HomeMy WebLinkAboutX2022-1799 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
s i s n Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP
11111111111111111111111111p11111111111111111111111111COMB Permit: X2022-1799
Project No : 1883-2021
Issued Date : 06/29/2022
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 503 J ST NB
Description: SFR CHANGE OUT 15 WINDOWS, 1 SLIDER (NO CHANGE IN SIZE)
Legal Desc.: BALBOA TR EAST SIDE ADD BLK 26 LOT 14
Owner: IRCJ HOLDING LLC
Address: 1575 WESTWOOD BLVD #300A
LOS ANGELES, CA 90024
Phone:
Applicant: RAMIREZ ERNEST
Address: 12403 CENTRAL AV, #378
CHINO, CA 91710
Phone: 949-246-2923 -
Code Edit: 2019 t
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0 -
Added /New sq. ft. Garage: 0 a -
No of Stories: 2
No of Units
Bldg Height: 0
Bldg Sprinklers: N 8
Construction
Building Permit Fee: $280.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety :
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
Contractor:
K L.P. M-INC-,.-------
Address:
12188 CENTRAL AVE #269
91710
&(CHINO
e:
949i246-2-2923
Con State Lic:
831751
Lic Expire:
0212912024
Bus Lic:
BT3007581C
Lic Exp Date:
07/31/2022.,
9M
VON
Workers Compensation Insurance
Carrier
EXEMPT
Policy No:
Expire
)-.NqNEPrWKWRA
i Building Setbacks
Re'3,
z
-
Front: /
Left: /
Right: I
Use Zone: .Parkins Spaces:
0r--T9 6-.%
Excise Tax x
$0.00
A likp}i11F,e,&, ai :...it�
$0.00
Gr ding Bonds Fee:
$0.00
Grading PC Consultant :
$0.00
- fp- Grading Permit Fee:
I L d i` "' -Fee: -
$0.00
ra in�g PC
$0.00
WQ Insp. Fee:
$0.00
•:-::,:-
Mechanical %:
$0.00
Plumbing W
$0.00
Address:
If apQ�jcabie:
❑ ge.br ❑ 100%D refund
to Mrft:
Designer:
Address:
Phone:
Special Conditions
1%Sj�-���}�
p-ar' 4'a'i KAV.X*
Planning DeRR�, erR�r.4JJ le5ir} ,^I\
/
Fire Departmen
Plan checkrF2 $b`.0�
Fire Inspection
$0.00
Fair Share : $0.00
Fire Plan Rev
$0.00
SJH Trans : $0.00
Demolition Fee
_ 0
apt m -
$0.00
Public Works Department-
c G rr��I Servwc
$0.00
Park Dedication_ Aa:m®T. `r`
-_
iundI osi -
$0.00
- - P/W Plan Check $0.00
QMcli,pg Bond `�
$0.00
., ., _
San Dist "-' `U.00 .0
.-
NMUSD Fee: $0.00
$0.00
$0.00
TOTAL FEE: $281.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance
PROCESSED BY: 1 PUBLIC WORKS APPROVAL: -
ZONING APPROVAL:
GRADING APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$281.00
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
:he 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 Cade) 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 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 It li ractors to construct the project (Section 7044, Business and Professions Code:: he Contractors' State License law does not
apply to an owner of property who builds or im s �er vh s for the projects with a licensed Contractor pursuant to the Contractors' Stall License Law).
❑ I am exempt from licensure under the Contractors ll 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 forjat least one year prior to completiSry ORIW6(ip vements covered by this permit, I cannot legal
sell a structure that I had) built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applic le law, Section 7044 of the Business and
Professions Code Is available upon trequest when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Ovrer or..Aobbrized Agent ate
LICENSED CONTRAO-TOR'S `ARATION
I hereby affirm under per#ty of pe ury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of ivisio of the Business and Pi ss n o a m Ice se in full force
and effect. License Clat License No Datilt,Contractor Signatui
WORKERS' COMPE D CLARATION" - '�' - - a a;
ARNING: FAILURE TO SECU WO E IPENSATION COVERAGE Is UNLAWEU,&AND SHALL SUBJECT AN EMPLOYER T� CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR D THdgSAND OLLARS ($100,000), IN DITION TO THE
DST OF COMPENSATION, DA AGEs .sr IDED FOR IN.AECTION 37p6 OF THEIFBOR C E, JNTEROST AND,A�pRNEY S F ES. ,,
y " —
+t`
hereby affirm under per Ity of'y, xof thd,4L'ilicdr7lgicleclaiatl s:
�kv
I have and will maint
in a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided
r bQl; action 3700 of the Labor Code, for the
erformance of the work
r which this permit is issued Policy No.
'-
11 have and will maintai
Isurance carrier and poli
worr, mp tion insurance, as eluln Section 3700 of th La r �e o a' Be fo which t
TO a m�n.;s n' Igo �+9 5 6 e
s pe it is issued. My workers' compensatiol
:arrier
## ,�,
�"Pdtic Nu Expiration Date
Is a of Agent - -
er� �_
P rl� 1 d v Phone #YV
i c'
certify that, in the perf
an a oft work f hich this mit is issued, I shall not employ any person in any manner so as to become subject to the wor
rs',i- pensation laws of California, and agre
if I should became s
'act t t orkers' pens provisions of Section 3700 of the Labor Code, I shall forthwith comply with thoseprovisions.'�=
{
'signature
^t
of Applica
D
-
IECLARATION REGARD
G CONST CTI N NG AGE nsiD. lilt iz3 $:
hereby affirm under pena�y of perjury that there is a co
Ender's Name
ly my signature below, I c
I am the property owner or authorized to act on the property owner's
I have read this application and the information I have p ed is cc
I agree to comply with all applicable city and county or inan es a
I authorize representatives of this city or county t r t aZ e r
tignature of Property Owner or Authorized Agent'[ 7iyllj
DATE I BY
PERMIT EXPIRED
PERMITCANCELLEO
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCY ISSUED
DECLARAWON OF COMPL6
REGULATIONS PART 61 OF
140'
_11 SUBMITTED ASRESTO:
LIF?A
this
3 to building construction.
for inspection purposes.
MITE CODE OF FEDERAL I FOR OFFICE USE ONLY
40 AND AQMD RULE
ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PRGPOSFL DEMOLITION
SIGNATLRE.