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