HomeMy WebLinkAboutX2020-2546 - Permits4,V'1'tA4,
City of Newport Beach'- Build',ng Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2020-2546
100 Civic Center Drive, Newport Beach, CA 92b6o X 2 0 2 0 2 5 4 6 Project No : 2000-2020
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 Issued Date : 07/06/2021
Combination Type - SFP ELEC MECH PLUM
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/06/2024 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: 1924 GALAXY DR NB
Description: SFR INTERIOR REMODEL, WINDOW & DOOR REPLACEMENT AND REROOF 2520 SF
Legal Desc.: N TR 4224 LOT 21 -
Owner:
WELBOURN ROB & CHRISTI
Contractor:
CHRISTIANO CONSTRUCTION INC
Address:
1924 GALAXY DR
Address:
729 W 16TH ST #C-4
NEWPORT BEACH, CA 92660
COSTA MESA CA 92627
Phone:
Phone:
949-596-4618
Applicant:
DAHL JEFFREY
Con State Lic:
848745
Address:
1102 MAIN ST
Lic Expire:
10/31/2022
HUNTINGTON BEACH, CA 92648
Bus Lic:
BT30039246
Phone:
714-315-2260
Lic Exp Date:
0513112022
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee: $1,537.00
Plan Check Fee: $1,405.19
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$34.00
Energy Compliance:
$105.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$6.00
TOTAL FEE: $4,637.34
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: INS. CO. OF THE WEST
Policy No: WVE504588102
Expire: 0111212022
Building Setbacks
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: /
'arkino Spaces
$0.00
$284.00
$0.00
$0.00
$0.00
$0.00
$0.00
$107.69
$61.48
$138.33
Plan Check Fee
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
DAHL JEFFREY ALAN
1102 MAIN ST
HUNTINGTON BEACH CA 92648
714-847-8480 State Lic:C017810
SOTO MIGUEL ++
15901 HAWTHORNE BLVD #220 ,
LAWNDALE CA 90260 ,
310-793-8410 State Lic:C-087493
Special Conditions:
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$50.75
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Band:
0
U
VJ
00
.00
$27.00
$266.00
$664.00
$0.00
$0.00
$0.00
$1,710.44 Fee Due at Permit Issuance : $2,926.90
PUBLIC WORKS APPROVAL: I,I
PLAN CHECK BY: �c
APPROVAL TO ISSUE: N�
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 itam(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 (_) all of or (_) 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
improved for the purpose of sale).
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
;
❑ 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 �o an owner or 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 nelow 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,
sell a structure .ha, , 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
Professions Coic, i- available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html.
Signature of Prorerty Owner or Authorized Agent Date
LILLNSED I:ONTRACTOR'S DECLARATION
^Lert.by affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Qivisipn 3 of the Business and Professions C de, and my license is in full force
effect. License Class License No Date Contractor Signature
I WORKERS' CONIPENSATION DECLARATION
I,Au: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAN pOLLARS IE100,000), IN ADDITION TO THE
COST OF COMPEHFPTION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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 thi
rjermance 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'
carrier and policy number are:
Policy Number
of Agent
Date
I 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
t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date
CLARATION REGArcDING C STRUCTION LENDING AGENCY —
!reby 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).
lder'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 provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county t enter e e-id�n�ified property for inspection purposes. {' /'� - J�/ I
nature of Property Owner or Authorized Aoent lj ) —� _Pr*,I!roperty Owner's or Authorized Agent's Name zr�ILt-Yi!{',{'LP *\.;nKi,N, �Iv9, Date°T�7L
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE I BY
-3-
OF COMPLIANCE WITH CODIF FEDEI
PART61OFTITLE40ANDAQ_ DRULE
NOTIFICATION TO
NOTIFICATION IS NOT APPLICABLE TO
FOR OFFICE USE ONLY