HomeMy WebLinkAboutX2021-0296 - Permits,�utvy� City of Newport Beach - Building Division *X2021-0296" COMB Permit: X2021-0296
} p 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 1760-2020
>" Permit Counter Phone (949)644-3288
" Inspection Requests Phone (949)644-3255
Combination Type- SFP ELEC MECH PLUM Issued Date:
Inspection Arearea:2021
6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0211112024 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: 1327 KEEL DR NB
Description: SFR KITCHEN REMODEL (325 SF) "CITY STANDARD"
Legal Desc.: N TR 6634 LOT 81
Owner:
PHAM KEVIN
Address:
1327 KEEL DR
NEWPORT BEACH, CA 92625
Phone:
Applicant:
RANCHO LAGUNA BUILDERS
Address:
1433 CORAL DR
LAGUNA BEACH CA 92651
Phone:
949-422-0982
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R31U
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:
Construction Valuation: $62,100.00
Building Permit Fee: $913.00
Plan Check Fee: $794.31
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$3.00
TOTAL FEE: $1,941.16
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor.
RANCHO LAGUNA BUILDERS
Address:
1433 CORAL DR
LAGUNA BEACH CA 92651
Phone:
949-422-0982
Con State Lic:
687520
Lic Expire:
0413012022
Bus Lic:
BT30055781
Lic Exp Date:
03131/2021
Worker's Compensation Insurance
Carrier: WIC 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 %:
Rear: 1
Front: I
Left:
Right: 1
'arkino Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$63.91
$36.52
$82.17
Plan Check Fee
0
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Planning Department -
Plan check Fee
Fair Share :
SJH Trans:
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAW Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
INS` EG "
State Lic:
State Lic:
Fire Department
$46.25
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $1,941.16
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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 to its issuance, also requires the applicant for
ie 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
'rofessions 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
of 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply to an owner of oroperty 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:
ly 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 legall,
e,t 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
'rofessions Coce, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.html.
isnatum of Proptrty Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
nPreby affirm under p.malty of perjury that I am licensed under provisions of Chapter 9 (commencing with Seatjopr 7000) of Division 3 of the Busin P fes ns Cd , and e e is in full force
nd eGect. Licenre Class License No e j c3 Zl Contractor n Dre l• -
vORK5RS' CONI! ENSATION DECLARATION
'ARNING: FAILURE TC SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
CS-1- COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm Lidel penalty of perjury one of the following declarations:
2 I ilave and w"I mai.rtain 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
yZ&, 5ance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number Expiration Date
that, In the pefrformance of the work for w this permit is issued, I shall not employ any person in any manner so as to become subject to the
if I should becomy ubject tetre�orke ' Com her ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
compensation laws of California, and
- 1tZ:,- Z�
CLARATION RE43ARCKG CONSTRUCTION LENDING AGENCY
=.reby 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).
ider's Name Lender's Address
By my signature below, I certify to each of the following: -
I am the property owner or authorized to act on the property owners behalf.
have read this application and the informati I have provided is
I agree to comply with all applicable city and ounty ordinan and state laws relating to building construction. \ , l
I authorize representatives of this city or cou to e e a -id iad property for inspection purposes. l tJ (vt k3Ah�� Z
Signature of Property Owner or Autho ized Agent Print Prope Owner's or uthorized Agent's NaL ate
ACTION DAT O BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFI E USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED LIEPA
PERMIT EXTENDED QMD
CERMFICATEL ,DB TO y N10TIFICATION SNOTA E 70
CERTIFICATE OFPRO EDD MOLITI
OCCUPANCYISSUED