HomeMy WebLinkAboutXR2023-1597 - Permits�aEWPo�T City of Newport Beach 111111p111111111111111111p1111111111111p111111111111111COMB Permit : XR2023-1597
0 @ Community Development Department- Building Division X R 2 0 2 3 1 5 9 7
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0246-2022
Permit Counter Phone: (949) 718-1888 Issued Date : 06/13/2023
fie.. newportbeachca.gov/civic Inspection Area : 3
C94Fp RN�P Combination Type -
Work Class - Other
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 1707 TRADEWINDS LN Legal Desc : N TR 3082 BILK LOT 22
Description: SFR INTERIOR REMODEL OF KITCHEN, POWDER RM & LIVING RM 1076 SF *RENEW EXPIRED PERMIT*
Owner: MICHAELJOHNSON
Address : 1707 TRADEWINDS LN
NEWPORT BEACH, CA 92660
Phone:
Applicant: LEGION CONSTRUCTION GROUP INC
Address : PO BOX 305
LAGUNA BEACH, CA 92651
Phone: (949)400-1750
Owner/Builder :
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY:
Contractor: LEGION CONSTRUCTION GROUP INC
Address: PO BOX 305
LAGUNA BEACH, CA 92651
Phone:
(949)400-1750
Con State Lie
: 585627
Lie Expire :
01/31/2024
Bus Lie:
BT30071324
Bus Lie Expire : 03/31/2024
Workers' Compensation Insurance
Carrier :
Policy No: EXEMPT
W. C. Expire:
2019 Fire Sprinklers :
V-B Fire Hazard Zone
R-3 No of Units :
No of Stories
Architect
Address:
Phone:
State Lie
/AAA
�a v� s,
Engineer: SIVUSHENKAMIKITA
Address : 22121 CLARENDON ST
WOODLAND HILLS, CA 91367
Phone: (323) 448-4682
Designer:
Address
Phone :
NO Construction Valuation :
NO Added/New/TI sq. ft. Bldg : 0
1 Alteration sq. ft. Bldg :
1 Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
Front: 20, Side: 6, Side: 6, Rear: 6
X
R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
SPECIAL CONDITIONS:
1St4wag 1
1 hereby aHtrm under penalty of pertury that t am exempt from the Contractors' State. License Law for the reason(s) indicated below by the checkmark(s) 1 have placed next to the applicable ftem(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, poor to its issuance, also requires the applicant for
1s permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contrectors' 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 allegod exemption. Any violation of Section 7031.6by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500),
1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or C_) 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
oprovemenls 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 thepurpose of sale).
I, as owner of the property, am exclusivelycontracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ly to an owner of properly who builds or improvesthereon; and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License Law).
,J I am exempt from lieensureunder 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 legall)
ell a structure that I have built as an owner -builder if Ithas 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 orat the following Web site:httpllwww.leglnfo.ca.govlcalaw.html.
lignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury. that I am licensed under provisions of Chapters (commencing with Sectio 7 00) of Division3 of the Business and P ns Code, and t license is in full force
:nd effect. License Class License No Dat Contractor Signature
PORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS (11100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNET's Fees.
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a certificate of consent to self insure for workers' compere abon, Issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, forth
erfonnance of the work for which this permit Is issued. Policy No.
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'
rance canter and policy number are:
Policy Number
of Agent
Date
can3fy 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
at, should beco a subject to the workers' compensation provisions of Section 3700 of the Labor Codes I shall forthwith comply with those provisions. /%/'
Ii nature of A licsnt. Dat`0 ` _
IECLARATION REG DINO'CONSTRUC71ON 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).
tinder's Name Lender's Address
ly 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 c my ordinances and state laws relating to building construction.
I authorize representatives of this city or count eq�;tl g obove-identified property for inspection purposes. \
ACTION
DATE. I BY
PERMIT EXPIRED
PERMITI:ANCELLED
PERMIT EXTENDED
PEflMFICATE1
CERTIFICATEOP ) b
OCCUPANCYiSSUED
REGULATIONS PART 61 OF TITLE 40 AND AGMD RULE
1403
L_I ISUBMMITTED ASBESTOS NOTIFICATION TO
—
—11FEPA-• _ —
I!�MQMB _
(/fMBE 5 ffWAXATION IS NOT APPLICABLE TO
FOR OFFICE USE ONLY
City of Newport Beach - Building Division *X2022-0274*
100 Civic Center Drive, Newport Beach, CA 92660 S R" hh�".�
Permit Counter Phone (949)644-3288 'L K0.1
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM
COMB Permit: X2022-0274
Project No: 0246-2022
Date: 02. /031" Z2.
lion Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECT ST BE Ca P.
BY Q� eon ERMI
Construction Hours: Monday Friday 7:00 a.m. to 6:30 p.m. and Saturda m 8:00 a tgY \la °l„�vp"�
Job Address: 1707 TRADEWINDS LN NB
\�
Description: SFR INTERIOR REMODEL OF KITCHEN, POWDER RM & LIVING RM 600 SF a'p ool0 0C
Legal Desc.: N TR 3082 LOT 22
LL bt= IN VALIU
or Holidays
Owner: JOHNSON MICHAEL Contractor: EGION CONS TION GROUP IN Ca �(('chitecJkf t:
Address: 1707-RADEWINDS LN A s: q Fb� 305 �drress: -,
NEWPORT BEACH, CA 92660 G GUNA BEAU,5-6 1loo t
Phone. / ' Phone, 949-40-1750 ., Phone: State Lic.
Appl cant COFFEE NATHAN g tate Lie: 585627 `� gineer: SIVUSHENKA MIKITA Address: 1245 EM'Al .NUT ST STE,1.12"' Lie Expire 01/31/2024 ress:22121 CLAREND494�
PASAJEN4, L'A 91106 ko-/ Bus -Lie BT30071324 WOODLANPhone: 323-384-6318 ILie Exp Date: 03/31/2021- one: 323-448-4 w68T
Code Fri 2019
Type of Construction. V-B
OccLpa.icy Group: R31U
Added /New sq.ft. Bldg 0
Addea /New sq. ft. Garage: 0
No of d,o. ies: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Y:Workers Compensation Insurance T< Designer: CQ�
Carrier: EXEMPT ` Addre :! 2¢5
Policy No .a
Expire
101
on "o 0 �X' ..
Bwldmg Setbacks
Rear
Front
Left:
Right:
I
/
/ ���.q,�
/ .r���1'
ecial k9r dtions:
Sp•
106
112
Construction Valuation:
$45,000.00
RR '*; e
Building Permit Fee:
$739.00
C��dl
Ex a Ta 40.00 c��.'�t Planning De ment -
Fire Department
Plan Check Fee: $642.93
Add] nal
Plan ck Fee :
52.00
Fire Inspection:
$0.00
Overtime Plan Ck:
$0.00
Gradi Bo
�t�y'
l`r'$0.00
it Share :
$0.00
Fire Plan Rev
$0.00
Investigation Fee:
$0.00
Gradin C nsultant :
$0.00
SiTr
$0.00
Demolition Fee
Record Management:
$38.00
Grading ermit Fee:
$0.00
In-' Ho Fee:
$0.00
Building Dept Adm
$0.00
Energy Compliance:
$0.00
Grading Fee:
li rks Department -
General Service
$0.00
CA Seismic Safety:
$5.85
WO Insp. e : NO".
$0.00
rk Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access:
$0.00
\-V)
P/W Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
.7
San Dist:
$0.00
Building Green Fee :
$2.00
Mechanical %:
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$66.51
$0.00
a
TOTAL FEE : $1,627.58
Plan Check Fee : $694.93
Fee Due at Permit Issuance :
$932.65
Q'T
PROCESSED BY:
PUBLIC WORKS
APPROVAL:
eNc
ZONING APPROVAL:
PLAN CHECK BY: �hC
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 reason(s) indicated below by the c ark(s) I have pled next to the applicable item(5)
ction 7031.5, Business and Professions Cade: Any city or county that requires a permit to construct, alter, improve, demolish, or repai structure, prior to its iss ante, also requires the applicant for
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (C 9 (commencing with Section 7400) of Division 3 of the Business and
fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Sects 1.5 by any,applicant for a p srm}f.tgybj' IS the applicant to a civil penalty of
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or Ions of the w k dYhe strugtpr�is'r%t intended or o - ad for sale (Section 7044,
liness and Professions Code: The Contractors' State License Law does not apply to an owner of pro who, throug�e ees' or pe a ort, builds or imp[ as a property, provided that the
rovements are not intended or offered for sale. If, however, the building or improvement is so in one year of co letion, it�f00iQ�'�r=Builder will have th rden of oving. that it was not built or
roved for the purpose of sale). ^ $Q
I, as owner of the property, am exclusively contracting with licensed Contractor onstruct the proje action 7044, $asiness and Profess' Code: The Contractors' ate License Law does not
Ily to an owner of property who builds or improves thereon, and who coot[ or the projects wi icensed Contractor pursuant o Factors' State License Law).
L
❑ I am exempt from licensure under the Contractors' State Licens or th%fc going on:�` "
By my signature below I acknowledge that, except for my pers es' end iD vagie ust have resided for at [east'orHaysar rior to completion of the improvements covered b
sell a structure that I have built as an owner -builder if it been tfu its entirV by licensed contractors. I understand that a copy of the applicable law, _
Professions Code, is available upon request when DIP ication is su ed or at th oll ring Web site http //www.leginfo.ca.gov/calaw.htm 1.
Signature of Property Owner or Authorized A .=. Date
LICENSED CONTRACTOR'S DE ATIOf
I hereby affirm under penalty of perjury at I a under provtslons.of Chap[er 9' commencing with Section 7000) of Division 3 of the Business and Professi nd r
and effect License Class " License No Date '<—Z"'3 —'z. Contractor Signa re
WORKERS' COMPENSATION DEC RATION 4'T;•. .Dv ,
WARNING: FAILURE TO SECURE WORKERS' COMPE ATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UyK�jMi�%u ED USAND DOLLARS I
COST OF COMPENSATION, DAMAGES AS PROVIDED R IN SECTION 3706 OF THE LABOR CODE O
INTERES r, AND ATTORNEY'S FEES.
1 hereby affirm under penalty perjury one cfollowing declarations
❑a
I have and will maintain a certificate off cylA sent to self insure for workers compenqatidn, issued by the Directo �Industrial- T2elatiqp rov' ad for by Se 37
performance of the work for which this permit is ued. Policy No,
JI have and will maintain workers' comperi
isurance carrier and policy nurnker are:
Tie of Agent / C. C Z 1 o r% l
certify that, in the performance of the work fol
t, if I should become subject to the workers' cc
nature of Applican
CLARATION REG ING CONSAUCTIQB
areby affirm under penalty of per that there
ider's Name
my signature below, I carts o each of the toll
required by Section 3700 of
agency for the
Labo^de, for the performance o the work for
E ion Date
Phone It
[son in any mann o as to beco ub
rr Code, I shal with comp) th ovisie
permit, I cannot legally
Re Business and
se.is in fWl fpl'cg
a0\Wbo
DDITION TO DIE
/%'
CiSde, foi, th
workers' compensrttioi
workers' compensation laws of California, and
Date 2-3—ZZ
this permit is issued (Section 3097, Civil Code).
I am the property ow or authorized to act on the property rl�•68ha1
I have read this ap Ication and the information I have provide is correct.
I agree to comp with all applicable city and county ordinances nd sty ws ng tc building construction.
I authorize representatives of this city or county to enter the abo -irTen roparty for inspection purposes.
signature of Property Owner or Authorized Agent Ps or Authorized Ag
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
.. w ! 1 /� 1403
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
L_I ASBESTOS
PROPOSED DE
ASBESTOS NOTIFICATION TO
7�3_27—