HomeMy WebLinkAboutX2022-0698 - Permits (3)Nru4 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-0698
r+ 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 6 9 8
Project NO : 0615-2022
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 Issued Date : 0312212022
ua Combination Type - SFP MECH ELEC PLUM
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 03/22/2025 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: 23 PEPPERTREE NS
Description: SFR KITCHEN 8 (7) BATHROOM REMODELS, NEW STAIRS RAILING 1000 SF
Legal Desc.: N TR 15479 LOT 11
Owner: PARK DAVID Contractor: VETERAN BUILDERS GROUP INC Architect:
Address: 23 PEPPERTREE p�y Addre�sS 2901 WEST COAST HIGHWAY Address:
NEWPORT BEACH, CA 9 60 Date: (/ 0 � �� +A14WPORT BEACH, CA 92663 [f applicable; _
Phone: Phone: 949-270-2761 ,Phhooneeo: nI State Lic:
Applicant: STANGLE ZACHARY _fate N -- II -n&0% or ❑ 100% refund
Address: 2901 W COAST HWY - , Lic xpir Address:
NEWPORT BEACH, CA 9 63 Bus as
Phone: 949-270-2761 -4 p,te "_".-(dnlavhon'1. State Ljc:
Code Edit : 2019 n Worker's Compensation Insurance Designer: DUFFEK DESIGN & DEVELOPM NTI DUFFEK DEANA
Type of Construction: V-B p�, � Ww,P;7 %_ D
Address: 1437 GLENNEYRE ST
Occupancy Group: R31U t P licy Pow T` g p�, LAGUNA BEACH, CA 96651
Added /New sq.ft Bldg: 0 e�'x, �'& t stti Phone: 949.3695-6460
Added /New sq.ft.Garage: 0 rc &ram , - u,
Noof Stories: 2 Building Setbacks Rear 5 Special Conditions: SC HAULING TO HAUL
No of Units : 1 Front: 15 DEBRIS
Bldg Height: 0 Left: 5
Bldg Sprinklers: N 4 Right: 5 ( - NjEC
Flood Zone: X 9 0 -
Construction Valuation: $400,000 0 ' ` s k - ' a
Building Permit Fee: $3,037.00 Excise(i'vork Started�o.00 Planning Depart4ao work Sti i-tledj Fire Department
Plan Check Fee: $2,642.19 Additional Fee: $0.00 Plan check Fee: $52.00 Fire Inspection: $0.00
Overtime Plan Ck: $0.00 p,! Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00
Investigation Fee: $0.00 i Vote Gtadina PC Consultant $0.00 SJH Trans $0.00 Demolition Fee
Record Management: $12.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $27.00
Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- Insp. initialS:General Service $265.00
CA Seismic Safety: $0.00 WU insp. ee : RefOrtGDep'dsit ',:, $564.00
Disabled Access : $0.00 1-1-PAN Plan, - $0.00
Hazardous Mat $0.00 Electrical W $212.59 San Dist: $0.00
Building Green Fee : $16.00 Mechanical %: $121.48 NMUSD Fee: $0.00 $0.00
Plumbing %: $273.33 $0.00
TOTAL FEE : $7,222.59 Plan Check Fee : $2,694.19 Fee Due at Permit Issuance : $4,528.40
PROCESSED BY: PUBLIC WORKS APPROVAL: r
ZONING APPROVAL: PLAN CHECK BY:
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 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 the property, or my employees with wages as their sole compensation, will do L) all of or L) 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).
❑ 1 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 cannot Iegall�
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, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) If Divi ion 3 of the Business and Prof ssi R Cod and my license is in full force
and effect. License Class License No Date c2 Contractor 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/DOLLARS ($100,000), 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 th,
�i ormance 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 Expiration Date
of Agent
cefy that, in the performance of the work for which 's 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 should become subj ct tot w rkers' comp Ion provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions.��
i r(�nature of Applicant -- Dat
CLARATION REGA IN C ST CT LENDING AGENCY
areby affirm under penalty o perju th here is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ideas 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 ordiriaAcei
Pd state laws relatin to building construction.
I authorize representatives of this city or countyX entproffie a vA4entified erty_far inspection purposes.
Sianature of Prooertv Owner or Authorized AaeDtX // / Print Property Owner's or Authorized Agent's Name
ACTION DATE BY DECrARATIO KPFCOMPCIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT CANCELLED DEPA
PERMIT EXTENDED 13AQIVD
PERMITFINAL UTSBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCY155UED SIGNATIIRF• \ J
Date