HomeMy WebLinkAboutX2022-0347 - PermitsCity of Newport Beach - Building Division *X2022-0347* COMB Permit: X2022-0347
W �+ 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0310-2022
n Permit Counter Phone (949)644-3288
is Inspection Requests Phone (949)644-3255
Combination Type - MFP MECH ELEC PLUM Issued Date: 03/2912022
Inspection Area
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/29/2025 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: 520 IRIS AVE NB
Description: MFR 1ST FLOOR UNIT REMODEL 800 SF
Legal Desc.: CORONA DEL MAR BILK 536 LOT 22 LU
Owner:
MILLER TOM
Contractor:
JOHN MASTROPAOLO CONSTRUCTION
Architect:
Address:
5201RIS AVE
Address:
16291 MAGELLAN LANE
Address:
CORONA DEL MAR, CA 92625
HUNTINGTON BEACH, CA 92647
Phone:
Phone:
562-200-1024
Phone:
State Lie:
Applicant:
PETERS WILLIAM
Con State Lie:
975340
Engineer:
KHAEF ESMAIL
Address:
33662 BRIDGEHAMPTON DR
Lie Expire:
07131/2022
Address:
4005 CALLE SONORA #2B
DANA POINT, CA 92629
Bus Lie:
BT30075965
LAGUNA BEACH CA 92637
Phone:
949-412-4428
Lie Exp Date:
07/31/2022
Phone:
714-504-8260 State Lie C-045870
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers: N
Flood Zone: X
Construction
Building Permit Fee: $679.00
Plan Check Fee: $590.73
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$24.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE : $1,483.53
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: EXEMPT
Policy No:
Expire:
Building Setbacks
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: I
�arkina Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$47.53
$27.16
$61.11
Plan Check Fee
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$642.73 Fee Due at Permit Issuance : $840.80
PUBLIC WORKS APPROVAL: r
PLAN CHECK BY: +' M r le -
APPROVAL TO ISSUE:
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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)
fiction 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
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
fessions 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
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,
Iiness 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
irovements 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
(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
)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:
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)
a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. understand that a copy of the applicable law, Section 7044 of the Business and
fessions Corlef i,-available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm].
nature of PtDpYFy owner or Authorized Agent Date
'AHED CONTRACTOR'S DECLARATION
ere" affirm:V%r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 O) of ivis n 3 of the Business and Profess Co ,and "cense is in full force
I effect. License Class License No Date 2 Z`� Contractor Signature
MIM(ERS' CpMel NSATION DECLARATION
TR : FAILURE TQRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
LG COMPENSATION, SE UAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
E¢y affirm yRBar Analty of perjury one of the following declarations:
•u•
•(rave and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Direi
:mence of the work for which this permit is issued. Policy No.
he,; and 44 jrlailjtain workers' compensation insurance, as required by Section 3700 of the Labor Code, for
Rmae carrie �and�pglicy number are:
V __• ` Policy Number
of Agent
certify that, in the performpyr�e of the work for which this permit is issued, I shall not employ any person in any
if I should become s�,bje, tb the w kers' compensation provisions of Section 3700 of the Labor Code, I shall
Iature of ApplicantSL/Y�/
Teby affirm under penaly of perjury that there is a construction lending agency for the performance of the work for
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 cotFit
ances end state laws to building construction.
I authorize representatives of this city or county o 1 t the
,Pp e-identified property for inspection purposes.
nature of Prooertv Owner or Authorized ADent i Print Prooertv Owner's
ACTION DATE I BY ECLARATION OF A/REGULATIONS PART 0610 OF 40AND AQMD RULE MPLIANCE WITH CODE OF RAL FOR
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED DEPA
PERMIT EXTENDED OMD
CERMFICATEL ASBESTOS NO f N IS NOTAPPLICABLE PPLICABLE TO
CERTIFICATE OF �Z�2S D/�-�. PROPOSED DEM ON fv^—lam
OCCUPANCYISSUED SIGNATURE:' C
AND CML FINES UP TO ONE HUNDREDLTHOUSAND DOLLARS (E100,000(, IN ADDITION TO THE
of Industrial Relations as provided for by Section 3700 of the Labor Code, for
performance of the work for which this permit is issued. My workers'
Date
so as to become subject to the workers' compensation laws of California, and agre
t comply with those provisions.
Date � � � 22
this permit is issued (Section 3097, Civil Code).
USE ONLY
Name Krt4 ,NIAGYf2-0PACLQ_ Date