HomeMy WebLinkAboutX2022-0719 - PermitsaXrGr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-0719
F 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 7 1 9 Project No
Permit Counter Phone (949)644-3288
ry Inspection Requests Phone (949)644-3255
Combination Type - MFP Issued Date : 0/2022
Area
L lk'<n4
Inspection Area :$'t
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/10/2025 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: 214 HIGHLAND ST NB
Description: MFR REMOVEIREPLACE 15 SF OF DRYWALL @ BACK BEDROOM, (DO NOT TOUCH CEILING FLLOR FINISH) *STOP WORK 122-0373
Legal Desc.: TR 772 BLK 10 LOT 5 ALL (INC POR ALLEY ADJ)
Owner:
RICH HOWARD
Address:
218 HIGHLAND ST #A
NEWPORT BEACH CA 92663
Phone:
Applicant:
RICH HOWARD
Address:
210 HIGHLAND ST #A
NEWPORT BEACH CA 92663
Phone:
714-608-5501
Code Edit : 2019
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers: N
Construction Valuation:
Building Permit Fee: $110.00
Plan Check Fee: $95.70
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
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: $206.70
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor
Address:
Phone:
Con State Lic:
Lic Expire:
Bus Lic:
Lic Exp Date:
OWNER/BLDR
RICH HOWARD
0/B
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Use Zone:
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: I
Right: /
Architect:
Address: //��
QStatPhon sls />� kr
e Lic:
Adesigner:dress:
"Y/CA, t"l'/J8y/1�l
Phone: ry� C0�'jp�v/t, '%
�
Special Conditions:
$0.00
Planning Department -
Fire Department
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
$0.00
Public Works Department-
General Service
$0.00
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
$0.00
San Dist:
$0.00
$0.00
NMUSD Fee:
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$206.70
PUBLIC WORKS APPROVAL:
- PLA,4 CHFGk BY:
APPPUV-L TO ISSUE:
c
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 permit 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 Licens Law for the following reason:
By my signature below acknowledge that, except for my personal sidence in 'ch I ve resid t least one year prior to completion of the improvements covered by this permit, cannot legally
sell a structure that I have built as an owner -builder if has no b n constr ad in I ntirety b nsed cont actors. I understand that a copy of the applicable law, Section 7044 of the B siness and
Professions Code, is available upon request whe t ' ap Is submi d or at t e fol owing ieginfo.ca.gov/calaw.htmi.
of Property Owner or Authorized Agent - _ Dat
LICENSED CONTRACTOR'S DECLARAT6 , ,.
I herebyaffirm under penalty of a` ' — p y p r)yµry:,,that I am - erased untler provlslbns gf.Cffiapter 9 (commencing with Sectipr'"""' �f Division 3 of the Business and P � Code, and my license is in full force
and effect. License Class License No .-?,. D�1 Contractor Signatu_
INORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORK ERs' COMPENSATION COVERAGE 1S-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 SECTIO�37060F,.THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the
ww follb'{vg'declarations:
I have and will maintain a certificate ofconsent 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
Derformance of the work for which this permit is issued. Policy No.
:1I have 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
nsurance carrier and policy number are:
ie of Agent
certify that, in the
cif I should bacon
Iature of Applicd
Policy Number
Date
e I shall not employ any person in any manner so as to become subject to the workers' compensation lawwss� of California, and agre
of ction 3700 of the Labor Code, I shall forthwith comply with those provisions.
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 to act on the pr art alf.
I have read this applicon and the information I ha p ided orrect.
agree to comply with all applic city an rat r antes Est lating to building construction.
I authorize representatives of t � city or co t t he abov -Ida ti ' d p rty for inspection purposes.
Signature of Property Owner or Authorized Agen Print Property Owners or Authorized Agent's Na at
ACTION DATE BY VM&ARATIbN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
ONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED U ISUBMI DASBESTO5 NOTIFICATION TO
PERMITCANCELLED FPA
PERMIT EXTENDED 1 1
QMD
PERMITFINAL JV, I ASBE N TIFICAT 15 N APP U(_ B' E TO
CERTIFICATEOF I PR SED D 0 �� -
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