HomeMy WebLinkAboutX2022-0131 - PermitsCity of Newport Beach - Building Division *X2022-0131*
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 b�-fir•+.
Combination Type - MFP ELEC PLUM g a„EY i, izi.:
COMB Permit: X2022-0131
Project No : 0150-2022
Issued Date : 01/19/2022
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 01/19/2025 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: 120 37TH ST NB
Description: MFR -BATHROOM ALTERATION (NEXT TO STORAGE AREA). REPLACE 1 WINDOW & 1 DOOR *121-3294* STOP WORK
Legal Desc.: RIVER SECTION SLK 36 LOT 10
Owner:
LEITHEM WENDY
Contractor: O WRt! gui W£r1
Architect:
SMITH BRADFORD
Address:
120 37TH ST
Address: LGi�k4m W<ndy
Address:
42530TH ST#22
NEWPORT BEACH CA 92663
NEWPORT BEACH CA 92663
°
Phone:
949-400-4256
Phone: 4Ndl_40v-4zs6
Phone:
949-631-3682 State Lic:C014146
°
Applicant:
LEITHEM WENDY
ff
Con State Lie: 01Form 41fac�LW
Q
Engineer:
g
"
Address:
120 37TH ST
Lie Expire:
Address:
°
NEWPORT BEACH CA 92663
Bus Lie,
Phone:
949-400-4256
Lie Exp Date:
Phone:
State Lie:-
°
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation: $5,000.00
Building Permit Fee: $161.00
Plan Check Fee: $140.07
Overtime Plan Ck:
$0.00
Investigation Fee:
$161.00
Record Management:
$8.00
Energy Compliance:
$0.00
CA Seismic Safety :
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $548.83
PROCESSED BY:
ZONING APPROVAL:
C Luc
Workers Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical
Plumbing %°:
Rear: I
Front: /
Left: /
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$11.27
$0.00
$14.49
Designer:
Address:
Phone:
Special Conditions:
121-3294
STOP WORK
NOISE FORM RECEIVED
Fire Hazard Zone :
N
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee : $0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING
GRADING APPROVAL: APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$548.83
on
"
e n
I tattrebyaffirmwor panatyvofltawfythat I afly axerryt 40M r+ecomtTactxa StateLos-'nse Lag bT re Teaetmis szda:a.wt*bwby tie placed")d to We apr<ltabealz•+ A�
Sectmrr 7031.5. 8usimassamd d'rallitssbna Cate: &Tryotyor ocunaylRat raquerea a.PamY to oxastoct, otter, erc* oya. otraTClate, or Papau any ttrtttxiraa, proT to As suarroe, aAao ra•;sve3 Ere ap. pbal't Cc
ne ;qWerft to Rs a signed sufeMnertY ETat try or sire zs 'Skxtwerd p ostiamt t3 ra pm :moons of ttse Ccrsta,^brs' Statr ;xa>3st raw (L7taPier ` i'oCannenci+! with Sfr_•tibef 7WO) of Dtwaioa 3 of tre uaiaas s tired
'fit ev nm Cade} of toal two or she is earQtespC &em'i-c�e+tsun aaiE t8:g �basip�ter ttue s11y¢d etce�ytb+c. Any vaatiam d f Sttlbn 7CY.3t .: by any pptcart br a print subfacta *& sppkamt to a O'd rera v of
qt re tt�ra he fauras!'ed ttoAats ti`#31.
as Darter o? 'a pr�wty or mf tarpbyets w•xh wages as tTeur apte o0fnpaatsatC*+, vt I dot � of of or ( I :poRla'as oftC.e cork and be.sr ntufa xa Potinfamikd aroaaTri br sat fSeaAsae T�:;4d.
stressamdPhsfessesasCcd* CarrtractxsStaleLoenseLaw' do" wappiybaermvxwof,propavywho,uom4nampIDj*eaYOTp2ssnealoffod.buffsasWgx rwsthepopery,yrov "matSb
apaartar*mts are mot ntanded QT ofttd for Saba. If, howear, tse bwibing: or mWovement is soil w•bn ore yeaT*f00MAtCM Ilse Ga'Wn HHUk* r w.4 ha•ra ttae twrden of M'.ang ftI A w sa 'Ad b * V
' °red 1x ltaepuWe of smief.
y 1, as o�aero {Iha propr. ty, aTn eacTA�ssA+cfy wnra Fnq .afh [oayssa3 Canaacbrs tp oarxscwct the ,pTcject 1; Se: tinn dQN. Br,eQaaas aTtd Prgfeasures Go,:e The GonTxtxs' 4ta! Lceraa'Lra• vrorrn�t
V)y to an aw w of proye+tywisobwkf s oroprovm th"Do, jand s'eo oamracts for ttwpro>rraas %,m a loaraaed Conescor paamusq to the Qmtracwit Smte Uvenit Lowy.
e I am "Writ: *wr, I:ePswe 9fmW Me Cdntra=s State iaaansa Law for t➢e bfaorwrq meaaor;
ly my rVnatire trstwv tacio+on:bdnye that excawt It, my pamonlr residarPhe it wtmok l rnefst!rave faubad at ieaat orAyearprxff L mmotbat of theo Vovemmnls co•.wTed byth:s punt l tannnrI*p4h,
#k a is ueYatrt chat 1 ha '.'@ tNtC[ as a�n C+,+. rranyrt.',�ar ,f a hit nAt tfe'erF OCrtatrU£tad N :ts tantzetyL^J i�oeraaed CaAitTa.^�tG'L 1 uTkbar. stand th at a mCyof Ehe mica t•# �lw Sa�iMs ?D44 of a 6es�� asi.a*a
kolbsSook Code cta_•alttbe Uvw. rarauestw•-hen Ns app bn t:3.. =afthefdb,A-mV Wet s4leitl0.rt'www. tegrfo Cagor-L"'A h" \
i±g"Lattws Of R.ropr^tydarnsror fuitharcecPt[ Cate x cr^
.fCLN SED CC►4TRAGTOR'S•DECLARATION
t.treL�ya£r�Tr,T«�rt.t nnmyOfgerprsyt4wIlan 7rvensedUna fo St•:tc*7DXio0Dr.swm?.oftAeguimessamRofteRopuCoae,ardnryk nsetsmfult-;rat
:ad cf'e.Ct. Lboense Class L _ Date Ccurtacte S,gPmte
FC0r,ILMS' CDM?ENSATICIN DECLARATION
rrrcxarp uvx r o mu rsyma'RBda-cemmmuT Un co%41 AOi to U WXW P'LL. AIM out L ara.E.CT "91PLOrvr LO O.aM/Ai GE.1:aK fQ 9 AJM CnA Fntl UST 01036 MI ACQT TO rwE
OKSCT1Mi f3a#7MAA00�CSK£9NTFR8If. RMb XTO!�PFEY 8F8i.
"by a" under i+nattyof part'; yom of the Vlow'rg dcly ato+ s.
I I ss.e and veil rraa-:tan a oershrate of wmsatt to set-ir.SuAnt for 'amria±a ccrrmeraatm asued 'by ta, Ore:tx of f cust ' i&latona as provicel br by Se..Fxca 37.363 df tta Labor act 61 r,
erk�,:ance ofthe•ntr!n lorwttchl t<Rs Permta waved. f%•lryNo.
Aare and ww mattar w'oa+ rs' aC7T[Q+ssaspn hsurame. as re toirad "uyr Se=vA 3700 of It* LabY Q oe. for re r 1brranoe of re AV Ax whC! ray P+tT l ,3 rSsved tfy
ranee c rTerantd poxcynurntw are:
lrsli.me of 4ient
x PI part&lyr"i,m Ot mri3rmvn Ox of t; re •wv�.
rat. t I sPour d beaon'e sw"ct TodafwoorW-S:
ofAnptunt x
pcd'eyN.n+t'!rr
W to
rns WPW �s Slued. 1 94111W tMV "Vyaay;tr San n snyrronnef so as p itaoa a sutganT tc th879Cr !,efa' ;arrCenaaw" taw eof Gatt4 ma. asd, agle
3m, provacns of S,&-Wn 27;Q of r!t Labor ,co", I;.hall forinvafth Own'pdy'A+M: tzse V00%Q'I's.
waoya!Tirmunterpena¢iryoftwjwYE±. amaconszrrs;xrrn.tendn;agen:ytar"fiertxnam,^,eofthtv,'orkR�ramrohtherarmas%aue+dI.SeaxrX97.OwgCosa}
iar.'s Nam Lender's Aldre as
myswy','Aatu"o Ntw I' a artfytoaabh. oftha fo'ba'img' —
I am re prof3E'r ty vwntf or suincr cAed to a-t on tre Promtrtyvwmers Waif
I ha ve read the appfrraton and the rfomotor I hart pmWed >s mf fact
139 ree to ob.^tpt) witty at &Milizsbie cty aril darn Iyc rd9mamea ar4 state Maws r - bn to bu km q ooasaucson
I a utorce iewesentatr®5 ,oftms ctyo rcrrunty b en er 6J�� Ga•a-slt�t;W3l y6br0'mpecwn pmgoaes.. I I l—
_anan nf>:rSrw rtvf?xa!an or Auti!nMa^. .dserl X lit` f?tirtt F4oca Iry �?a•nala rrt knt'Mre ee la�aris Mare x L t. �.
FD; QFPKE USE CHLw
Czf Tilt f 9C..+.ND ACIf.90 a:tA.i
I x:T
t wwl rLtr A,%u ST4' P)lolai-4cAnm To
It K"vI "VAt 'j q x Cr9C3ad5T/ NQTrf i�R i99Vi r:i NflTAGP¢ { Q
CERTIFAc4TT Q.r 3 )-t F+A,t7fV'SCU D[}t:ht'4irf�
XcugAkA ISSUED I I SIGNATURE X LrJ
(D —,a a - m m 0 0�
w Ga c�aY« c t0to�,2m `m m =� wm ��� a aNico� am
O € al a p y:. 'gyp O N 0 O N >. ` .0 a s R
m LL o"- 1° nfnN3;3 D m° a �0) 3co o mA Eo
00 -0 a) o 3 =y ncmc wcmmo. mE P1 -Y
Z �.. c 'd 4N m
aO c o o c
' -ci m C Qw °0 E
m ��ac
-NN° °a a t
Qma.�3 oa
m y-0W
m-
0> c•ar_ o Qdmmo� TE EU
m = 3m� ? ati mm3m`moi�m° yy c mc �cpm..
CL
oo a`o
0 aLL mo L m n,N O 0 o m m
a m E o c?3 aci
mmL�mm no aL a mm Avg 3m+n.... �c
N DO 3 E .tC L .Q m
W E a onv N m Jm .O. c� LmQ (D 3: N
Z > O- C j j Y m N
0 O}�- >. d E -cacmm_ QO •o� 'Fa mN �
cmCSi�
a m m3o
N 03mU`C
co fE 0.- a J c a nm T �Emin m AC4 W
W Qo
v maI 0aa
EO EmEm O E E �NT
m
IL .N Cr c'
`m o �' o 1- �` 3 `° L aa)i °tea a °i ° m `° r� `° 'oii = o. m 0 `o
O ha) 0 on_mTo�1•o/-I '°m- �N
m m
U C
E; ��moa) E LT mU C mC mNIamYyo,
"E'
LmA a
N m`>moCc �Y~Li mW ?
mm m — f m Z €m"A CL J U myS m y,_°�
�CU m`° E
am dmU
Mnc-a0z 0 N3of ?p
_ N E°c
m m� m"N m N O
c-
�yoom ma Q Q maM-0' ac `0Tc Ci° �a wdEn c�°Aac°i mea�oi
aEi �`d U a.�w?>.Tm act 'a 'aE acmI aoc�
3 Evmm Nm X� W m mAEm�c 9r `-r °A m E �� mo
pon.53y,.N°? y Y�a��oEo mo mo=md o amyn m�mE 12
`am �`
om cmrn O O�c0cEOoo'mq �mIIc o=�-Q3E=nocmc
oan oE• o.o c - .0 am n. -y 10y -m '� -c cm _:° mii -la c°a
n mELU
mmc mN� U �m•�TwT ooa�m v`--' mE om g8 � m0c m�=
Y FC 3 1
O 3 aJ ^ Q �i C C 'G C u,IJ,c (6 c� C T� m
0¢= E>o aon 'O �I� o�cmm0 I`b �L .m mA�Fm 3U zIL�
N
O
N
0
N
rz
0
p
d
m
a - a - D Z -0 1p�m Oi Z U 'O ZOm 0 ono C7�ir m ('mm oc �'.3 C7W_5
��om a °. mom m oo ^�� 3-3mS m <I1��oCL (�m'dl
wog m m anon o m m o a<d3 0❑ o 5. mom\ .�m3 r—
m'm d m C° S2 mono. � � m �� o m�aw�.00 �°c� o a3 W
.� m o y o ail ED tom �I O m 4n av °:. ym� of o' m iv a-- �?_ oni�A�
y ='� D o�,s c, C (ci m o Fo�c, o ..,m (�i Na� �m •w and o m o
y��rn c o a win-m -1 taD� o m v 3"L� »Q �`2pom �� oa m m.mw o�mo(°
oar o o. o �� _ m a -(. m c S�c...<« and 3� dm m m > >c m
ID m 0 0 N O 2 m Z O N O � O 3 (n (� � O< T » m O' (n - f d" m N
O, O-.Ci 0 N C. - go m O [O i/1 m m� C �Q„d.. N O m O O,- d m O'OT m U/0
o m' a D a =yam N a�(p `� m-�rt'am 3 �d»3 m(� 3� Ud 3m .0 Q2 o
CD D m n �md D � n m O mmo3� m� <".�mm ,c. �d m�' -c,) 3
(o m a d <
0 o O j ti N 0 o 0 C O (�G .� OO a C_ C N m < m 0 0 7 N m m- M
0 O m e < md° m p m� g Ci W m00
o (D :! m m o
N m T0"N"O Z .�i. O. Lq, n� m �3. �IIt p m m `G ar=:C N
3' M .0' O m a O N +G (O 0 o w a m O O
�. =} o d p" m m m y �' '" m (� n 0- c ¢0i m m 0>
a CD D 3o moZy 3v�0 CD o�c ,�5 3�aim3
(D o•m� c0 00 O m5 �• ❑=mG 00*0 M:.� 0 m m vcnZR
a0o£ m 'o o C. omim 3.�So �'i" �m`o 10 oo<.m `�
owo- ��� Z ena0 mm� .mP.* -= �m m mfng
m "i a 3 rt .0.� C O w N N
Cb ova -1 m a.a = OWam ��m ^o dd m0 =�3
ym co O `Z�((D la�aof0n o� as m,� ��3m
yCDm ; `JCL D =.moo dco?o -, mm - mm r�=o
`a �."�M�x 1 c mui�� mdm�dma �� ,gym m�po
moo O m(D aYm3 a���mr 3 53 mc. a�om
�minm Z za aom5.c �f o3�� a mm"
SD ^gym a o (''�'mm-0 m Scam 3 o wn
m 0 O O O 1 '�' fND 7 = =(O N m O 0 m �< N O' O D �n O
Tc o O� N ((DD (ON 000 mN G O Qc otjDa
CD m d 0 O U 0 0 - 0>> O.^ O y N m 4 W O. a 3
(0 K m m m U o -n O 'a o' d o , D - n 3'<
m 3: � � F' mow3 nmc O m mN n Q
fO 0 �y Om CD
n-pml W'c d (a- a cn-df0
-m? 1 (b m O 0 `G a N 00 �m CD
N (�D - 1U ni N n -w N d „�„ 0 a j m. d < m a O N
rn T O coon a m m e m o n} o o
mn oo, Zi AM 7L c o 3 mm Nc o
(� n CD q Z 3' c °..:..•�.. N o o �< m= .� N O l' a s -4= rn m
4-0 a z (p m Co^�- v ; Nm y a (p Vi `< '^ 3 m 0 f y 0 �. N m m
o N �' d m S, y. N 0 d m (T C a O mCD v C:
o �. (Nn -mom Cfl n'D �° �(�� m0Bc� o o
o. m 0 a _ In• 7 a "' `< o"co m Ct m 0 c
aoa o3 r b� am. �QCD ma =3 3mo
0 J d N D � �. C S � m m a � f � m K � •m< � `<
2o.C° om p�CD "1 4 0 000aim "3 �2 �m ammo
i<'0 ao do ?� o icgmmo�CD m DT <T�3
m�a =^a zr o. a ��oom>> N mo �� a�0
O (o - an d (D m '< m a� m 0 m O m a m m