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HomeMy WebLinkAboutX2021-1675 - Permitsit City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 t1 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM ������h III COMB Permit: X2021-1675 Project No : Issued Date: 06/28/2021 Inspection Area : 3 rerclwtl EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 124 WILL BE INVi I OR PE Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. No work on Sundays RMIT WW Holidays Job Address: 1907 DEBORAH LN NB ,Description: SFR 2 BATH REMODEL 90 SF **CITY STANDARD'* Legal Desc.: N TR 1805 LOT 20 Owner: MURPHY TROY Address: 1907 DEBORAH LN NEWPORT BEACH, CA 92660 Phone: Applicant: RWA BUILDERS INC Address: 1000 N COAST HWY STE 9 LAGUNA BEACH, CA 92651 Phone: 949-244-4310 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: r Valuation: Building Permit Fee: $559.00 Plan Check Fee: $486.33 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,207.38 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: RWA BUILDERS INC Address: 1000 N COAST HWY #9 LAGUNA BEACH CA 92651 Phone: 949-244-4310 Con State Lic: 971070 Lic Expire: 0113112022 Bus Lic: BT30070555 Lic Exp Date: 01/3112021 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical W Plumbing %: Rear: / Front: I Left: / Right: / Parking Spaces: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $39.13 $22.36 $50.31 Plan Check Fee Architect Address: Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: CMSD Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PM/ Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $46.25 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: •• • ° • $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,207.38 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: _ o° ••••• . • 000•• OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below repair the cheucture prior I have placed next to the applicable items) 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 t the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Sectii n 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). rt' f +h= work and the structure is not intended or offered for sale (Section 7044, I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U po Ions o 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of com mproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044 apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contract: 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: By my signature below Iacknowledge that, except for my personal residence in which I must have resided for at least one sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I L Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.legi Signature of Property Owner or Authorized Agent LICENSED CC)VMCTOR'S DECLARATION 6hereby affirm LAW penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) ar"eftett. LicgREreliss License No W�RF$ERS' COIVIi u SATION DECLARATION YDAFRJ�FA1LURE TC sECURE WORKERS' COMPENSATON COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PEN, COST OF COMPENSAO'ION.MMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 11`iesebyaffum urlde penalty of perjury one of the following declarations: ,e l ri3va and rlI ttvam a certificate of consent to self -insure for workers' compensation, issued by the Director ^^+�^ce of the wok for which this permit is issued. Policy No. and will 'maintain workers' compensation insurance, as required by Section 3700 of the or Code, car iej Snq policy number are: .. Policy Number for the ployees' or personal effort, builds or improves the property, provided that the on. the Owner -Builder will have the burden of proving that it was not built or 3usiness and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). ear prior to completion of the improvements covered by this permit, I cannot IS, ]erstand that a copy of the applicable law, Section 7044 of the Business and Date ision 3 of the Business and Professions Code, and my license is in full force 21 Contractor Signature J�a AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE Industrial Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date �gfAgent ertify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manners c as comply become subject to the workers' compensation laws of California, and ogre if I should become subject to�the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions DateL �1Z9�-Z � ignature of Applicant I, IECLARAT10N REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for performance Address the work for which this permit is issued (Section 3097, Civil Code). Ender's Name ty my signature below, I certify to each of the following: I am the property owner or authorized to act on the property 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 relating to building construction. DD Lqt I authorize representatives of this city or county to an he above-' ied property fo ngr I Pon purposes. Owners or Authorized Agent's Name / I Nn a, ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED DATE I BY pl-vv OF COMPLIANLI, W un �yr PART 61 OF TITLE 40 AND AQMD TO ASBESTOS NOTIFICATION IS NOT APPLICABLE FOR OFFICE USE ONLY