HomeMy WebLinkAboutX2021-3426 - PermitsNt,r, City of Newport Beach - Building Division 11111111111p11111p11111111111111111111111111111 JillCOMB Permit: X2021-3426
�� ��•� y 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 3 4 2 6 Project No : 2999-2021
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 Issued Date : 1212112021
e',cAra�Y:'�a Combination Type - BLDG PLUM Inspection Area : 3
PERMIT EXPIRES 180 OAY5 AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1212112024 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: 1732 CANDLESTICK LN NB
Description: DEMO SFR & GAR. 2576 SF. 3 BEDROOMS, SEWER CAP INCLUDED
Legal Desc.: N TR 3763 LOT 33
Owner:
CLARK FAMILY TRUST
Address:
1732 CANDLESTICK LN
NEWPORT BEACH, CA 92660
Phone:
Applicant:
JENKINS CHRIS
Address:
Phone:
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:
Construction
Building Permit Fee:
Plan Check Fee: $0.00
Overtime Plan Ck:
Investigation Fee:
Record Management:
Energy Compliance:
CA Seismic Safety
Disabled Access
Hazardous Mat
Building Green Fee
Contractor: JENKINS CONSTRUCTION
Address:
168 MONTE VISTA AVE
COSTA MESA, CA 92627
Phone:
714.345-9371
Con State Lic:
901221
Lic Expire:
0713112023
Bus Lic:
BT30035239
Lic Exp Date:
04/30/2022
Worker's Compensation Insurance
Carrier: STATE COMP
Policy No: 9076367
Expire: 1012012022
Building Setbacks Rear: /
Front: /
Left: I
Right: /
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lic:
State Lic:
Special Conditions: GREENLEAF TO
HAUL DEBRIS
$0.00
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee
$0.00
Grading Bonds Fee:
$0.00
Fair Share
$0.00
Grading PC Consultant :
$0.00
SJH Trans
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Grading PC Fee:
$0.00
Public Works Department-
$0.00
WO Insp. Fee:
$152.00
PAN �Check:
$0.00
$0.00
$0.00
Electrical %:
$0.00
Plan
San Dist:
$0.00
$1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $2,189.00 Plan Check Fee
PROCESSED BY:
ZONINGAPPROVAL: �®
Fire Depar,
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00 Fee Due at Permit Issuance :
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
GRADING APPROVAL:
V
$0.00
$0.00
$27.00
$265.00
$1,692.00
$0.00
$0.00
$0.00
$2,189.00
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 theproperty, 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).
❑ I am exempt from licensure under the Contractors' State License Law for the following reason:
By 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 dnnot legal,
sell 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,"4ofs and
Professions Code, is available upon requestwhen this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.Signature of Property Owner or Authorized. Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) 191v 7 3 the Business and Profes on Co , and m tense' full force
and effect. License Class License No Date O` ,7-I ontractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLA 0,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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
ae.�formygrr the work for which this permit is issued. Policy No.
Fnd 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:
ner Policy Number
ie of Agent
certify that, in the performance a ork�/ r which th)J ermlt��GG
if I should become subject to,Y e y per ' compensdti n Oro isio
nature of Applicant
CLARATION REGARDIN C RUCTION L I
Ireby affirm under penalty of perjury that there
Ider's Name
my signature below, I certify to each of the following
I am the property owner or authorized to act on the
I have read this application and the information I he
I agree to comply with all applicable city and count
I authorize representatives of this city or county tV
Date
sued, I shall not employ any person in any manner so as to become subject to the workers' compensation law of California, and agre
of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date'X
agency �for the performance of the work for which this permit is issued (Section 3097,✓Civil (Code).
Lender's Address
vs relating to
property for
Signature of Property Owner or Authorized Agent /'NJ v Print Proaerb
ACTION DATE BY 17LARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 610E TITLE 40 AND AQMD RULE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
1"Ivi't
I SUBMITTED ASBESTOS NOTIFICATION TO
TO
uner's or Authorized AD
FOR OFFICE USE ONLY