HomeMy WebLinkAboutX2021-1605 - Permits4r City of Newport Beach - Building Division IIIIIIIIIII�IIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1605
o 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 1 1 6 0 s Project No : 1418-2021
4 Permit Counter Phone (949)644-3288
v.. Inspection Requests Phone (949)544-3255
9=rnA Combination Type --,SFP MECH ELEC PLUM GRAD Issued Date
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 3 CASTAWAYS NORTH NB Z
Description: SFR REMODEL 1,320 SF, KITCHEN, CHANGE OUT WINDOWS/DOORS 8 YARD DRAI
Legal Desc.: N TR 15012 LOT 96 '//'//�� � {{{{ ld ✓
Owner: KEILLOR ERIC LEE CoLrapto� ['S;At{{ECLO JAMES Ardl9n�i?1���cablC: - �M; 1
Address: 3 CASTAWAYS NORTH [)ate: A -ii5 Address: rt 1 C
NEWPORT BEACH, CA 92 0 NEWPORT BEACH CA 92663 ❑ 80% or 0. 100% rsfunl iI
Phone: P 71 15- 97 Phone: State Lic: 0
Applicant: KONAK SIBEL n State 36 En�'9,e@r, r�tQ�ES QALE L
Address: 2627 SEAVIEW AVE Ex 12 dEs Ih"18DD
Phone: 415-306-43 NEWPORTBEACH, CA 926 5 Lic Exp Date: 03131 2022035 5 Phone: 7 4-835 2800 A 9270State Lic:C-03t 07 ,J„J
Code Edit
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
2019 Qbrke p IP112022
e esigner: KONAK SIBEL
V-B SP dress: 2627 SEAVIEW AVE
R3/U icy No: 9 CORONA DEL MAR CA 92625
0 Phone: 415-306-4332
0
Construction Valuation: $105,600.00
Building Permit Fee: $1,273.00
Plan Check Fee: $1,107.51
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$56.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$5.00
TOTAL FEE : $3,234.86
PROCESSED BY:
Building Setbacks- Rear: /
Front: /
Special Conditions:
Discard
j'lg gg^�, gip
at an
' n
plan
119e�PoTE Pa p
0
e a
(work starts )
Excise Tax: $0.00
Planning Department -
Fire Depag2lgZ
Nclitional Fee: $0.00
Plan check F
'—
Grading PC Consultant:
$0.00
SJH Trans
Grading Permit Fee:
- ousing ee :
$0.00
mg C Fee:
19
$0.00
Park Dedication :
$0.00
PAN Plan Check :
$50.75
Electrical %:
$89.11
San Dist:
$0.00
Mechanical W
$50.92
NMUSD Fee:
$0.00
Plumbing %:
$114.57
Plan Check Fee
: $1,153.76
Fee Due at
ZONING APPROVAL:
GRADING APPROVAL:
Ft BLiCJWOR.Kt APPROVAL:
PLAN CHECK BY:
" A00RCIVAI TOJSSUE:
o
General Service $0.00
Refund Deposit $0.00
Grading Bond: $0.00
$0.00
$0.00
$2,081.10
OWNER -BUILDER DECLARATION �-
I hereby affirm under penalty of perjury that 1 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 U 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 com le ve a burden of proving that it was not built or
improved for the purpose of sale).
❑ I, as owner of the property, am exclusive) co on ractoJJJ$$$ t onstruct the project (Section 7044, B siness rf Ions Code: The Contract s' State License Law does not
apply to an owner of property who bu or Improves thereon, a ho c�r ntr t projects with h a licensed Contractor r6�11a1�t �b401wractors' State License Law .
❑ I am exempt from licensure unde he C traors' State LiceAse LEDN TOI h<-
By my signature below I acknowledge hat, L�r. sl en in which I must have resided for at least one y aarjr �08�1 i r ens cov red by this permit, cannot legal)
sell a structure that I have built as an ner-builder if it has not been constructed in en " ty s rs. undei§tand t at a copy of the applicable law, Secti r1 7044 of the Business and
Professions Code, is available upon r Lest when thi pplicati bmi or a f w' s / .leginfo.ca.gov/calaw.html.
Signature of Property Owner or Autho ad _ at
LICENSED CONTRACTOR'S DE LA TION
I hereby affirm under penalty of perjury hat I m licens unde of C t 9 (c mencing.with Section 0 f livi Ion 3 of the Business and Proles to Co a r my license is in full force
and effect. License Class License No Date' Contractor Signature
WORKERS' COMPENSATION DE LARATION
NARNING: FAILURE TO SECURE WORKERS'CO PENS GE ISL, A SU N R IN PEN IES AND CIVIL FINES UP TO ONE HUNDRED THO AND DO LABS; t$166,060), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVE D FO INS 706 OOR E, IN , A A S S. /
hereby affirm under penalty of perjury e of e f declJeworkers'
❑ I have and will maintain a certificat of c If-incompensation, issued by the Director of Industrial Relations as provided for by Section 00'Of the Labor Code, for It
oe rmance of the work for which this p mit sued. Policy No.
thave and wilh�Ra+ltltain workers' cOm ensatiora e�as required by Section 3700 of the Labor C e, th pgrEin�PP�'ir rk or hi I� r Ilt Is iss d tiny workers' compensatic
rance carrier nd p icy num e: �` °� card
Carrier ! /I) 1 o I. [ . Fmirati.ADadh .-.. ,.
ie of Agent =:- (/ +�,-y■I I I IU VVvr rPHdIYe # - -r
certify that, in the perfornnan e f the rk f hick this Dil;�fss8tlb;+l §Pro of employ any person in any manner so as to become subject to the workers'
if I should become-5u to a wor r o pensation rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those ro
nature of AoDllCan / . ...._r_.D
;reby affirm under penalf perjury that Eire is a construction lending agency for the
ider's Name �� ter^
my signature below, I certify to each of tit fGHewi
I am the property owner or authorized tobabei
I have read this application and the information I
I agree to comply with all applicable city and cou
I authorize representatives of this city or count
(nature of Prooertv Owner or Authorized ADent A
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EMENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE I BY
is correct.
and st laws relating to building construction. / Mfrs
Ive-i led property for inspection purposes.
Print Prooertv Owner's or Authorized Aoent's Nam
OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
�.XIIUI• IV • f
f • a
• e•
OS NOTIFICATIO�X IS NOT APPLICABLE TO
DEMOUTIO ° ^ • • • •••
• • • • s
UR /�• e e o 0
and
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