HomeMy WebLinkAboutX2021-1450 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1450
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 4 5 0 Project No: 1268-2021
Permit Counter Phone (949)644-3288
f3. 4 Inspection Requests Phone (949)644-3255
'rxrna' Combination Type - BLDG PLUM Issued Date: 06/08/2021
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/08/2024 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: 19 POINT LOMA DR NB
Description: DEMO SFR & GAR. 3590 SF, 4 BEDROOMS. SEWER CAP INCLUDED
Legal Desc.: N TR 7432 LOT 51
Owner:
PETROFF CHRIS & JILL
Address:
19 POINT LOMA DR
Bus Lic:
CORONA DEL MAR, CA 92625
Phone:
06/30/2022
Applicant:
MCCLURE MATT
Address:
2618 SAN MIGUEL DR #204
NEWPORT BEACH CA 92660
Phone:
949.677.3650
Code Edit : 2019
Type of Construction: V -B
Occupancy Group: R3/1.1
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:
Contractor: LEGACY C D M INC
Address: 2618 SAN MIGUEL DR #204
NEWPORT BEACH CA 92660
Phone: 949-677-3650
Con State Lic:
962720
Lic Expire:
04130/2023
Bus Lic:
BT30043218
Lic Exp Date:
06/30/2022
Worker's Compensation Insurance
Carrier: STATECOMP. INS
Policy No: 9147240
Expire: 11124/2021
Building Setbacks Rear: I
Front: I
Left: I
Right: /
Architect:
Address:
Phone: State Lic:
Engineer:
Address:
Phone: State Lic:
Designer:
Address:
Phone:
Special Conditions: GREENLEAF TO r ��®�
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Construction Valuation:
$6,000.00
Building Permit Fee:
$120.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $227.50
Additional Fee :
$0.00
Plan check Fee:
$92.50
Fire Inspection:
$0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management:
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$26.00
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$219.00
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$1,127.00
Disabled Access :
$0.00
PNV Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist :
$0.00
Building Green Fee :
$1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$10.80
$0.00
TOTAL FEE : $1,823.80
•,
Plan Check Fee:
$0.00
Fee Due at Permit Issuance :
$1,823.80
ZONING APPROVAL:
GRADING APPROVAL:
060
PLAN CHECK BY:
APPROVAL TO ISSl4E`:°o ..o o -e ®'o o% aou
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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, priorto 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 L) all of or L) 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-Builderwill 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 legal)
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 Section 7000) of ivi ion 3 of the Business and Profes ions Code, and my license is in full force
and effect. License Class License No Date ' •6 dr '+, Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: 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 ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I 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
rformance of the work for which this permit is issued. Policy No.
ve 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' compensatio
ns Mier
carrier and policy number are:
Mier Policy Number Expiration Date
Name of Agent Phone #
01 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 workers' compensation laws of California, and agre
that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
Signature of ApplicantDate Gf�/L1
DECLARATION REGARDING CON T UCTION LENDING AGENCY
I hereby 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, Ivil Code).
Lender's Name Lender's Address
By 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 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. ) /
Signature of Property Owner or Authorized Agent I� Print Property Owner's or Authorized Agent's Nanta /"1C'Cl.. ^ C Date
ACTION DATE BY MTION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
• • 1408 •.• •••
PERMITEXPIRED • • • • • • ISUBMITTCD AS9ESTOS NOTIFICATION TO
PERMITCANCELLED •,• •„ • • • pA • • ••
PERMIT EXTENDED QM
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PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
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