HomeMy WebLinkAboutX2021-3402 - Permits�asN'ro4r City of Newport Beach - Building Division IIIIIIIIIIIIII�IIIIIIIIIIIIIIIII�II II COMB Permit: X2021-3402
G 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 3 4 0 2
* p Project No : 0924-2021
5 t '•; n Permit Counter Phone (949)644-3288
a Inspection Requests Phone (949)644-3255
°l+r,mK`' Combination Type - SFP ELEC MECH PLUM Issued Date
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 1507 MARINERS DR NB
Description: SFR `CHANGE OF CONTRACTOR' ADD 129 SF (PRIMARY BEDIBATH & WIC). REMODEL (E) 582 SF. RELOCATE FAU, RE -ROOF .�
Legal Desc.: N TR 3004 LOT 39 -
Owner: KAHN ALEXIMADISON
Contractor:
OWNER/BLDR
Architect:
BAILEY DAVID
f 0%
Address: 1507 MARINERS DR
Address:
KAHN MADISON
Address:
23183 LA CADENA DR #101
4!
NEWPORT BEACH, CA 92660
LAGUNA HILLS CA 92653
Phone: 949-943-0521
Phone:
Phone:
949-573-1050 State Lic:CO27404
i
Applicant: BAILEY DAVID
Con State Lic:
O/B
Engineer:
WILSON KALEN
Address: 23183 LA CADENA DR #101
Lic Expire:
Address:
23152 VERDUGO DR #102
\ O
LAGUNA HILLS CA 92653
Bus Lic:
LAGUNA HILLS CA 92653
Phone: 949-573-1050
Lic Exp Date:
Phone:
714-576-6524 State Lic:C-083753
Code Edit : 2019
Worker's Compensation Insurance
Designer:
Type of Construction: V-B
Carrier:
Address:
Occupancy Group: R3/U
Policy No:
Added /New sq.ft. Bldg: 129
Expire:
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: 6'
Special Conditions:
No of Units : 1
Front: 20'
Bldg Height: 0
Left: 6'
Bldg Sprinklers: N
Right: 6'
Flood Zone: X
Use Zone: R-1-6000
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $0.00
Building Permit Fee: $0.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $0.00
Additional Fee :
$38.00
Plan check Fee:
$0.00 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 : $0.00
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
P/W Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee : $0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $38.00
Plan Check Fee :
$0.00
Fee Due at Permit Issuance : $38.00
r
PROCESSED BY: `
_ t,
PUBLIC WORKS
APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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).
1, as owner of the property, or my employees with wages as their sole compensation, will do l_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
l si ess 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
n ents 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 or the purpose of sale).
I, as o ner 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 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).
m exempt from Iicensure under the Contractors' State License Law for the following reason:
ly 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
ell a structure that I have built as an owner -builder if il 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 whe hi a c tion is mitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. w.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent " Da )2 2
-ICENSED CONTRACTOR'S DECLARATI
hereby affirm under penalty of perjury that I am Icensed under provisions of Chapter 9 (commencing with Sections of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Da'- Contractor Signature `
VORKERS' COMPENSATION DECLARATION
IARNING: 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
'DST 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:
D 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.
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'
rance carrier and policy number are:
Policy Number
Date
ame of Agent rnuue e
IkI 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
if I should beco a ubject a workers' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant e
ECLARATION RE ING CONSTRUCTION LENDING AGENCY T i
hereby affirm unde 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).
enders Name Lender's Address
y 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 co my ordinances and state laws relating to building construction.
I authorize representatives of this city or coun t n r the above -identified pro arty for inspection purposes. /t
icnature of Prooertv Owner or Authorized Anent Print Property Owner's or Authorized Agent's Nam%/ Mmisc,y4m
ACTION
DATE
BY
DECLARATI OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY < V
REGULATIONS RT 11 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED
U ISUBMITTEDA BESTOS NOTIFICATION TO
„
PERMITCANCELLED
LJEPA
PERMIT EXTENDED
qM D
PERMITFINAL
ESTOS NO I ICATION IS NOT APPLICABLE TO
CERTIFICATE OF
�f
.ZSiZy
PR POSED DE li)f-�_
OCCUPANCY ISSUED
SIGNATURE /�
M
F W
x z00
U N
N
E" (.)0
W
U Mo
ai w ) v
A z m
o
l Oo 01
z rA
51� co O
° �_
W�Am
Z w�oa
(D C
L
L
c
Uo
U C)
0
O
' O c L d m c L m 0) >. ` d — 'O V O) d T
U Mo w w m a) J C L c W d 0 r d �_ C 0 J 0.0 L
L�0N ,�°o ff 'm Loa) 0-o �� Eo d Lmm �mv'9 mE
CD `V LL y O C .O co 3 3 •L... = Q U 'O U m 3 U) o O d L E o
c ._ dIm'm Co O L o a) E o .O m C W L a) d —
a R E c m a Z c c m U 3 d d o c m E J m e 3 m d d d m
d� U d C c a O d C O p E D C .�.� N c J N
wy a mQ m F w 0> m aa)) ci) J y cU o `- - �� �, �o C rn ur
w v i L... a 0 .2 C i d� .J L d N .o N C) U 0 J-0 .0 m d d a) M L
CD0)cua 0 CD N oNmo�o 3w cU c Cc E0m c~Dm
J�'0'> >cpY LL `o nd_daa)i0 �'= v w� 3m, 3�d� �d
i. Er 0= ? a d c: M cD k; J 0 m v 10 `m 00 w`J, m °-3
0) 1 O >T 0 m c LL c ..L. O@ L > p- 0 C) c L 0 >> a) j c O U N O
C '.7YY = •OL T N d O u1 d >,'O 0° 0 o m `. L° 0 Co E° m C E '3 .L... C
Z N m d L w1 d a) °' a L 'O N "O O m ?� w y L j
E� m e :' d O o o dL m m a° dd `a O O a) v m m S 0` ° a)
C J O L d
T 'E mC c 1- - CL O� v� a 'o W Jd c- d 0 3m
c )n d E U O u �. d y m m 0 C_ 0) c c y C a d 'O m Y N = L L U o N
l _ c O L > c o T E
O b 0) T d 0 r LL 0 fa E 0 -0 T d U m CL U U c V1 a) a) a) �- J 3 c -00 m
T� ) ` ` d C ` E
J a a d v a� o c c d m my E E d c aT
0 0 p° � wl p. w "O O- 0 O c d c 0 .0 d d m -0 O N fa a) 'p o L N
c d a W O D C m a) W a N .L.. �` >� N la 0 J O- U .o d O. .c
Q� Jth Z 3 wp`ccE m� mE 3 cyc v mYn �mc LdEm
J N 0 7 ." Q U) N C U T J m fE0 C 0 m d c J >. X °' .c M w) _ y E
> u T 3'- m a) CT CD a; T .2i o 0 0 d J
C: 0 •p O. a+ 0 Z c 6 0 J E -. N 0 m L . O U T °' m C U m m, O. N w) O
a) mC , W E �mmm0° CL vEc om my dome cdoN CD
a)
0 d N N "Q) N E w> m W N C '� 0 .d V C 6 0 d m a c U 0 ou ° d .0 m
c c 0 E H c p o J 3 m E o 0 Q. m ca 3 v._ E
aai0a a" d -� chi o0 > o c E w� c d CO �' ° E m dL E'c E cmi w m cY`o
a) c w . Imy ?� CO n«L m m E m 3 E� m m o0 m -0 0 m ° y d0 `m N 3
omm0�cco p m c�a�v d O L �� add 0 0 mou,_ a) a)
rnaL_a.°v Z m wE0mcm °o �`o °E E7O o and UJacim 3°=
M
3 m y y Y :c o. a) M° L C''� mom m d> ° d% E m 2° Lo O o c
C ` M w ii d 0. 0-.c N -0 L L O. — 0 E _ c
d 0 O 0 m C d Q c w CI J EO'_ '5 w m TC O p :� N E O.a) 7 y.O 0 U U
E T U) m m C L .0 c MD U = d E a d m e ad
G m> 0) • O 7 m U .T•. N C 7 'd-' T T CO '0 U C E °' '0 L C d T "O O c w) C c N T •0 _c •Q
3 o o G° d N d X- W d �a L m m c �a N .rz Co — .�.. ya d ca -C m c O) J T caa 'd0 CF m 'r c
Ocn.:4d�• cm`o Z � EL 3 `w E NvE �° Om m-o o
0E>m «m �voi > L dmE 2 dc— E Ldt La
ur° ur O •y O J 0 "d0 c •'.' U� a) p -0 w y d o - m W an d .d-. m a L d N d' `
° cm O 2 c'9m amo cm 0.v° cd 0v m J; ca°U co
'd d d J C {a 0) U J CO O o w) o - '� c d � `C _ FJ ) w d m J .E N >` LO J C
a m o m T c 3 4 L U a) N T m O. — C Co 0) d� 0 m m o w "7 Y Co U N 0
C O- d d d •� d W c U 0I T N c c'7 c 7 _. _ U) c c0 U d f� d O c Co aD
dQm�:ca 3: E ��3cmE�E �y �do> ��-0 —0 �D3:cc�vm
O w Eo 3d 103ccuc d cmCCD °cC mcT�I{5- 0 m )
T a0o- O = 0 0m0���Icm Z UmLiam.0L�'wrm3U:5L
N
0
N
v z
m o
3 �?
m 0
C
CD
d O
O 5
CD
m
J
J
m
S N
CD
v o-
a m
CD N
K
00
jJ
(D m
N 0
N' 0
J 3
m
J
d
m
O
J
a
m
m
J
CD
d
S
N
-o
0
CD
,G
O
J
ID
Z
N
9
J
_
fD
Cb (OD N n
p°oCDi
` N W
y � C
'J
n
N O O.
C. N. C _
m CD m
� O m ,<
O 0 O
l
goC<Dv
m CD
-0 CDCD Z3
C
a < °
m
0
0 Da
m m :33
7% m 0.
coN00
y (D CDIS m,�
J
m tS -. O
1 m N m
O o
CDm
N � S
m nm
coa
ma Q
N
� � N
W N N
.O O N
d
CD CD CY
J 0
u <
(yQCD
CD
m a
d
Q
N
0
c
S
0
M.
d
z
m
m
0
C
O
N
d
rr
J
m
v
0
cnS@ m
o CD m Xo
mono.
N
03 dm
o m -
J J G S
K N - CD
S
(T 0 eco
r0 C_ O
O S
.o o -0
m
o
COD
CD m m `
N J ti,
0 O o O
0� �.Jm
o �0 �
cCD 00y(D
om
X
N ^ C
A0
0
m J
K
m o
0 o m
CCD
D f°
m
N C
J
n
S m
m @
v a
O vi
N. 3
co,l<
J_
J
• n O"
J
N �
NZr
m m
ID o ..
l
0' yCD
CD Z,3O
1
D1 Cp
7
CCD C
CD S
0
C) N
CD :3
CD
O
a_
a. y
�c
o 0
3
CD a
1
O O
a m
a0
�m
ca
m Q
o e'
o�
2Cb
Ca
:a°
CD
m I
O
1 0
O
m
v a c F to o oCL ° a s o 3 0.V n° 0 m 5 X�
m R O -„ 3 3 m 7 7 O CD `< -0< 0 m_ (3 = m /`
'O J Cn R O v< m 3: J O O C, 3.-L 3 co
0
CD
CIX pm ? J- 3 co C<0 _ mo c �'O
°3°oCOC33 Jomm
CD :r
c
m C Li S O -+. m ,< S y N m m CD '
-� 7 C ,G m 3 N Q m N J m N
cV n. � M f0 C jF 0 W N C N O d.._ O Q S m m 0 m Cn S.
�° CD CLO ��m>>3° n �J fD° 3(D cyaz-
�' 0 ° 3 ° m<<< m CD m °° s m m
N m 3 O M CD w CD
fD O °< ° m C O C NCO CDS S m °' 7 CD 0 S O
N 0m N M N C N_ c _0 m W O Q
�Nlk
k-1
ry
yT So D m . 0 N O (D° ?. S.
y. EL N N oJm 3 7
QCD CD cr
� CD C Ofi : N m r.,< 0 0, O O CCi m 0 Cmi Q7 N
-•�Fm J��o mm J uto J oo<.d
C y 0 a m C N O N S N N ,< n 7 N O. O fmn 0
m �." O '� CD 3 N 7 J
�1 0Cd0 CD � nn o0 mm wO 33
2 C mDN 0 aF �o ym 3 nd �.� co9 m °^
. Zm u m m J -.,m� 3 m CD r3-o
S m y ? � CD m (p � W 0 CD 3 CD �< � 00 � w �
5 0 v J e° 0 Cd 3 C.J 'm 5. d q n.�
B0 °° 3 d 0 O O p CD C, N
CD C•= of ico 3 CD of 3v 0 '�mn
(D 41 N (� c N CD O CD CD ,< N CS O n N 7
N 7 Q' ,G O 07 N ,G J ig Ee c O n D (O
00(0m -E05C o�. o NN a wo:o.3
J �, 10 m " 0 3
00<0 CD JOcmaa� �� o<'a �'^�.o
. 3 N q i .< '� N .00.
y 0 9 0. n v N v c m (o Q v m cn m (o
w 0 O' d N CD 5r,< CD° 3 O w N O J
0 C N y d m y'G �'3 m 0 N 0? 09. BCL CD m y
y O m m Q c d J N O m 0
fD �D 0 o (7 m 0 3 c ,< p O CD m O N D O= m
3 (c 0 CD _
H'Sa yFmG0Cc i ° Wm � �°3m
m O_ Q CD m m n CJn d N O J m-0
N m'a K Q m N M m a J 3 0 0 00
O 1 .. S CD S CD a0. �. °i @ m ,< W '< CD '<
T.
a:�'m0 l N d O 7 C N N N
w. O O j m F 3 (O N C N, N O m 3
O 9 x N CD m J S CD CD = C <_
Nm Q D O CD J J N m 0 S J 0 S 0 J'
Y. y_ N n,< m O N J m Q CD �, m
\
\
)
�
}\2}
f$zƒ
§
.
®
\�}
§§!§
§
\73
0on
� m
/
/�
\
5
\ ��
`/
�
®�
%
t
/
)
{
�
f
!
�\
f/{
_
]tGa
{q/e
¥:E
a BE2
.
-
§
2
/\\
ƒ
3
\
<2z§
/