Loading...
HomeMy WebLinkAboutX2022-1052 - Permits (2)"1 City of Newport Beach - Building Division C. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 .. Ay Inspection Requests Phone (949)644-3255 Combination Type - BLDG *X2022-1052* COMB Permit: X2022-1052 Project No : 0967-2022 Issued Date: 04/11/2022 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED B.y 0411112025 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.rir.,No work on Sundays or Holidays Job Address: 501 TUSTIN AVE NB Description: SFR BLOCK WALL 22' LONG X 6' HIGH *CITY STANDARD* WITHIN PIL; PERMANENT MARKERS ONSITE Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BILK 35 LOT 24 •..• • Owner: MOHR CAMMY & STEVE Contractor: ADAMSON MARK ...o a Architect: Address: 501 TUSTIN AV Address: 104 OKRA Address: .... NEWPORT BEACH CA 92663 IRVINE, CA 92618 .... Phone: 909-223-7720 Phone: 714-376-6301 Phone: State Lic: ° Applicant: ADAMSON MARK Con State Lic: 590874 Engineer: THOMPSON MATTHEW o'°°°°• Address: 104 OKRA Lic Expire: 02/29/2024 Address: 12021 N TUSTIN AVE IRVINE, CA 92618 Bus Lic: BT30057889 ANAHEIM CA 92807 ....a• Phone: 714-390-6301 Lic Exp Date: 02/28/2023 Phone: 714-630-6100 State Lic:C-086051 ° Code Edit : 2019 Worker's Compensation Insurance Designer: .. Type of Construction: V-B-SPR Carrier: STATE COMPENSATION INS FUND Address: o °, • ° Occupancy Group: R3/U Policy No: 9225662 Added /New sq.ft. Bldg: 0 Expire: 02/02/2023 .• ° Phone: Added /New sq. ft. Garage: 0 • o• No of Stories: 2 Building Setbacks Rear: 5 Special Conditions: No of Units : 1 Front: 20 Bldg Height: 0 Left: 4 Bldg Sprinklers: Y Right: 4 • .a®o•v • • Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $6,000.00 Building Permit Fee: $178.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $154.86 Additional Fee : $0.00 Plan check Fee : $52.00 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: $2.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN 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 %: $0.00 $0.00 TOTAL FEE : $387.86 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $387.86 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: �JC PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: itS 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 ie 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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 nproved for the purpose of sale). 1 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 pply 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 ?Mt licensure under the Contractors' State License Law for the following reason: IK rygignatulabedow 1 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 ell a structure th@91"ve 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 this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. �1graature of Property Owner or Authorized Agent Date JCENSED GGINT ACTOR'S DECLARATION ,t ft,by affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f ivice es on 3 of the Business and Professions o e and m se is in full for nd.egect. Lir<�ye�ass License No Date (. Contractor Signature 1(QMRS' COMPtNSATION DECLARATION 1PiQNJt % 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 OFT OFCOMPENSATI W IDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm uHder penalty of perjury one of the following declarations: 31:;De and.11 gfaintain 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[ erfo nce of tl?Cwork for which this permit is issued. Policy No. ave 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' compensation Isurance carrier and Dolicv number are: to of Agent certify that, in the pi if I should become Policy Number Expiration Date (d sa? Phone # I h 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( isation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. y ignature of Applicant 1 I W.� r DateL O IECLARATION REGARDING CVPSTRUCTION LENDING AGENCY 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, 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 on the prope owner's behalf. I have read this application and the information I have or ided is correct. 1 agree to comply with all applicable city and county ordin ces and state I s relating to building construction. I authorize representatives of this city or county I enter t above-iden " ed property for inspection purposes. '^N ur lionature of Propertv Owner or Authorized Agent Z' Print Property Owner's or Authorized Agent's Name 9-` N- fits"" Data ACTION PERMIT C4NCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED work for VION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY TIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION TO PROPOSED[ SIGNATURE: IS NOTAPPLICABtE TO