HomeMy WebLinkAboutX2020-1534 - PermitsCity of Newport Beach - Building Division IIIIIII�IIIIIIIIIIIIUIIIIIIIIIIIIIIIIIUIIIIIIIIII III COMB Permit: X2020-1534
^, 100 Civic Center Drive, Newport Beach, CA 92660 9 Project No: 1183-2020
5 Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
e"'<rrnu .P' Combination Type - SFP Issued Date: 07/0212020
Inspection Area: 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0710312023 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: 258 CEDAR ST NB
Description: SFR KITCHEN AND (2) BATHROOM REMODELS, REPLACE WINDOWS 190 SF *STOP WORK* 120-2014
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Legal Desc.: TR 772 LOT 15 BLK 3 ALL (EX NELY
14 FT) THEREOF AND ALL (EX SWLY 15 FT)
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Owner:
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GLASSEL DARCY
Contractor:
OWNERIBLDR
Architect:
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Address: 258 CEDAR ST
Address:
GASSEL DARCY
Address:
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NEWPORT BEACH, CA 92663
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Phone:
Phone:
949-5002252
Phone:
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Applicant: UDOFF JON
Con State Lie:
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Engineer.
Address: 181 112 ROYCROFT AVE
Lie Expire:
Address:
LONG BEACH, CA 90803
Bus Lie,
Phone: 714345-1760
Lie Exp Date:
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Phone:
State Lie:
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Code Edit: 2019
Worker's Compensation
Insurance
Designer:
UDOFF JON
Type of Construction: V-B
Carder:
Address:
181 1/2 ROYCROFT AVE
Occupancy Group: R31U
Policy No:
LONG BEACH, CA 90803
Added /New sq.ft. Bldg: 0
Expire:
Phone:
714-345-1760�yy
Added/New sq. ft. Garage: 0
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No of Stones: 1
Building Setbacks
Rear: /
Special Conditions:
LIQUEFACTION
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No of Units : 1
Front: /
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Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone: Parking Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $40,000.00
Building Permit Fee: $652.00
Excise Tax:
$0.00 Planning Department-
Fire Department
Plan Check Fee: $567.24
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: $652.00
Grading PC Consultant:
$0.00 SJH Trans :
$0.00 Demolition Fee
Record Management: $10.00
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
PM Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00 San Dist:
$0.00
Building Green Fee: $2.00
Mechanical %:
$0.00 NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $1,924.74
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$608.74 Fee Due at Permit Issuance : $1,316.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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)
Iction 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
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
ifessions 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
!more than five hundred dollars ($500).
Yk as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or,rYy�' _portions of the work, and the structure is not intended or offered for sale (Section 7044,
;mass 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
Irovements 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
(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
)ly 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).
I am exempt' W 4censute under the Contractors' State License Law for the following reason:
MY
signaturebekm I acknowledge that, except for y 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,
41 xctureihat4 leave built as an owner -builder i it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70 of t e B siness and
IfesMns Ccpg,'is available upon request when t is a submi a following Web site:hftp://www.leginfo.ca.gov/calaw.htmi. —! q �
mature of Prop %rty Owner or Authorized Agent Date l (� W !/V
`'EN§ED CONTRACTOR'S DECLARATI N
)relay affirm ender penalty of perjury that I am tensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Co e, and my license is in full force
fe�f(dbt. Licellge Class . License No Date Contractor Signature
3BISERS' G6NIAE;NSATION DECLARATION
;i'IW. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS1I00,ONt, IN ADDITION TO THE
iT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
mebyeffirm urmJerp@nalty of perjury one of the following declarations:
Ll72\je and wiil'malntain a Certificate of consent to self -insure for workers'
o"Once of Ut%fd%for which this permit is issued. Policy No.
....
have 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'
rance carrier and policy number are:
Policy Number
of Agent
compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
Date
certify that, in the perfo ante 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' c pensation laws of California, and agre
t, if I should become su jet a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -1 "
nature of Applicant Dat
CLARATION REGA DING C N RUCTION LENDING AGENCY
rreby 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, Civil Code).
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 p vided is correct. f
I agree to comply with all applicable city and county o inances and state laws relating to building construction.
I authorize representatives of this city or county to bove-identified property for inspection purposes. ' / / - f
nature of Prooertv Owner or Authorized Agent �� Print Property Owner's or Authorized ADent's Name /�1��7t-'��-'(t LAY Date/ �
ACTION
PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
PERMIT EXTENDED QMD
PERMIT FINAL �( ASBESTO ATION IS NOTAPPLICA13LE TO
CERTIFIC4TEOF �U J PR SED EMOLL OCCUPANCYISSUED _ GNATUA e
FOR OFFICE USE ONLY