HomeMy WebLinkAboutX2019-0816 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
o� A 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 0
ti. Permit Counter Phone (949)644-3288
it "p Inspection Requests Phone (949)644-3255
Combination Type - MFP MECH ELEC PLUM
8 1 6
II COMB Permit: X2019-0816
Project No : 0550-2019
Issued Date :
Inspection Arearea :z01s
5
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 2200 SECOND AVE NB
Description: MFR REMODEL 200 SF (KITCHEN, POWDER RM & LAUNDRY RM)
Legal Desc.:
Owner: LESCHKE RUDOLPH Contractor:
SEA POINTE CONSTRUCTION
Architect:
BAILEY DAVID
Address: 2200 2ND AVE Address:
576 WALD STREET
Address:
23183 LA CADENA DR #101
CORONA DEL MAR CA 92625
IRVINE CA 92618
LAGUNA HILLS CA 92653
Phone: Phone:
949-279-0421
Phone:
949-573-1050 State Lic:CO27404�
Applicant: HOVE BRYCE Con State Lie: 665114
Engineer:
'
Address: 576 WALD Lie Expire:
02/2812021
Address:
IRIVNE CA 92618 Bus Lie:
BT30016203
Phone: 949-861-3419 Lie Exp Date:
0713112019
Phone:
State Lie:
1Ps J
Code Edit: 2016 Worker's Compensation Insurance
Designer:
Type of Construction: VB Carrier:
EVEREST NATIONAL
Address:
Occupancy Group: R3/U Policy No:
7600001365191
Added /New sq.ft. Bldg: 0 Expire:
0310112020
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 3 Building Setbacks
Rear: I
Special Conditions:
No of Units : 2
Front: /
Bldg Height: 0
Left: /
Bldg Sprinklers: N
Right: /
Flood Zone: X Use Zone:
Parking Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $55 000.00
Building Permit Fee: $798.00 Excise Tax:
$0.00 Planning Department-
Fire Department
Plan Check Fee: $694.26 Additional Fee :
$0.00 Plan check Fee:
$40.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00 Grading Bonds Fee:
$0.00 Fair Share :
$0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00 Grading PC Consultant :
$0.00 SJH Trans :
$0.00 Demolition Fee
Record Management: $14.00 Grading Permit Fee:
$0.00 In -lieu Housing Fee :
$0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00 Grading PC Fee:
$0.00 Public Works Department -
General Service
$0.00
CA Seismic Safety: $0.00 WQ Insp. Fee:
$0.00 Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00 Electrical %:
$111.72 San Dist:
$0.00
Koo
Building Green Fee : $3.00 Mechanical %:
$87.78 NMUSD Fee:
$0.00
Plumbing %:
$71.82
$0.00
TOTAL FEE: $1,820.58 Plan Check Fee
PROCESSED BY:
ZONING APPROVAL:
$734.26 Fee Due at Permit Issuance: $1,086.32
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
1E;&C
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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 sale 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).
❑ 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 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, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html.
Signature of Property Ov ner or Authorized Agent Date
LICENSED CON1 RACTOR'S DECLARATION //j
I Fereby rffirm uHer penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00 Di 3 of the Business and Pr fes ' ns Cod nd license is in full force
anA effect. License Cass License No Date Contractor Signat e ,
WORKERS' COMPENSATION DECLARATION " / 0 V rW
NAPNINCFAILURE TU SFGURE 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 COMPENSATICN, D(.MAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
IIhs�1rereby affirm under peralty of perjury one of the following declarations:
ftI 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 the
performance of the .vork for which this permit is issued. Policy No.
Pkkhave and will mzirtqin 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' compensatior
irs-Ir9nnP carrier and po,icy number are:
,a-r' _ _ Policy Number Expiration Date
Jame of Agent Phone #
:1I certify that, in the perybrimance of the for ' h this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co pensati n law of California, and agre
hat, if I should become b' o the wo rs o nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant ✓ Date
)ECLARATION REGA,WN0 CONSTRUCTION UNDING AGENCY
hereby affirm under n of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil Code).
_ender's Name Lender's Address
3y 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 ha a provided is correct.
I agree to comply with all applicable city and coun ordinances and sta59 Pws relating to building construction.
I authorize representatives of this city or county t e - ab - ti d property for inspection purposes. ,�j�u/�" 2y /�
Signature of Property Owner or Authorized Agent Print PropertyOwner's or Authorized Agent's Name / o � Date <
ACTION DATE BY / CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
0EPA
PERMIT EXTENDED
QMD
PERMIT FINAL
CERTIFICATE OCCUPANCYISSUED
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BOPOESTOS NOTI��IC N IS O�JP BLE TO
SIGNATURE:EMq'LITIO _ (J/