the Contractors State License Law forthe fallowing reason: hhhy 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 bythfs permit, I cannot legalll a structure that 1 have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and essions Code, is available upon request when this application ip submitted ar ��re jdWwng Web siteiulpYlw .leginfo.ca.govrcalaw.hhnl. n velure of Prooertv Owmw or Authorized Anent �Z A_ �A IJ i . ) rw_� —� — lay /r�.Y_ n 7o ZC i under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and myalicense is in full force icense Class License No Date Contractor Signature COMPENSATION DECLARATION PHiAMAND QW. RNES UP TO ONE HUNDRED THOUSAND DOLU,NSUnWao%. WA 10HTO THE I hereby alum under penalty of perjury one of the following declarations: ZI 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 oedormance of the work forwfuch this permit is issued. PolicyNo. :11 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, fa the performance of the work for which this permit is Issued W workers' compenseda nsur ce carrier and policy number are: Cam r - Policy Number Pxpiration Date of Ao Phones inky that, in the pedormance of the wodt forw ' s 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 a I should become 'subjecrytA�o the work om ma ian provisions of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions. Signature of AppkcarglS�'(A/�L- �jn'-- `�'�---�� Daze ZaZ� DECLARATION REGARDING NSiRUCTiON LENDING AGENCY hereby alum under penalty of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, ChAl Code). Lenders Name Lenders Address By my signature below, I cardly to each of the following: I am the property owner or authorized to act on the properly owners 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 retailing to building construction. I authm¢e representatives of this city or ccun ent the p fry far inspection purposes. �( Si nwure of Props Owner or Authorized A entto " Property Owners or Authorized Agents Nathe'RPYF'r ACTION DATE BY DECUkRATION OFCOMPUANCE WRH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART61 OFTM.E40AND AOMD RULE mmn rrwna ASBESTOSNOTIFICATONISNOTAPPUCABLE TO CEMFICATEOF PgOPOSED OEMWIN �/ OCCUPAA'CYISSUED nr;uen,oaa/ // !LC f.lu�^ <- check appropriate box • e• oo• e e 0 0 0 0 0 O �J� OOO