HomeMy WebLinkAboutX2021-3345 - Permitsvr•rjkh. City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
4 n Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
`:���ra,u•' Combination Type - MFP MECH ELEC PLUM
11111111111111111111#111111111111111111111111111� 11 COMB Permit: X2021-3345
X 2 9 2 1 3 3 4 5 Project No : 2909-2021
Issued Date : 03/25/2022
NO CONSTRUCTION ION NOIS'EinspectionArea :5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/255/202 PERRa/Mu�17 WILL Lit INVALID
a5:*M---•=-�..._� ..._- Holidays
Construction Hoy,[ onday Fnday 7:00 a.m. to 6 30 p.m. and Saturdayfrom 8:00 a.m. to 6:00 p.m. wor o rHolid
Job Address: 429 DAHLIA AVE NB
Description: CORONA
TNT REMODEL R q BIL OOMS AND STRU¢T47 RELQCATE FIREPLACE. " B ��,��
Legal Desc.: CORONA DEL MAR TRA BL L'€Yr 7 & A P /[_1 yQCT a t� / /�
Owner: OMD REALTY LLC 4 Cont6ctor �. Mc & RR COASTAL CCONSTRUCT70N Arc if p.p� �r Pt
wx n_+
Address: 52 CRIMSON ROSE _ � Address 5r,1pUR,p141N Arrl�r-i`�ess:
IRVINE CA 92603 i ALSO VlEJ:O CA 926 ' I�1 �J'•�.1n j (,r ❑ � �0�'rLS{'�t � A% VD �
Phone: r r Phone 949 2351191 r� Phone: � 3tAte'C �J0 e
Applicant: AHUEJOTE RAFAEL ""-^- Con -State Lic. �-1076463. _- g�,;�.....,a Et Y AEF ESMAIL TS
Address: 32303 CARIBBEAN OR Llc Expire: 06/30/2023 Addressi I�'40
DANA POINT, CA 92629-Bus-Lc .,13T30076399 LAGUNA BEACH CA 92637 "
Phone: 949-456-3303 Lic Exp Date �"'"" ""`_t,"�'s �-a Phone: 714-504-8260 State Lic:C- 458
`OS%1/20221` , p ,., r� J
d Com er�sation Insurance +"'` 'Z� Designer: M&R COASTAL CONSTRUCTIO
Code Edit : 2019 Wor ors p t...jjj
Type of Construction: V-B-SPRt " SiJO EMPLOYEES �c� ,. ., Address: 32303 CARIBBEAN DR
Occupancy Group: R3/U €"€ Policy No: - DANA POINT, CA 92663 r; 666
Added /New sq.ft. Bldg. 0 5 Expire Phone: 949-456-3303 ,.,.
Added /New sq. ft. Garage: 0 s
No of Stories: 2 'B�IIdIr�S ; cks6r� Rear / .� Special Conditions HIGH DENSITY ZONE . p
No of Units : 2 a �-'i Eront
Bldg Height: 0 fr 'Left /
Bldg Sprinklers: Y �1im�i j\ :;,cc,t c: ',Iylg tit I'
Flood Zone: X Use Zane: In Spa,
es: 0 Fire Hazard Zone N..
Construction Valuation: $159.00 .00 o.tC:
Building Permit Fee: $1,591.00 Excise ax: nniM Department Fir ant `
Plan Check Fee: $1,384.17 Additional Fee : $0.00 Plan check Fee-$53:0�-- $0.00
Overtime Plan Ck: $0.00 --'brad -Reeds-Fee t0 00 Fair Share $0.00 - Fir I( $0.00
Investigation Fee: $1,591.00 - :, tl� ,..,,.,,$0 00 -SUN-Trars- - $0.00 Demolition Fee
Record Management: $10.00 Grading Permit Fee -' In IieuHous.mg. Ese,: $0 00 Buil mom' g TTepf Ad i; $27.00
Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - -General Service $265.00
CA Seismic Safety: $20.67 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $564.00
Disabled Access : $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %: $111.37 San Dist: $0.00
Building Green Fee : $7.00 Mechanical %: $63.64 NMUSD Fee: $0.00 - $0.00
Plumbing %: $143.19 $0.00
TOTAL FEE : $5,830.04
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee : $1,436.17 Fee Due at Permit Issuance : $4,393.87
PUBIC WORKS A✓PR04AL:
PLAN CHECK BY:
APPHOVAL 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)
ction 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 Iicensure 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 L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
iiness and Professions Code: The Contractors' Mate License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
rovements are not intended or offered for sale. If, hgw,eveP, 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)'=="war-�...�„�.,,
J I, as owner of the property,
poly to an owner of property v
3 1 am exemptlfrom Iicensure
ly my signature below I acknq
ell a structure that I have built
'rofessions Code, is ava'I bl
signature of Property Owner
.ICENSED CONTRACTOR
hereby affirm under penalty
nd effect. License Class
iARNING: FAILURE TO SECURE
DST of COMPENSATION, DAM,
hereby affirm under penal
I have and will mainta
erformance of the work fo
JI have and will maintain
isurance carrier and oolic,
ie of Agent
certify that, in the pi
, if I should become
nature of Applicant
n exclusively contractin wit Ire ns actorslo Construct t- j ec_tion 7044, Business and Professions Code: The Contractors' State License Law does not
braids oeip3droves fti, n ct the projects with a li�sev'Rsr�raesnttoe Co_n ,tractors State License Law).
nder the Contractors' Ste efoollowinq reason:``'""'—�
rat, : except for m ersonal residence in whit m for at lea ���({gg�� �,,{[iorr,to,com letion of the improve
vner buider if it4%sl qt been;constrApted in its entirety by licensed contractors. ttMdc�3t a copy of the applicable
guest when thls`ropllcatlon is submitted orlt thefollowing Webslte:http://wvlw,Je info.ca.gov/calaw.html.
ed Agent " L I�I�L r— ___
�3ARATION - O remn
that I am licensed under provisltfns"gf CPiapterv8 (commending with _Section 70 0 f Div Sion 3 of the Business and Pr
License No 7iAmat '2Z Contractor Signature
uTION COVERAGE IS UNLAWFUL ANOSF}AYL'SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED"
GRIN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES:',
the following declarations
j,e of consent to self -insure for workers' com ensation Issued. E
11 p :hy�the Director of Industrial Relations as provided for;
Iemiit is issued. Policy No.
as regr}ired by Section 3700 of the Labor Code, for the performance of the work for which
of the work for which this permit iS issued, I shall not employ any p
dgiworkers;,corWprysatioypprovisicins of Section 3700 of the Labor
CLARATION REGARIFINGSQNSTRUCTION LENDING`AGENCY`
areby affirm under pe of erjurya i a -construction lending agency for the performance of the wor
ider's Name er'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 county ordinances and state laws relating to building construction.
I authorize representatives of this city or count) *r�r the above -identified property for inspection purposes.
ACTION
DATE
BY
DECLARAT N OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIO
PART 11 OF TITLE 40 AND AOMD RULE
1403
PERMIT EXPIRED
Z
ISUBMITTE
LJEPA
OAQMD
_
rSBESTOSNOT'FIC_ATICN TO _J
- -
PERMITCANCELLED
L
PERMIT EXTENDED
PERMITFINAL
SBESTOS
TIFI(ATION IS NOT APP ABLE z0
CERTIFICATE OF
PROPOSED
OlOI l
OCCUPANCYISSUED
SIGNATU
7_� L.i
♦ s
Expiration Date _
so as to ec t the
pl
tepr"41lih those provisions.
FOR OFFICE USE ONLY
Section 7044 of the Business and
Date
is in fiLll force
DOLLARS ($100,000), IN ADDITION TO THE
Section 3700 of the Labor Code, for
is issued. My workers'
compensation laws of California, and
Civil Code).