HomeMy WebLinkAboutX2022-0716 - PermitsCity of Newport Beach - Building Division *X2022-0716*
COMB Permit: X2022-0716
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100 Civic Center Drive, Newport Beach, CA 92660
Project No: 2541-2021
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Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255 a >r'' gg a
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Combination Type - SFP
Issued Date : I2022
Inspection Arearea :1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/09/2025 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:
217 E EDGEWATER AVE NB
Description:
SFR 121-3153. R/R WINDOWS. RMV NIS VINYL SIDING. RMV 2ND KIT & ENCL BALCONY. STUCCO RPR, RMDL BATH. APPROX 100 SF *CHANGE CONTRACT TO O/B*
Legal Desc.:
NEWPORT BAY TR SUB OF BLK CLOT 8
01'
Owner:
KILPATRICK CHRIS
Address:
217 E EDGEWATER PL
NEWPORT BEACH CA 92661
Phone:
Applicant:
MITCHELL AARON
Address:
1523 W STRUCK AV #5
ORANGE CA 92867
Phone:
714-7444333
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Valuation:
Building Permit Fee:
Plan Check Fee: $0.00
Overtime Plan Ck:
Investigation Fee:
Record Management:
Energy Compliance:
CA Seismic Safety:
Disabled Access
Hazardous Mat
Building Green Fee
Contractor:
O W N ER/BLDR
Address:
KILPATRICK CHRIS
O/B
Phone:
949-616-6456
Con State Lic:
0/8
Lic Expire:
Bus Lic:
Lic Exp Date:
2019 Worker's Compensation Insurance
V-B Carrier:
R3/U Policy No:
0 Expire:
0
Building Setbacks Rear: /
Front: /
Left: /
Right: I
Architect:
Address:
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Phone:
State Lic:
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Engineer:
Address:
Phone:
State Lic:
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Designer:
MITCHELL AARON
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Address:
1523 W STRUCK AV #5
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ORANGE CA 92867
Phone:
714425-1501
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Special Conditions: REPLACE X2021-2915
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LIQUEFACTION AREA
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121-3153
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Fire Hazard Zone : N
$0.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$38.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00
- Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication:
$0.00
Refund Deposit
$0.00
PM Plan Check:
$0.00
Grading Bond:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
IITOTAL FEE: $38.00 22 Plan Check Fee: $0.00 Fee Due at Permit Issuance
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
GRADING APPROVAL:
MsW
PLAN CHECK BY:
APPROVAL TO ISSUE:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$38.00
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 items)
,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 the Business and
�fessions 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).
-I-,-as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
; ness 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
,rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of complytion, 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, 1
Ily 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:
my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one yI
a structu;(!ft?I have built as an owner -builder if it h not 4 constructed in its entirety by licensed contractors. I unc
feissions Code,0 available upon request when hi cp1�or}�s submitted or at the following Web site:http://www.leginf
nature of.Propeity Owner or Authorized Agent // // _m
:9NSEECGt%K'RACTOR'S DECLARATION
`reby affirm ynder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of
f effect. License Class License No Date
S
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
prior to completion Or me Improvements coverea oy inls permit, I cannot legal
tend that a copy of the applicable law, Section 7044 of the Business and
I.gov/calaw.html. ^(
Date J
3 of the Business and Professions Code, and my license is in full force
Contractor Signature
RKERS,%4yriPENSATION DECLARATION
WING. FAILLOV TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI�S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
IT OF COMVENS&TIpN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Ireby affirm under penalty of perjury one of the following declarations:
1:have and wig maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
termance of tMe work for which this permit is issued. Policy No.
lave ancywilljr aintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe ormance of the work for which this permit is issued. My workers' compensatiol
Trance cArlipParld policy number are:
Tier Policy Number Expiration Date
re of Agent
certify that, in the p(
if I should become
of Applicant
for which this perm, d, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
compe%n/satey ovisions of Section 3700 of the Labor Code, I shall forthwith gomply with those provisions. /
�/ Date K 31
hereby affirm under penalty 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).
-enders Name Lender's Address
3y 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 informationAnrdis correct.
1 agree to comply with all applicable city and coand state lawsr "ng to building construction.
1 authorize representatives of this city or countyve-iden " property for inspection purposes. ,/
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name is GL?rl S (r!L-11
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMITFINAL j�'L(l•L�
CERTIFICATE OF
OCCUPANCYISSUED
I SUBMITTED ASBESTOS NOTIFICATION TO
SIGNATURE:
NOTIFICATION
TO
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