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Home My WebLink AboutX2021-0676 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIII�IIIIpI COMB Permit: X2021-0676 100 Civic Center Drive, Newport Beach, CA 92660 2 0 2 1 0 6 7 6 I II Project No: 0836-2017 F Permit Counter Phone (949)644-3288 'a Inspection Requests Phone (949)644-3255 A�'�Y " Combination Type - SFP ELEC MECH PLUM INSPECTOR j 1 Issued Date : 03122/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0312212024 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: 1830 GALAXY DR NB Description: SFR- REMODEL MASTER BATH, KITCHEN, LAUNDRY 566 SF/REMOVE BATHROOM IN GARAGE, RPR DRYWALL DUE TO WATER DAMAGE *RENEW EXPIRED PERMIT* Legal Desc.: N TR 4224 LOT 29 Owner: 1830 GALAXY DRIVE HOLDINGS Contractor. OWNER/BLDR Architect: Address: 1830 GALAXY DR Address: JOHN DICK Address: .... NEWPORT BEACH, CA 92660 LLC ATTACHED ...... Phone: Phone: 949-402-7725 Phone: State Lie: Applicant: DICK JOHN Con State Lie: O/B Engineer: Address: 18630 GALAXY DR Lie Expire: Address: NEWPORT BEACH, CA 92660 Bus Lie: Phone: 949-402-7725 Lie Exp Date: Phone: State Lie: • • • • ° Code Edit : 2016 Workers Compensation Insurance Designer: ALLEN ERICK Type of Construction: VB Carrier: Address: 372 OLINDA DR Occupancy Group: R3/U Policy No: BREA CA 92821 Added /New sq.ft. Bldg: 0 Expire: Phone: 714-624-2406 Added /New sq. ft. Garage: 60 No of Stories: 2 Building Setbacks Rear: / Special Conditions: "STOP WORK" (C2017-0066) No of Units : 1 Front: / OWNER/BLDR ATTACHED o ° ° ° ° • . ° o ° Bldg Height: 0 Left: / Bldg Sprinklers: - Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $63,000.00 Building Permit Fee: $913.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee: $0.00 Plan check Fee: $0.00 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: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 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 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $63.91 San Dist: $0.00 Building Green Fee: $3.00 Mechanical %: $36.52 NMUSD Fee: $0.00 $0.00 Plumbing %: $82.17 $0.00 TOTAL FEE : $1,098.60 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,098.60 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: �- OWNER -BUILDER DECLARATION 1 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 he 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 am' 'rofessions 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 penal*; of of more than five hundred dollars ($500). 1, 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, 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 property, 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 that it was not built or proved 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 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: iy my signature belor4l acknowledge that, except for my onal resi a in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegall) all a structure that) ripyAbuilt as an owner er i it s not been sfm ted in its entirety by licensed contractors. I understand that a copy of the applicable law, Section^7044 of the usine and Irefessions Code is available upon request wh is ap nzftmi d or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 3 z iignalure of Proparty.Owoer or Authorized Agent Date _ICENSED COATRACTOR'S DECLARATI hereby pifirm under'penalty of perjury that I am lic sed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cod ', a d my license is in full force Indeffect. License Clash License No Date Contractor Signature YQM.RS' COMPENSATION DECLARATION IAii%IW(j:FAILURE TJ)%E llR�'� WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :DST OF CCIMPENSATIDy,%Ar,�AGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. heresy' affirm underpenalty of perjury one of the following declarations: ..... Mave-and will lnjilSt$in 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 ,erformance of the work fer which this permit is issued. Policy No. 3 baVrdnd willAgigtpJh 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' compensatiol isurance carrier and poliey number are: Policy Number Date Tie of Agent Phone # certify that, in the perfo nee of the o for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation I S of Cal' omia, and agre I, if I should become bject to th rker compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applican Date 2 �� CLARATION REG G CONSTRUCTION LENDING AGENCY :reby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivi ode). 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 rovide t. PP P I agree to comply with all applicable city andVuntordina ces and state relating to building construction. I authorize representatives of this city or counter the Ifie roperty for inspection purposes. 1 t/ nature of Pmnerty Owner or Authorized AD ent Print Propertv Owners or Authorized Agent's Name " `� ""' — Dat 2( PERMIT EXPIRED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE I BY I �ULAT,IBNS PARTTION OF 0610 TIIT E 40 AND AOMD RULE CE WITH CODE OF AL I FOR OFFICE USE ONLY SUBMITTED ASBESTOS IS NOTAPPLIrC,4BLE TO