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HomeMy WebLinkAboutX2022-1418 - PermitsCity of Newport Beach - Building Division .? 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 6nspection Requests Phone (949)644-3255 Combination Type - SFP ELEC PLUM MECH IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2022-1418 x 2 0 2 2 1 4 1 a Project No: 1307-2022 Issued Date, 06/10/2022 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: 507 KINGS PL NB Description: SFR -REMODEL BATHROOM ADD CANNED LIGHTS TO BDRM (5) AND BATHROOM (1) Legal Desc.: N TR 1218 LOT 69 Owner: STAMPLEY GREGORY TR Address: 507 KINGS PL NEWPORT BEACH, CA 92663 Phone: 9491510-7034 Applicant: ANDERSON REID Address: 21052 RAQUEL RD LAGUNA BEACH CA 92651 Phone: Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3IU Added lNew sq.R. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $1,009.00 Plan Check Fee: $877.83 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $12.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $3.00 II TOTAL FEE: $2,155.63 PROCESSED BY: ZONING APPROVAL: Ens m WIA 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: 1013112023 Bus Lic: BT30070555 Lic Exp Date: 01/31/2023 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: mac• s b b v E• ff b b B 4 Rear: I Front: / Left : I Right: I 3arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $70.63 $40.36 $90.81 Plan Check Fee 0 Architect: Address: Phone: State Lic Engineer: Address: Phone: State Lic Designer: POZDRO DONNA Address: 2252 HERITAGE DR COSTA MESA CA 92627 Phone: 7141328-5318 Special Conditions Fire Hazard Zone : N Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 ISFPE CTUC R Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $929.83 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,225.80 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) ction 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 th"e BrJvness and fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of"SectionZ031.5 by any applicant for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). J I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of t. usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through e nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp nproved for the purpose of sale). ] I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor I am exempt from licensure under the Contractors' State License Law for the following reason: y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one y all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I un rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginl ignature of Property Owner or Authorized Agent ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)ol nd effect. License Class License No Date. / Ate% COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENAL" OST 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 Director of erformance of the work for which this permit is issued. Policy No. Ihave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe Isurance carrier and policy number are: 'artier Policy Number lal a of Agent ertify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so if I should become subject to the workers' compensation_ provisions of Section 3700 of the Labor Code, I shall forthwith c nature of Applicant ��---- CLARATION REGAIRD1G ONSTRUCTION LENDING AGENCY �reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which tl 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 provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to b ' �onstruction. I authorize representatives of this city or county to enter the above�-i eegtified pro or Inspection purposes. nature of Prooertv Owner or Authorized Agent Print Prooertv Owners or Authr ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED LIISUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITFINAL J� v- E3:FA5BE5T05 NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF ���'`� (�pGL PROPOSED DEMOLITION, -. OCCUPANCY ISSUED CC n SIGNATURE-,A�� k, and the structure is not intended or offered for sale (Section 7044, ees' or personal effort, builds or improves the property, provided that the the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). to completion of the improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and Date Iision 3 of the Business and Professions Code, and my license is in full force �72 Contractor Signatur 1 AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date to become subject to the workers' compensation laws of California, and agree Iply with those provisions. permit is issued (Section 3097, Civil Code) ONLY Name e • • • ♦ e e e