HomeMy WebLinkAboutX2020-1143 - Permits$g\til
City of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
IIIIIIIIIIIIIIIIIIIII�IIINIIIIIIIIIIIIIDIIIIIIIII 1111 COMB Permit: X2020-1143
x 2 0 2 9 1 1 4 3 Project No : 0864-2020
Issued Date : 06/15/2020
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/16/2023 OR PERMIT INILL 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: 2319 HEATHER LN NB
Description: SFR REMODEL KITCHEN AND REPLACE WINDOW (300 SF)
Legal Desc.: N TR 3138 LOT 36
Owner:
MAIETTA KEN AND REBECCA
Contractor:
HOMEKEEP PLUS LLC
Architect:
Address:
2319 HEATHER LN
Address:
2324 SAN JOAQUIN PLZ
Address:
NEWPORT BEACH, CA 92660
NEWPORT BEACH CA 92660
Phone:
Phone:
9491945-4621
Phone:
State Lic:
Applicant:
TARDIF ANDRE
Con State Lic:
1053406
Engineer:
VOLPE ROBERT M
Address:
21587 LOST RIVER CT
Lic Expire:
05131/2021
Address:
20321 LAKE FOREST DR STE D-6
LAKE FOREST CA 92630
Bus Lic:
BT300
LAKE FOREST CA 92630
Phone:
714-412-0371
Lic Exp Date:
Phone:
949-305-4700 x1 State Lic:C-025116
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R3IU
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: AE
Construction Valuation:
Building Permit Fee: $475.00
Plan Check Fee: $413.25
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$14.00
Energy Compliance:
$60.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $1,099.75
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: 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 %:
Mechanical %:
Plumbing %:
a
N°
b k
B
fi�
y
0
O
Ov
Nsi
4
4 Vn
UP
Ged
Rear: I
Front: I
Left: I
Right: I
'arkmo SDaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$33.25
$19.00
$42.75
Plan Check Fee
Designer:
Address:
Phone:
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
PNV Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$41.60
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$506.64 Fee Due at Permit Issuance : $593.11
PUBLIC WORKS APPROVAL:
ftPLAN CHECK BY: r
rat»:ieYla1 M Crl 61•-111 A
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) inIdicated below by the checkmark(s) 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
the 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
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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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, through 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
improved for the purpose of sale). I
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7O'','rfI�' 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 COntraC Or pursuant to the Contractors' State License Law).
❑ 1 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 1 must have resided for at least oI � year prior to completion of the improvements covered by this permit, I cannot Iegall,.
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I nderstand 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/caiaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION JJ
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70007 of Divi ion 3 of the Business and Professiohs , a nse is in full force
and effect. License Class License No Date I� Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS'. COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED O ND s ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 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 Industrial Relations as provided for by Section 3700 of the Labor Code, for th
performance of the work for which this permit is issued. Policy No.
❑l have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol
insurance carrier and policy number are:
_ Policy Number Expiration Date
of Agent ) Phone #
dify that, in the performe he ork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
1 should become subjeyrorker 'inpensation provisions of Section 3700 of the Labor Code, I shall forth ith comply with those provisions.ire of Applicant ho _ D� o-� SS
)reby affirm under pen _p that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name Lender's Address I
my signature below, I ceftify each of the following:
I am the property owner or authorized to act on the property ow
ger's behalf.
I have read this application and the information I have prov', ed;is cgrnect.
I agree to comply with all applicable city and cou ty ordi ces and state laws relating to building construction.
I authorize representatives of this city or county ante th above -identified property for inspection purposes.
mature of ProDertv Owner or Authorized ADentN I Print PrODertv Owner's or
ACTION
DATE I BY 'DECLAIjATION OF,CWMPLIANCE WITH CODE OF FEDERAL
CA,TIONSPART 61 OF TITLE 40 AND AQMD RULE
FOR OFFICE USE ONLY
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
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PERMITCANCELLED
DEPA
PERMIT EXTENDED
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PERMIT FINAL
ASBESTOS NOTIF ATION IS NOT APPLICABLE TO'i
CERTIFICATE OF
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ROPOSED DEMO - N
OCCUPANCYISSUED
SIGNATUR
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