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HomeMy WebLinkAboutX2020-1884 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIBI COMB Permit: X2020-1884 a 100 Civic Center Drive, Newport Beach, CA 92660 2 0 2 0 1 8 8 4I II Project No: 1499-2020 - EW Permit Counter Phone (849)644-3288 u Inspection Requests Pho a (g01644-3255 Combination Type = SFP ELEC MECH PLUM Issued Date:Inspection 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: 2040 SHIPWAY LN NB Description: SFR INTERIOR REMODEL 1250 SF. KITCHEN, 2 BATHS. CREATE NEW POWDER. CIO WINDOWS, NEW CANTINA DOORS. Legal Desc.: N TR 3082 LOT 69 Owner: KATZ JULIA Contractor: HARDEY CONSTRUCTION INC Architect: Address: 2040 SHIPWAY LN Address: 9551WESTBOURNE CT Address: NEWPORT BEACH, CA 92660 CYPRESS CA Phone: 310-882-8907 Phone: Phone: State Lie: Applicant: KATZ JULIA Con State Lie: 845845 Engineer: ZALZALI WISSAM Address: 2040 SHIPWAY LN Lie Expire: 09130/2022 Address: 23675 BIRTCHER DR NEWPORT BEACH, CA 92660 Bus Lie: BT30068347 LAKE FOREST CA 92630 Phone: 310-882-8907 Lie Exp Date: 04/30/2022 Phone: 949-273.0996 State LiaC-071655 Code Edit: 2019 Workers Compensation Insurance Designer: UDOFF JON Type of Construction: V-B Carrier: EXEMPT Address: 81.1/2 ROYCROFT AVE Occupancy Group: R3IU Policy No: no employees LONG BEACH CA 90803 Added /New sq.ft. Bldg: 0 Expire: Phone: 7141345-1760 Added /New sq. ft. Garage: 0 .. No of Stories: 1 Building Setbacks Rear: I - Special Conditions: No of Units : 1 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: N Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $96,000.00 Building Permit Fee: $1,177.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $1,089.99 Additional Fee : $0.00 Plan check Fee : $46.25 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: $36.00 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 - PAN Plan Check : $258.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $82.39 San Dist: $0.00 Building Green Fee : $4.00 Mechanical %: $47.08 NMUSD Fee: $0.00 $0.00 Plumbing %: $105.93 $0.00 TOTAL FEE: $2,846.64 PROCESSED BY:tl a a A d ZONING APPROVAL: tl ®tl • GRADING APPROVAL: v tltl0 ptl tl tl a tl 0 p E„ S,�U tlB 6 uN !a a,V BB ©nq Plan Check Fee: $334.22 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $2,512.42 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) (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 toits 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 S"e on 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 iot more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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, throu h 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 completion, the Owner -Builder will have the burden of proving that it was not built or 'mproved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70',44, Business and Professions Code: The Contractors State License Law does not apply 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 from licensure under the Contractors' State License Law for the following reason: ' By my 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 by this permit, i cannot legally sell a structure that I have built as an owner -builder If it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION /J I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700Q) o Division 3 of the Business and Professions CoJ /and nse is in full force and effect. License Class License No Date)t `�//�Z9 Contractor Signature � W1 -�." COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Dire erformance of the work for which this permit is issued. Policy No. 11 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for Isurance carrier and policy number are: terrier Policy Number I�of Agent in the performance 9f tqe work for which this permit is issued, I shall not employ any person in any become subject to jim/NorkeVeffigpensation provisions of Section 3700 of the Labor Code, I shall of Applicant hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for Ender's Name Lender's Address y 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 provided is correct. I agree to comply with all applicable city and county ordin es and st to laws relating to building construction. I authorize representatives of this city or county to en/te ab nt�ed property for inspection purposes. innahue of Prnnerty Owner or Authorized ADentl� / > Print ProoertV Owner's DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT EXTENDED PERMITFINAL ! CERTIFICATE OF -17r OCCUPANCYISSUEO I SUBMITTED ASBESTOS NOTIFICATION TO ASBESTOS TO < I I AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000), IN ADDITION TO THE of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' Date so as to become subject to the workers' compensation laws of California, and agree h comply with those provisions. Dat h this permit is issued (Section 3097, Civil Code). FOR OFFICE USE ONLY ovo °oe eo o e nae eo