HomeMy WebLinkAboutX2021-0450 - Permitsetnv yUS".."vol
City of Newport Beach - Building Division ����������������������������������������������������������� COMB Permit: X2021-0450
100 Civic Center Drive, Newport Beach, CA 92660 Project No
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP PLUM MECH ELEC Issued Date: 0212612021
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0212612024 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: 113 25TH ST NB
Description: SFR KITCHEN REMODEL (CITY STANDARD) (70 SF) "STOP WORK"
Legal Desc.: NEWPORT BEACH CITY BLK 25 LOT 29 /01
Owner:
BEACH NEWPORT LLC
Contractor:
OWNER/BLDR
Architect:
Address:
339112 ARDEN AVE #5
Address:
KEOUGH SEAN
Address:
GLENDALE, CA 91203
Phone:
Phone:
714-475-8137
Phone: State Lic:
Applicant:
KEOUGH SEAN
Con State Lic:
O/B
Engineer:
Address:
113 25TH ST
Lic Expire:
Address:
NEWPORT BEACH CA 92663
Bus Lic:
Phone:
714-475-8137
Lic Exp Date:
Phone: State Lic:
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R31U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Construction Valuation:
Building Permit Fee: $178.00
Plan Check Fee: $164.86
Overtime Plan Ck:
$0.00
Investigation Fee:
$178.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $593.71
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Workers Compensation Insurance
Carrier:
Policy No:
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: I
Front: /
Left: /
Right: /
3arkina Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$12.46
$7.12
$16.02
Plan Check Fee
Designer:
Address:
Phone:
Special Conditions: HIGH DENSITY
LIQUEFACTION AREA
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
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:
$396.13 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: /
$0.00
$0.')0
$0.00
50.33
$0.00
$0.00
$0.00
$0.00
$197.58
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
1e 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 far a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
7 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,
usiness 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
r ved 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
ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
1 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 year prior to completion of the improvements covered by this permit, I cannot legall7
ell a structure that I have built as an owner -builder if it ha of been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 a Business and
'rofessions Code, is available upon request when this plication is submitte at the follow Web site:http://www.leginfo.ca.gov/calaw. html.
signature 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) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
WERS' COMPENSATION DECLARATION
ING: FAILURE TO 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
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:
1 have and wi'I :rcintain 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
erformance of tnP wo•k for which this permit is issued. Policy No.
-1 lia4e and wlil mah,tain 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' compensr
isurance carrier cnd p olicy number are:
Policy Number
of Agent .
Date
cer'ify that, in the performance of the work 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
, if I should be,:ome subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Date
CLA'2ATION REGARDING CONSTRUCTION LENDING AGENCY
;reby iffinn u^.der 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).
1der's Name Lender's Address
my signature below ' 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 building construction. 1 & j
1 authorize representatives of this city or county to en the ab -identified property for inspection purposes. / �. , I ✓'(
of
�— Print Prooertv Owner's or Authorized Aoent's Name
ACTION DATE BY'DECOURATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED I I I UI SUBMITTED
PERMIT CANCELLED
PERMIT EXTENDED
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
NOTIFICATION IS NOT APPLICABLE TO