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HomeMy WebLinkAboutX2021-1683 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 l Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM 'X2021-1683' COMB Permit: X2021-1683 Project No : 1467-2021 Issued Date: 11/18/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 11/18/2024 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: 1112 SANTIAGO DR NB Description: SFR KITCHEN REMODEL, REMOVAL OF LOAD BEARING WALLS, NEW WINDOW 325 SF - Legal Desc.: N TR 4224 LOT 198 Owner: SALANGA MARIA T M Contractor: MG CONSTRUCTION GROUP INC Architect: Address: 1112 SANTIAGO DR Address: 8430 SANTA MONICA BLVD #203 Address: NEWPORT BEACH, CA 92660 WEST HOLLYWOOD, CA 90069 Phone: Phone: 213-431-4953 Phone: Applicant: FRANK LAUREN Con State Lic: 1031761 Engineer: Address: 8950 W OLYMPIC BLVD STE 569 Lic Expire: 03/31/2022 Address: BEVERLY HILLS, CA 90211 Bus Lic: BT30077248 Phone: 323-806-1366 Lic Exp Date: 11/30/2022 Phone: 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 Construction Valuation: $50,000.00 Building Permit Fee: $799.00 Plan Check Fee: $695.13 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $12.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,719.93 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9229955 Expire: 04/18/2022 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: / Front: I Left: I Right: / 'arkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $55.93 $31.96 $71.91 Plan Check Fee Designer: Address: Phone: State Lic: STANDLEY CRAIG 15233 VENTURA CIR SHERMAN OAKS CA 91403 916-333-9225 State Lic:C-087675 Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check, $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 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 $741.38 Fee Due at Permit Issuance : $978.55 PUBLIC WORKS APPROVAL: p\� PLAN CHECK BY: !"\ _ APPROVAL TO ISSUE: F 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, iusiness 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 `he 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 or property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ' r m exempt f^om licensure under the Contractors' State License Law for the following reason: ly my signature oelow 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 Iegalll el. 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 "ofemons Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. licnatuve of PronPrfy Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION ' �/ hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o D'vi n f the Business and Prof s ions(C�gq% qnd rAy license is in full farce nd effect. Licence C'ass License No Date 6 Contractor Signature T b �-{ ePJ VORKERS' COMPENSATION DECLARATION iARIANG: FAILURE TJ SELLRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. nereoy 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 the erformance 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: me of Agent I certify that, in the pi d, if I should become of Policy Number Date of the work forwhich 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 agree he wprkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ev Date IECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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). Ender's Name Lender's Address y 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 information I have provided is correct. I agree to comply with all applicable city and county ordin ces and state laws relating to building construction. I authorize representatives of this city or county to an r h o ? entified property for inspection purposes. \, ionature of Pronertv Owner or Authorized AGent N/ Print ProDertv Owners or Authorized Agent's Name JC [_ao i It � n)I— Date,V (l/ i_{�q, ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITEXTENDED AQMD PERMITFINAL ESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF SZY P OPOSE DTAOLI1ft0i6J.� O.. OCCUPANCYISSUED SIGNATURE: ��y'�� n