HomeMy WebLinkAboutX2021-1183 - PermitsCity of Newport Beach - Building Division
b 100 Civic Center Drive, Newport Beach, CA 92660
4 Permit Counter Phone (949)644-3288
" a Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC
IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1183
x 2 e 2 1 1 1 e 3 Project No : 0127-2021
Issued Date: 05113/2021
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0511312024 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:
1228 MARIAN LN NB
Description:
SFR *ADDITIONAL SCOPE* REMOVE CEILING JOISTS FOR VAULTED CEILING
Legal Desc.:
N TR 1973 LOT 18
Owner:
INSPECTOR
JONES JEFF
Contractor: REES J CONSTRUCTION
Architect: METODIEV TRIFON
Address:
1228 MARIAN LN
Address: 325.5 MARGUERITE AV
Address: 155 ROCHESTER
NEWPORT BEACH, CA 92660
CDM CA 92625
COSTA MESA CA 92627
Phone:
Phone: 949-441-6742
Phone: 949-293-2176 State Lic:C037844
Applicant:
GARCIA RON
Con State Lic: 860577
Engineer: BURKE THOMAS "
Address:
155 ROCHESTER DR
Lic Expire: 09/30/2022
Address: 151 KALMUS DR #140
COSTA MESA CA 92627
Bus Lic: BT30074689
COSTA MESA CA 92626 "
Phone:
949-612-7257
Lic Exp Date: 03/21/2022
Phone: 949-494-0776 State Lic:S-005088
Code Edit: 2019
Type of Construction: V-B-SPR
Occupancy Group: R3/U
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: Y
Construction Valuation:
Building Permit Fee: $127.00
Plan Check Fee: $110.49
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $297.63
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: WIC EXEMPT
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: /
Front: /
Left: /
Right: /
parking Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$8.89
$0.00
$0.00
Plan Check Fee
Designer:
Address:
Phone:
Special Conditions: REV21-0731
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
Zone
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
$156.74 Fee Due at Permit Issuance : $140.89
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 theapplicant for
he 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
Irofessions 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
iot 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,
3usiness 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
mprovements 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
mproved for the purpose of sale).
❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade: 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 covered by this permit not 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, Section 70LoaLsProfessions Cod,% r available upon request when this application is submitted or at the following Web site:http://wwlv.leginfo.ca.gov/calaw.htmi.
Signature of Frnperty Owner or Authorized Agent Date
IICF.WSED CONTRACTOR'S DECLARATION I hereby affim, ul,der penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectiagJ.O f T isi 3 of the Busine s d Profession Code,
and effect. License Class License No D Contract Sign
WORKERS' COMPENSATION DECLARATION
.IARN.NG: FAILUAa . U JLCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T O AND DOLLARS ($100,0001, IN ADDITION TO THE
CUST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm urder nenalty of perjury one of the following declarations:
❑ ; 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
Kmanse of the work for which this permit is issued. Policy No.
ave 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
i.i.:Lr „ce carrier and policy number are:
C..N iJr Policy Number Expiration Date
Name of Agent Phone #
certify 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 agre
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. f
Signature of Ap-per,@/nt
DECLARATION" REGARDING CONSTRUCTION LENDING AGENCY
I 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).
Lender's Name Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized tAcou
property ow is Shelf.
I have read this application and the infove pro is cc act.
I agree to comply with all applicable city ordi anc an state laws relating to building construction.I authorize representatives of this city onte the v'e ified property for inspection purposes. \, n D e Signature of Prooertv Owner orAuthorized Print Property Owner's or Authorized Agent's Naq(e �4�
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE
1403
PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFIfATION TO
PERMIT EXTENDED 4M
PERMIT FINAL /� S ESTOS OTIFI ATIO ESN LICA E TO
CERTIFICATE OF 1 1�� / P O D DE LI ION
OCCUPANCY ISSUED S