HomeMy WebLinkAboutX2021-0817 - Permitsti+'H�rof City of Newport Beach - Building Division
Y4.x 100 Civic Center Drive, Newport Beach, CA 92660
s Permit Counter Phone (949)644-3288
u ID Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
COMB Permit: X2021-0817 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
Project No: 0753-2021
Issued Date : 04/14/2021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0411412024 OR PERMIT WILL BE INV,
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: 1324 ESTELLE LN NB
Description: SFR INTERIOR ALT LAUNDRYIKITCHEN 300 SF. RIR WINDOWS/DOORS. RJR STUCCO W/ SIDING. RE -ROOF. 200 AMP SERVICE UPGRADE
Legal Desc.: N TR 1645 LOT 16
Owner:
KENDALL ASHLEE & MICHELLE
Contractor:
JENKINS CONSTRUCTION
Address:
1324 ESTELLE LN
Address:
168 MONTE VISTA AVE
NEWPORT BEACH, CA 92660
COSTA MESA, CA 92627
Phone:
805-657.4535
Phone:
714-345-9371
Applicant:
XAGORARAKIS DENISE
Con State Lic:
901221
Address:
2778 LORENZO AVE
Lic Expire:
0713112021
COSTA MESA CA 92626
Bus Lic:
BT30036239
Phone:
949-422-4364
Lic Exp Date:
0413012021
Code Edit:
2019
Type of Construction:
V-B
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
1
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
X
11 Construction Valuation:
$15
Building Permit Fee: $1,537.00
Plan Check Fee: $1,337.19
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$62.00
Energy Compliance:
$105.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$6.00
TOTAL FEE: $4,242.84
19:L9P1*1.1:12)-MA
ZONING APPROVAL:
Worker's Compensation Insurance
Carrier. STATE FUND
Policy No: 9076367
Expire: 10/20/2021
Building Setbacks Rear: 6'
Front: 20'
Left: 6'
Right: 6'
Use Zone: R-1-6000 Parkina Sc
Excise Tax:
$0.00
Additional Fee:
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant :
$0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee:
$0.00
Electrical %: $107.59
Mechanical %: $61.48
Plumbing %: $138.33
0
Architect:
XAGORARAKIS DENISE
Address:
2778 LORENZO AVE
COSTA MESA CA 92626
Phone:
949-422-4364 State Lic:C037154
Engineer:
SILVA CHRISTINA
Address:
24482 MUELA
MISSION VIEJO CA 92692
Phone:
949-795-6256 State Lic:C-037201
Designer:
Address:
Phone:
Special Conditions:NA'R,-
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 :
$43.00
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:
Plan Check Fee : $1,531.44 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
-TO
$0.00
$0.00
$26.00
$219.00
$564.00
$0.00
$0.00
$0.00
$2,711.40
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
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 permii 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 U 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, 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
apply 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:
By 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 cove by is permit, I cannot legal
sell 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, Sec n 704 of the siness and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) J of the Business and Pr Tess' s C e, a license' full force
and effect. License Class _. License No Date / Contractor Signatu
WORKERS' COMPENSATION DECLARATION I
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 6706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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 tht
fts"ance of the work for which this permit is issued. Policy No.
I ive and will maintain workers' compensa' ins ance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior
I Ce carder and policy number are:
ter Poli ber Expiration Date
Name of Agent _ _ Phone#
❑I certify that, in the perform ce t work r wh' th' permit is issued, I shall note Io an "m any manner so as to become subject to the workers' compe Betio aws of California, and agrer
that, if I should become subj ct to Ijla rk ens ion prov. ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant DateY '7
DECLARATION REG 1 G STRUCTION LEN G AGENCY ✓'�—r
I hereby affirm under penalty of perjury that there is a construction lendingAle, cy forte performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name nder's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the p 41d
/cre
1 have read this application and the information I h e prI agree to comply with all applicable city and cou y ordielating to ' ing cons ction.I authorize representatives of this city or county o enterpert inspection purpo I
Signature of Property Owner orAuthorized Agent Print Prope, Owners or Authorized Agent's Name "date
ACTION DATE B ECLARATION OF C ANCE WITH CODE ED RAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AN MD RUVE
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT RIVAL /t
CERTIFICATE OF
OCCUPANCYISSUED I
SUBMITTED
TO
TO
V