HomeMy WebLinkAboutX2021-0315 - PermitsCity of Newport Beach - Building Division *X2021-0315" COMB Permit: X2021-0315
4� 100 Civic Center Drive, Newport Beach, CA92660 Project No: 1807-2020
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combirialion type - MFP ELEC Issued Date :
Inspection Arearea :2021
4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0211212024 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: 2901 QUEDADA NB
Description: MFR `CHANGE O CONTRACTOR` REPLACE EXISTING DECK WITH LARGER DECK (288 SF), REMOVE (2) INTERIOR WALLS
Legal Desc.: N TR 7167 LOT 22
Owner:
NEWMAN ERIN
Address:
1632 N SCOTTSDALE RD I
SCOTTSDALE, AZ 85264
Phone:
Applicant:
EARWOOD ROD
Address:
19171 MAGNOLIA ST, STE
HUNTINGTON BEACH CA
Phone:
614/499-1534
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 4
Bldg Height: 0
Bldg Sprinklers: N
Flood Zone: X
Valuation:
Building Permit Fee:
$0.00
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 :
$0.00
TOTAL FEE: $35.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
16
A ress: 950 CONGRESS ST Address:
�-,� OSTA MESA CA 92627
Dater h2e'- O'J4s-307-9892 Pho4applicable: State Lic:
Con Stale Lic: 941113
Li2/3 02
LiPc rT32;
xt L
sompesation norker'nsurance
'
,.
Carrier: WC EXEMPT
L
ire: s
ldin e pI
Front: I
Left: I
Right: I
r ndd80 �AaT9irtl 1s nRtlddktffie�"Tund
PLACENTIA CA 92870
Phone: 714/553-4805 State Lic:C-1
to whom:
esigner:
Address:
ggDone:
ecial Conditions:
Zone:N
Excise TaxEO 0 Planning Department-
Additional (work start$€bp Plan check Fee: ho worliO.sd
Grading Bonds Fee: $0.00 Fair Share : $0.00
Gra0ng PC Consultant : $0.00 SJH Trans : $0.00
O
Edina Permit Fee' $0.00 In -lieu Housina Fee: $0 00
Grading PC Fee: $0.00 Public Works Department -
WQ Insp. Fee: $0.00 Park Dedication: $0.00 Insp. to 00
�",.. $0.00"- .r.....
Mechanical %. $0.00 NMUSD Fee: $0.00
Plumbing %: $0.00
Cn
C)
0�7
Di
F!ife Department
/ Fire Inspection: � $0.00
Fire Plan Rev $0.00
Demolition Fee
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $35.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: o
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
is 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 Divjsion 3 of the Business and
'rofessions 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do `) all of or (-) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
n roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
p ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
ty my signature below I acknowledge Tents covered by this permit, I cannot legal
ell a structure that I have built as an wner-builder if it has not been onstruct In its entirety by licensed contractors. I understand that a copy of the applica a aw, ect'[pn 7044 of the Business and
Tofessions Code, is available upon r uesft��hherryy,this applicat�the following Web site:http://www.leginfo.ca.gov/caiaw.htmi.
lignature of Property Owner or Autho zed Agra e. J�� � �f 4'�.,f1��ICable • Date
.ICENSED CONTRACTOR'S D LARATION
hereby affirm under penalty of perju that I am licensed under sions of Chapter 9 (commencing with Section 7 00 v' Qj� of he �$irJ� Q�Profeg ion Code, and my license is in full Tome
nd effect. License Class L' o Dat ��°/D rNrBctbl rr re-
VORKERS' COMPENSATION D CLARATION
ARNING:
COMPENSATION, TOISECURE ON, DAMAGES AS S' IMPEDED MR IN SECTION OA06 OF THE UNLAWFUL,
AND CODE, SHALL
SUBJECT
T, AND ATTOR EY'S TO CRIMINAL PENALTU AYLLCM�ES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
hereby affirm under penalty of perju one of the following declarations: IIVV YYVV �� �� VV
I have and will maintain a certifi to s n-rt'o self Insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
erformance of the work for which thisperm is ed. Policy No.
�l have and will maintain workers' mp s tion in�uranc =' Izvd-by Section 3700 of the Labor Code, for the' performance of the work for which this permit is, issued. My workers' compensatior
Isurance carrier and policy number a :
:arrier Policy Number Expiration Date I.
I:
me of Agent IPnone #
certify that, in the performance of hew r hi s ue t ploy any per n In y rd"nher so as to becorn ,� je t e workers' C
t, if I should become subject to the ork co e a ii of io the Labor C e, I all forthwith comply with thasebro si {'1
nature of Applicant II rrLL
CLARATION REG G CONS RUCTION LENDI no wor s ar e
;reby affirm under penalty of perju) that there is a construction lending agency for the performance of the work for which Phis permit is issued Section 3097, Civil
Ider's Name Lender's Address
my signature below, I certify to as IIINWIRowi'
no
I am the property owner or autho ad to act on the property owner's behalf.
I have read this application and t information I have provided is correct. insp. initials:
I agree to comply with all applica a cit and count ordinances and state laws relating to building cons ruc Ion.
I authorize representatives of this city or coun en er e a
nature of Prooertv Owner or Authorized AGent Print Property Owner's or Authorized Agent's Na 1 f
ACTION DATE BY "RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY l
REGULAT NS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED ISUBM ED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
PERMIT EXTENDED LIAQVIP
PERMITFINAL 0 ASBESTOS VOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF PROPOS BrOUT10 --.�
OCCUPANCY ISSUED SIGN RE:
laws of California, and
X2o2A - 03(5-
xr City of Newport Beach - Building Division IIIIIIIIIII�IIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-2242
i29 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 0 2 2 4 2 Project No : 1807-2020
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP ELEC Issued Date:
Inspection Area:
4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1012TI2023 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: 2901 QUEDADA NB
Description: MFR REPLACE EXISTING DECK WITH LARGER DECK (288 SF), REMOVE (2) INTERIOR WALLS
Legal Desc.: N TR 7167 LOT 22 wa^�
Owner: NEWMAN ERIN Contractor: THOME PROFILE CONSTRUCTION Architect: I I ;`' V � i r ice.. ✓ I U h
Address: 2901 QUEDADA i[ANIBLFAF 9T
NEWPORT BEACH C 92660 / H
UN
TINGTON BEACH CA CA 92646 �y
Phone: 4801466-8193 <P�ion ;rL / 614-746-5824 �iPa NA��Gabl@. State Lic:
Date: - - - aF N
Applicant: EARWOOD ROD Co State Lic: 1049174 Engineer: PATEL NARESH SURYAKANT
Address: 19171 MAGNOLIA ST, ITE 5 Lic Expire: 01/31J2021 o0J L DR
HUNTINGTON BEACH A Bus Lic: BT31(17 P IA CA 92870
Phone: 6141499-1534 Lic Exp Date- 0913012 1 LPhone: 714/553-4805 State Lic:C-052998
Code Edit 2019 Wo1�cg�C&npensation Insuranc 4esf rfPM. -
Type of Construction: VB Carrier: EXEMPT Address: ,
Occupancy Group: R31U Policy No:
Added /New sq.ft. Bldg: 03}"'-z' - --Expire: Phone: ,
Added /New sq. ft. Garage: 0R�D
No of Stories: 2 Building Setbacks Rear: Special Conditions:
No of Units : 4 Front: ' ,
Bldg Height: 0 Left. /
Bldg Sprinklers: Right: I
Flood Zone: Use Zonw Parking Spaces: 0 Fire Hazard Zone : N
Construction Valuation: $19.0 0.00� ! ((ryry']g ca 1 p a n
Building Permit Fee: $627.00 E p $G n Plarfft 9epartment - Fire Department
Plan Check Fee: $480.77 Addl�t'�F 1 $0.00 Plan check F 4 Fire Inspection: $0.00
Overtime Plan Ck: $0.00 Gra rte ) $0.00 Fair Share : ��')G WO{-�'i .fir}0 Fire Plan Rev $0.00
Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee
Record Management: $20.00 4 Grading Perm i 7i"Ti� - � I ��n �.$0.00 Building pt Adm $0.00
Energy Compliance: $0.00 Note. " , °� �ubrrc'6"obrks..�Na.�^• ---fie r -ice $0.00
CA Seismic Safety: $2.47 WQ Insp. Fee : $0.00 Park Dedication : $0{;0 d sit $0.00
Disabled Access: $0.00 _ P/W Plan Ch c1��gn.00Sp• in ltlalS: $0.00
Hazardous Mat $0.00 Electrical %: $43.89 _ g San Dist mn nn --
Building Green Fee : $1.00 ca °: ' $U.00'� NMUSD Fee: $0.00 $0.00
Plumbing %: $0.00 $0.00
TOTAL FEE : $1,313.88
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee :
$619.52 Fee Due at Permit Issuance : $694.36
PUBLIC WORKS APPROVAL: n�.+
PLAN CHECK BY: V
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable ite TNs)
(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 sole compensation, will do (_) all of or (_) 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).
LJ I am exempt from licensure under th reaspm By my signature below I ackrow get a excep or 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 legalh
sell a structure that I have built an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understtpd th=t,a c.,opy of the applicable law, Section 7044 of the Business and
Professions Code, is available u n ret® � this application is submitted or at the following Web site:http://www.li�p ��3itml.
Signature of Property Owner or thorized�genf Date
LICENSED CCXTRACTOR' DECLARATI N _ n q!}0 t-1r ('� q'} �� I„!.
hereby affirm under penalty of rjurynsed Under'- provisions of bhepte� g (commencing with S'etio OOBj�of Di( Pan3 oPttt� �srss ah�"Pi`dfessi Code, and_ my license is in full force
FOG street. License Glass - I, License No e I 0 1i I Zt] Conti r Signature 3 4ti
WORKERS' COMPENSATI DE RA ION to whom:
VARN'NG: FAILURE TO SECURE WORK S' C �NSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO' PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S'IOQ0001, IN ADDITION TO THE
COST OF COMPENS..TION, DAMAGES A PROVID - FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. -
hereby affirm ur.dzr penalty of p rjury one of the following declarations:
n 1 have and, wii, maintain a c rtificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by etion 3700 of the Labor Code, for th
nerform'ance of the work for whit this permit is issued. Policy No.
❑: h�v3 and will maintain work s' co lipr pd�+insurariaw,; es4�quired by Sechor 3MO of-fhe-tabdir C"dde""Tbr the performance of the work for which this per t is issued. My workers' compensatiol
nsuranne carrier and policy our r are:
^,air=- Policy Number Expiration Date
of Agent Ph e #
certif that, in the erformanc of t wor or �a�L�p It Is a Iy{��I n employ an erso n �� c m su a am' co pensation laws of California, and agre
BIT if I should become subject t he co s!!fi is ns dMdl1 of �he Labo I s y oh L'3mvdifhT156se I I
Signature ofAJIWeant rtPd (no work star ted) to 10 /?A I 2.O
:reby affirm under penalty of p jw
Ider's Name 1,
my signature below, I certify to dl
I am the property owner or au of
I have read this application arf tt
I agree to comply with allapp
I authorize representatives of this
nature of Prooertv Owner or Authe
that there is a construction lending agency for the performance of the work for which this permit is issued (Section
n+o • Lender's Address
to act on the property
county
property for inspection purposes.
Insp. initials:
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFI�E USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCVISSUED
NOTIFICATION IS NOT APPLICABLE TO
Civil