HomeMy WebLinkAboutX2022-0585 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Er _ Permit Counter Phone (949)644-3288
ay, mr Inspection Requests Phone (949)644-3255
r'rirsss> Combination Type - MFP MECH ELEC
II �X �IIIIII2II I�� I0 5 �II II II
COMB Permit: X2022-0585
Project No : 0524-2022
Issued Date : 03/02/2022
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0310212025 OR PERMIT WILL BE INV,
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: 124 PEARL AVE NB
Description: MFR REMOVE (E) STAIRWELL & REPLACE WI (N)'WESSEX' ELEVATORILIFT INTO (2) 2ND FLOOR DINING ROOM. 22 SF
Legal Desc.: BALBOA ISLAND RESUB SEC 1 ELK 7 LOT 22
Owner:
BARRON RICHARD
Address:
124 PEARL AVE
NEWPORT BEACH, CA 92662
Phone:
949-264-6594
Applicant:
HAHN PRYNDANA
Address:
34167 PACIFIC COAST HWY #D
DANA POINT CA 92629
Phone:
949-226-7130
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 : 2
Bldg Height: 0
Bldg Sprinklers: Y
Construction
Building Permit Fee: $635.00
Plan Check Fee: $465.45
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$14.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,127.30
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: ACCESS TO FREEDOM/MILLS RICK
Address: 9272 JERONIMA RD #111
IRVINE, CA 92618
Phone: 949-472-4900
Con State Lic:
786659
Lic Expire:
10/31/2022
Bus Lic:
BT30067117
Lic Exp Date:
04130/2022
Worker's Compensation Insurance
Carrier: AMGUARD INSURANCE CO
Policy No: ACWC301235
Expire: 03/01/2023
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical W
Plumbing %:
Rear: /
Front: /
Left: I
Right: /
Architect
Address:
Phone: State Lic
Engineer:
BURKE LEO
Address:
34167 PACIFIC COAST HWY #D
DANA POINT CA 92629
Phone:
949-226-7130 State Lic:C-067404
Designer:
Address:
Phone
Special Conditions: HIGH DENSITY ZONE
LIQUEFACTION ZONE
AO-1 FLOOD ZONE
$0.00
Planning Department -
Fire Department
$0.00
Plan check Fee :
$52.00
Fire Inspection:
$0.00
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
$0.00
Public Works Department-
General Service
$0.00
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
P/W Plan Check :
$0.00
Grading Bond:
$0.00
$37.45
San Dist:
$0.00
$21.40
NMUSD Fee:
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$1,127.30
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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 applical;Ile 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
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 -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).
❑ I 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 legalh
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 0 ) of Division 3 of the Business and Profs nd my license is in full force
and effect. License Class 5 — C—(I License No ,, Q in in Date 2'22 Contractor Signature
NORKERS' COMPENSATION DECLARATION
MARRING: 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.
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.
and will tain 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'
carrier an o IV number aryf) e OI
Date
of Agent
certify that, in the performance of the worAfor 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
t, if I should become subt to UIA w r ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Da 3' L-vv
CLARATION REGA ING CONSTRUCTION LENDING AGENCY
Ireby affirm under natty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 7, 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.
1 agree 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 jr*r the-aboye-identified property for inspection purposes.
of PrODertv Owner or Authorized
ACTION DATE BY DECLNkATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULA ONS PART 61 OF TITLE 40 AND AQMD RULE
1403 +
PERMIT EXPIRED / ISUBMI D•4SBE-40SNQTI CATONTO• :�•
PERMITCANCELLED Epp
PERMIT EXTENDED L.JAQMD
PERMITFINAL WASBESTO NOTIFICA - I NOTAPPLICABLE TO
CERTIFICATEOF PROPOSE E OIL ••� �+
OCCUPANCY ISSUED SIGN AT E: •• • '•'
• • •• •• • • ••• •
FOR OFFICE USE ONLY
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