HomeMy WebLinkAboutXR2022-2103 - Permits�£WPoR� City of Newport Beach II III I I I II I II I III II I IIII II
pF @ Community Development Department - Building -Division
100 Civic Center Drive, Newport Beach, CA 92680
U S Permit Counter Phone: (949) 644-3288 -
o- Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections 77 r—C—
Combination Type - MFP
Work Class - Alteration
COMB Permit : XR2022-2103
Plan Check No : PC2022-1938
Issued Date: 09/26/2022
Inspection Area : 4
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATU EAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address: 45 SEA ISLAND DR Legal
Description: MFR REPAIR (E) EXT BALCONY (80 SF) STOP WOI
Owner: WILLIAM MCCOOK
Address : 45 SEA ISLAND DR
NEWPORT BEACH, CA 92660
Phone
Applicant:
TYLER POUCHER
Address :
1401 DOVE ST, 240
NEWPORT BEACH, CA
Phone:
(949)335-6151
Owner/Builder
:
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone:
Use Zone:
PROCESSED BY:
2019
V-B
R-2
AE; X
PC - Big Canyon
TR 8444 BLK LOT 1 UN 1 TR'8444 LOT 1 UNIT 1 OF PROJECT LOC ATED ON AP
76
-Contractor: KDOC CONSTRUCTION LLC
Architect:
Andress: 2549:EASTBLUFF DR, 163
- `,Address
NEWPORT BEACH, CA 92660
Phone: (714).746-4501
Phone:
Cony State Lie : 1031635
State Lie
Lie Expire : 06/30/2024
Bus Lie: BT30079774
Engineer:
HAIGHTCHRISTOPHER
Bus Lie Expire : 09/30/2023
Address :
1401 DOVE ST#240
NEWPORT BEACH, CA 92663
Workers' Compensation Insurance
Phone:
(949) 623-9957
' Carried.: NORGUARDsINSURANCE COMPANY
Policy .No:
JAWC325775
Designer
W. C. Expire:
8/21/2023
Address
Phone
Fire Sprinklers
: NO
Construction Valuation
Fire Hazard Zone
: NO
'Added/New/TI sq. ft. Bldg
No of Units :
B
Alteration sq. ft. Bldg :
No of Stories :
` 2
Added/New sq. ft. Garage:
SPECIAL CONDITIONS: AE FLOODZONE; LANDSLIDE & LIQUEFACTION ZONE.
STOPWORK 122-0076
$30,000.00
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AS BUILT PERMIT
EXPOSE ALL STRUCTURAL,
7 IC: 1_, PLUMEI��G, AI°�I7
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I hereby affirm under penalty of perjury that] 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 applicantfor
he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter g (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt. from ( censure 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
rot more than five hundred'. dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Susiness and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
uprovements 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
�n roved for the purpose of sale),
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not
Ipply 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 i am exempt from licensors under the Contractors' Slate License taut for the following reason:
iy 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 legall,
all 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
'rofessions Code, is available upon request when this application is submitted or at the fallowing Pleb site:http:li' ww,leginfo.ca..govtcalaw.html.
signature of Property Owner or Authorized Agent Date
JCENSED CONTRACTOR'S DECLARATION'
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of Di islon 3 of the Business and ProfeExSsto s C; drP, an» y license is In full force
Ind effect License Class License No Date Contractor Signature / �C
PORKERS` COMPENSATION DECLARATION �-T.
rARNING: FAILURE TO SECURE WORKERS" COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRS..MINAI PENALTIES AND CIVIL FINE& UP TO ONE HUNDRED THOUSAND DOLLARS N106,000), IN ADDITION TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR. CODE, INTEREST, AND ATTORNEY-S FEES,
hereby affirm under penalty of perjury one of the following declarations:
*11 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
performance of the work for which this permit Is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for whichthis permit is Issued. My workers'
ranee carrier and policy number are:
Policy Number Expiration Date
of Agent
certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
if I should become subject to the workers' compe ation provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions.
latureofApplicant
hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code),
ender's Nama, ... Lenders Address
y my signatGrirJVL0f, I certify to each of the following:
• J'Im the ppperty ovmer or authorized to act on the property owner's behalf.
I'have redq UiV.dipplicatien and the information t have provided is correct.
-I, gree to comply with all applicable city and county ordinances and state laws relating to building construction.
• •1 authorize representatives of this city or county to er/�e�ve-Ide ad property for inspection purposes, /
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FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40AND AQMD RULE
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PERMIT FEE DETAILS FOR PERMIT XR2022-2103
Fee Name
Fee Amount
Fee Paid Amount
Transaction Date Payment Method
Trans. Paid Amount Paid By
Building
Building Investigation Fee
$580.00
$0.00
Building Permit Fee -Valuation
-. $580.00
$0.00
Building Plan Check Fee
$504.60
$504.60
08/04/2022 CC EPL
, $504.60.. TYLER POUCHER
Drawing Fee
$6.00
$0.00
Green Building Fee
$1.20
$0.00
OTC Plan Check Fee - Planning
$53.00
$53.00
08/04/2022 CC EPL
$53.00 TYLER POUCHER
GRAND TOTAL:
$1,724.80
$557.60
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