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HomeMy WebLinkAboutX2021-1480 - Permits (3)nvl City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 i~ n. Permit Counter Phone (949)644-3288 a, Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC IIIIIIIIIIIIII�IIIIIIIIIIIII II COMB Permit: X2021-1480 X 2 0 2 1 1 4 a 0 Project No: 1295-2021 Issued Date : 06/10/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/10/2024 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: 2024 NAUTILUS LN NB Description: SFR CREATE DOOR OPENING AT LIVING ROOM 25 LF Legal Desc.: N TR 3763 LOT 75 .� Owner: MOORE SCOTT Address: 2024 NAUTILUS LN NEWPORT BEACH, CA 92660 Phone: Applicant: JIMENEZJULIO Address: 11802 VALLEY BLVD EL MONTE, CA 91732 Phone: 562-335-4439 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Building Permit Fee: $416.00 Plan Check Fee: $361.92 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $16.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $870.29 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: M T R CONSTRUCTION INC Architect: Address: 10842 NOEL ST,STE Ill Address: LOS ALAMITOS CA 90720 Phone: 714-315-9114 Phone: Con State Lic: 929602 Engineer: Lic Expire: 03/31/2023 Address: Bus Lic: BT30050473 Lic Exp Date: 03/31/2022 Phone: Worker's Compensation Insurance Carrier: EVEREST Policy No: 7600020717201 Expire: 08/05/2021 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / -arkino Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $29.12 $0.00 $0.00 Plan Check Fee State Lic CHIANG TZUU PEN 131 LIME AVE SAN GABRIEL CA 91776 626-831-0818 State Lic:C-072618 Designer: JIMENEZJULIO Address: 11802 VALLEY BLVD EL MONTE, CA 91732 Phone: 562-335-4439 Special Conditions Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $46.25 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $408.17 Fee Due at Permit Issuance : $462.12 PI'BLIC WORKS kPPROVAL: PLAN CHECK BY: APP90V91-,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 fn,r ;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 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 U 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). ❑ 1, 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). ❑ 1 am exempt from licensure under the Contractors' 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 for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectiolwZ of Division 3 of the Business and Profes ' ns Cod my license is in full force and effect. License Class License No Da Contractor Signet u�� �1 WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS S100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 erformance of the work for which this permit is issued. Policy No. xI have and will 1fTf, workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi tsurance carrier a d polio number are, ;arrier \^\Policy Expiration Date lame of Agent �V 1J Phone # 31 certify that, in the performance of the work fo ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre iat, if I should becomksxuulect to the worke ensatio provisi Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant /l D f,71 ID 121 - %vnl AMArInu ev on in_ rnr.,e TonrTl u i oun,un ... unv ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and coun�y ordinances and state laws relating to building construction. I authorize representatives of this city or co my, enter the e- IS pr ty-fer-inspection purposes. nature of ProDertv Owner or Authorized Agen r Print Property Owner's or Authorized Agent's Na a}Sy �C ACTION DATE BY \ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY IINEGULATIONS PART 61 OF TITLE 40AND AQMD RULE 1 PERMITEXPIRED _ ISUB ITT EDASBESTOSNOTIFICAT.ONTO� EPA QM ASBEST NOTIFICATION IS NOT APPLICABLE TO _ PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL /q // /�q CERTIFICATE OF PROPOSED E OLl , OCCUPANCY ISSUED SIGNATUR i �EwaoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : X2021-1480 0� e Community Development Department- Building Division > t y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: 1295-2021 Permit Counter Phone: (949) 718-1888 Issued Date : 06/10/2021 y"' r newportbeachca.gov/civic Final Date: Combination Type - SFP Permit Status: Issued Work Class - Alteration Inspection Area : 3 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 SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 2024 NAUTILUS LN Legal Desc : N TR 3763 BILK LOT 75 Description: SFR CREATE DOOR OPENING AT LIVING ROOM 25 LF Owner: SCOTT MOORE INVESTMENTS LLC Address : 3360 LA PALMA E ANAHEIM, CA 92806-2814 Phone: Applicant: SCOTT MOORE INVESTMENTS LLC Address : 3360 LA PALMA E ANAHEIM, CA 92806-2814 Phone: Owner/Builder : SCOTT MOORE INVESTMENTS LLC Address : 3360 LA PALMA E ANAHEIM, CA 92806-2814 Phone : Contractor: OWNER/BUILDER Address : Phone: Con State Lic : OWNER/BUILDER Lie Expire Bus Lie: Bus Lie Expire Workers' Compensation Insurance Carrier: EXEMPT Policy No: 0000 W. C. Expire: /°NSP 7- A rchitect QC Address 7 Phone: State Lie Engineer: CHIANG TZUU PIEN Address : 131 LIME AVE SAN GABRIEL, CA 91776 Phone: (626)831-0818 Designer: Address : Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $20,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: 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 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 1c 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 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 703t5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars 1$500). 1 1, 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, usiness 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 xnfproved for the purpose of sale). W, 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 poly 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 I am exempt from beensure under the Contractors' State License Law for the following reason: �y 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 ell 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 t is a pl cation is su Itted or at the following Web site:http://"�g.leginfo.ca.gov/calaw.html. ignature of Property Owner or Authorized Agent` / L am— .�.._.. Date ---�—{ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force ad effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000i, IN ADDITION TO 'OMPENSATION, DAMAGES AS PROVIDED FOR 9N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 ormance 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 which this permit is issued. My workers' compensa' .rance carrier and policy number are: Policy Number Date lame of Agent Phone # :1I certify that, in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workerscompensation laws of California, and agre tat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. tignafure of Applk ant � L � Date (mil rECLARATION REGA DING MST IfCTION LENDING AGENCY hereby affirm under penally of perjury that there is a construction lending agency for the performance of the work for Which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ly my signature below, I certify to each of the following: i am the property owner or authorized to act or) the property owner's behalf, i have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to/enter the above -identified property for inspection purposes. ACTION OAie BY -DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE 1403 PERMITEXPlRED g _1SU_BNITTFD ASBFSTOS NOTIFICATION TO P _._._E.._R_. MIT CANCE!!ED ! -n PERMIT FINAL c-//3 rl I ,Sy£S'TOSNOIIYICAt IONISNOI'APP41CAELk '10 OCCU ICATEOF — — Sl POSED 0LIT10 7]i OCCUPANCYf55UED i SIGNATURE.