HomeMy WebLinkAboutX2021-2705 - PermitsxN }rk City of Newport Beach - Building Division
t � 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
.. ."„ Inspection Requests Phone (949)644-3255
Combination Type - MFP ELEC MECH PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2705
X 2 0 2 1 2 7 0 5 Project No : 2343-2021
Issued Date : 1011512021
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1011512024 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: 4 CHATHAM CT INS
Description: MFR - INTERIOR ALTERATION OF 2 BATHS APPROX 284 SF
Legal Desc.: TR 11451 LOT 1 UNIT 15 OF PROJECT LOCATED ON AP 442-371-05 TOGETHER
Owner:
Address:
KNIGHT CAROLYN
4 CHATHAM CT _
Contractor:
Address:
J D I CONSTRUCTION INC
4471 CAMELA ST
Architect:
Address:
NEWPORT BEACH CA 92660
YORBA LINDA CA
Phone:
Phone:
Phone:
Applicant:
SPRAGUE SCOTT
Con State Lic:
835233
Engineer:
Address:
4471 CAMELA ST
Lic Expire:
04/30/2022
Address:
YORBA LINDA CA 92886
Bus Lic:
BT30074243
Phone:
949-636-6460
Lic Exp Date:
02/2612022
Phone:
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 4
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
2019 Worker's Compensation Insurance
V-B Carrier:
EVEREST PREMIER INS CO
R2 Policy No:
76000015910211
0 Expire:
01/01/2022
0
Building Setbacks
Rear: /
Front: /
Left: /
Right: /
Use Zone:
Parkino Spaces: 0
Building Permit Fee: $799.00
Plan Check Fee: $695.13
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 :
$2.00
TOTAL FEE: $1,709.93
PROCESSED BY:
ZONING APPROVAL:
Designer:
Address:
Phone:
SALAS RAFAEL
10242 PARKINSON AV
WHITTIER CA 90605
562-818-2003 State Lic:C035683
State Lic:
Special Conditions: i ' 31 ECT
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant :
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PM/ Plan Check :
$0.00
Electrical %:
$55.93
San Dist:
$0.00
Mechanical %:
$31.96
NMUSD Fee:
$0.00
Plumbing %:
$71.91
Plan Check Fee : $747.13
Fire Department
$52.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Acton
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $962.80
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: - 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 reasons) 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
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
'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
lot 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 (_) 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
m roved 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
Ipply 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 Iicensure under the Contractors' State License Law for the following reason:
3y 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 Iegall�
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 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/twww. leginfo.ca.govLcalaw.himl.
signature of Property 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 700 ) of Division 3 of the Business and Pryyfe��ssions C de, an 'in Icense is in full force
Ind effect. License Class License No Date l Contractor Signatu*
VORKERS' COMPENSATION DECLARATION
IARNING: 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
:DST 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:
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
ice 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' compensa
carrier and policy number are:
Policy Number
of Agent
Date
I certify that, in the performance of the work orw h 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
t, if I should become subject to the worke com ns ' provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant
CLARATION REGAR IN CONSTR ON DING AGENCY
areby affirm under penalty of perjury t at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
rder's Name Lender's Address
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 provide Is correct.
I agree to comply with all applicable city and county or dinan s and A tate laws relating to building construction.
I authorize representatives of this city or county to er th b 'fled property for inspection purposes.
ACTION DATE BY j'DEI LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
TO