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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