HomeMy WebLinkAboutX2020-1757 - Permits0�-
City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP ELEC MECH MECH
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTIO
Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. -and
Job Address: 1005 GRANVILLE DR NB
Description: MFR INTERIOR REMODEL (KITCHEN, BATHROOM, BEDROOM), PATIO REMOC
Legal Desc.: TRACT 14839 LOT 2 OF PROJECT 939-63 LOCATED`ON AP 442-121-13/
ntraco - OOWNER/BLDR ° v.O-N Architect:
s Address:
Phone
Owner:
Address:
Phone:
Applicant:
Address:
Phone:
MCINTOSH KATHLEEN
2831 BAYSHORE DR
NEWPORT BEACH, C4-
949-280-6043 -�'
MCINTOSH K
2831 BAYSH(
NEWPORT B
949-280-6043
Code Edit: 2019�
Type of Construction: V-B
Occupancy Group: R2/U
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:
CA 9266"3
i
s
iiiiiiiiii II y
c/
428 SF l\7 IO
Gsbnr�tate lrlc r DIB
EX �
L1�c Exp Date.
Building Permit Fee:
$1,441.00
Taxes: lN1®Ck
Plan Check Fee: $1,253.67
dditional Fee .
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
Investigation Fee:
$0.00
Grading PC Consult
Record Management:
$10.00
Gradi!�$�.r ee:
Energy Compliance:
CA Seismic Safety:
$0.00
$0.00
7 GPa°4krig•`r1C Fee:
`':WO Fee,
Disabled Access :
$0.00
�9gj�0�00000
Hazardous Mat
$0.00
E c
Building Green Fee :
$6.00
M cal "X:
Plumbing %:
TOTAL FEE: $2,910.68
PROCESSED BY:
ZONING APPROVAL:
$0.00
$0.00
Phone:
COMB Permit: X2020-1757
Project No : 1403-2020
`Issued Date : 08124/2020
Inspection Area : 4
.3710Y'08/25/2023 OR PERMIT WILL BE INVALID
p.m. No work o Sundays or Holidays
HOHMANN DAVID .1
151 KALMUS DR E. #201 -
COSTA MESA CA 92626 - -
714-241-3600 State L1c:CO20379 ,
Engineer: MANSHADI FARHAD
Address: 1800 E 16T ST U B
SANTA 210111.
Phone: 7135 8 State
Desi (dA�
Phooedl i
00special Conditions: ER/
Fire
Fire Department
$46.25
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00 In -lieu Housing Fee
Plan Check Fee : $1,352.59 Fee Due at Permit Issuance
$ Public Works Depart
ment -
00 Park Dedication :
$0.00
PAN Plan Check:
$0.00
$100.87 San Dist:
$0.00
$57.64 NMUSD Fee:
$0.00
$0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,558.09
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)
ction 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 far
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 encing with Section 7000) of Division 3 of the Business and
fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7 any ap cant for a permit subjects the applicant to a civil penalty of
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 o Ions of the work, and the struct a is not intended or offered for sale (Section 7044,
,iness and Professions Code: The Contractors' State License Law does not apply to an owner y who, through employees' or personal ort, builds or improves the property, provided that the
rovements are not intended or offered for sale. If, however, the building or improvem It with: one ye inpletion, the OwMet-gRdde will have the burden of proving that it was not built or
eoved for the purpose of sale). - yyyy�,\G (� 0/0 fgr
I�,, as owner of the property, am exclusively contracting with licen "ntractors to construct thA� Qe6t (Section 7 ?t �tI &ess and Profession Code: The Contractors' State License Law does not
dy% an owner of property who builds or improves there who contracts for the pryjects with a lie nsesS'&4t)abEOr pursuant to the Contralto 'State License Law).
J I am exempt'�rm licensure under the C
.y my signature below I acknowledge
all a stricture Viet I ha,re bur owner
'mfes^ions Code, is a upon s
igna,U�re of Pr y Owner or Auth iz d
.ICENSED C `JTaP go! A
he,ebvaffirm u er p of perjury that
nd effect. Licen Class
'ARNING: FAILURE TO'
Jai OF LOMPENSATIO
aereby'affrm uflri -
7 I hav3 and wi:l r,
erformance of tri v
JI have and will mE
Isurance carrier and
to of Agent _
certify that, in the
if I should bacon
iature of Applican
neby affirm under ptlnalty bl
ider's Name
my signature below, I certify
I am the property owner or
I have read this application
I agree to comply with all a
I authorize representatives
of Property Owner or
PERMIT CANCELLED
PERMIT EMENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
AS PR ED FOR IN SECTION
AS
of the followin
License Law fort owina reason: n
IS
gjdem5e in which I m s Eve resided for at
constructed i ' rebvilcensed conk
of c -'en o s Isur or worWsr compensation, issued
nit is P Y'"
s,in I ati ante, as required by Section 3700
Policy Number & o-� n J#
to completion of thelkimprovements covered
that a copy of the aMplicable law, Section t7(
Section 7000) of Division 3 of the Business and
_Date Contractor Signs
TO CRIMINAL PENALTIES AND CIVIL FINES UP TC
FEES.
ry r ll thg Dire l,�yy tionns
or the, e>Fi�hL'eUn� the wo
I shall not employ any person In an ner so
coon 3700 of the Labor C s all forthwith\q
2UCTION LENDING AGENCY
that there is a construction lend' ency for the pert ce of c for which this permit is issued (Section 3097,
rsA
i f t , FollowiDp
e dt on the p party o s be
informatio I he vide act.
I city a ty ces and state laws relating to building construction.
i or co t the bove-i tified Property for inspection purposes. Vv4w(
Bent G � �ai'Li Print Property Owner's orAuthorized Aoent's Name
BY DFWRATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
IS NOT PPLICABL TO
Date
Code,
I, I cannot legal
liness an
z ( Z0
my license is in full force
THOUSAND DOLLARS (5100,000(, IN ADDITION TO THE
Section 3700 of the Labor Code, for
is issued. My workers'
:ion laws of California, and
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