HomeMy WebLinkAboutX2021-1699 - PermitsCity of Newport b. sh - Building Division �IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2021-1699
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 6 9 9
P Project No : 1482-2021
h Permit Counter Phone (949)644-3288
u Inspection Requests Phone (949)644-3255
Issued Date : 06/3012021
Combination Type - SFP ELEC MECH PLUM
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED B Y 06/30/2024 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: 1736 HIGHLAND DR NB
Description: SFR BATHROOM REMODEL 72 SF
Legal Desc.: N TR 3057 LOT 55
Owner:
STOKES JEFFREY
Contractor:
FETHER CONSTRUCTION
Architect:
Address:
1212 DEVON UN
Address:
PO BOX 3551
Address:
NEWPORT BEACH, CA 92660
COSTA MESA CA 92628
Phone:
Phone:
714-751-6409
Phone: State Lic:
Applicant:
FETHER KYLE
Con State Lic:
357301
Engineer:
Address:
3124 SUMATRA PL
Lic Expire:
01/31/2023
Address:
COSTA MESA, CA 92626
Bus Lic:
BT30051705
Phone:
714-751-6409
Lic Exp Date:
01/31/2022
Phone: State Lic:
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 9086025
Expire: 05/10/2022
Building Setbacks Rear: I
Front: I
Left: /
Right: /
Designer: FETHER KYLE
Address: 3124 SUMATRA PL
COSTA MESA, CA 92626
Phone: 714-751-6409
Special Conditions
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Flood Zone: X
Use Zone:
ParKing Spaces:
0
Fire Hazard cone : N
Construction Valuation: $20,000.00
Building Permit Fee: $416.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $361.92
Additional Fee :
$0.00
Plan check Fee :
$46.25
Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management : $2.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety: $0.00
WO Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access : $0.00
P/W Plan Check :
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$29.12
San Dist:
$0.00
Building Green Fee : $1.00
Mechanical W
$16.64
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$37.44
$0.00
TOTAL FEE : $910.37
Plan Check Fee:
$0.00
Fee Due at Permit Issuance :
$910.37
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
14t- ``II
)A�V
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: 1 l 1 -
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, priorto 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).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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).
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
pply 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 legally
ell 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://www.[eginfo.ca.gov/calaw.html.
signature of Propel ty Owner or Authorized Agent ate 411,
.ICENSED CORTRACTOR'S DECLARATION
h3rEb/ affirm uad.:I penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) ofplwslon 3 of the Business and Prof ssi n - full farce
nd effect. Li�ensi Class License No Date e G - SJ�Z Ar,0Contractor Signature
VORKERS' CCMPENSATION DECLARATION
'ARNING: FAILUFE TO S-CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
JST uF COMPENSA, ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
helaoy affirm under penalty of perjury one of the following declarations:
IN ADDITION TO THE
I hove and vri'I 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
o)nance of the work for which this permit is issued. Policy No.
and wi.1 m&h,tain 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'
carder snd policy number are:
ne of Agent
certify that, in the performal
, if I should become subject
of
Policy Number Expiration Date
Phone #
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
;ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date' (p / 2 ZO � ]V — �[�)
CLARATION REGARDING OI fST CTION ENDING AGENCY
;reby affirm under penalty of perjury t 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 eac of the following:
I am the property owner or authorized to act on thehrovide
wners
I have read this application and the information I h d is c1 agree to comply with all applicable city and count (eaws reI authorize representatives of this city or county toove-I roperty for
nature of Property Owner or Authorized Agent
TION DATE BY R N OF COMP NCE WITH CC
GU IONS PART fil OF TITLE 40 AND
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
OEPA
PERMIT EXTENDED
LJAQMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
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ASBESTOS NOTIFICATION ISNOT PUCAE
JAI
ON
GNATURE: i---i
construction.
n purposes.
FOR OFFICE USE ONLY
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