HomeMy WebLinkAboutX2020-1921 - Permit ApplicationCity of Newport Beach - Building Division
IUu Civic Center Drive, Newport teach
H Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM GRAD
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST LID /NSPECTI.ON JECTS MU,s'I
Construction Hours: Monday - Friday 7:00 to 6:30 p.m. ar}� urdayfm 8:0
Job Address: 2339 PORT CARLISLE PL li
Description: SFR ADDITION 3326 SF 8: REMODEL 1690 SF 8 G GE ADD 1 OAF �r0
Legal Desc.: N TR 7845 LOT 72 +LO
Owner:
Address:
Phone:
Applicant:
Address:
Phone:
MDG REAL ESTATE LLC
2339 PORT CARLISLE PL
NEWPORT BEACH, CA 92660 Y
714-904-4734
COMB Permit: X2020-1921
Project No 1535-2020
Issued Date : 02/24/2021
Inspection Area : 6
IE COMPLETED BY021
a.m. to 6:00 p.m. No
Contr or:'' D,G �::MSUCTION MNGEMNT Architect: B Ny>,nrHILLIP
A ess 1 POST SUITE 200 Address: AVIA
IRVINE CA 92618 EIM CA 92807
Phone. 714 904 4734. F Phone' 7 931.8720
HEARN GREG (y- Con Sta a Lice 928591 E ,I�nR PARVIZ
1 POST #200 Lle 02/28/2021 s: < . 0 DELMAbP
IRIVINE, CA 92618 I/I_ B ' is B /28120 2 VVV
714-904-4734 lY Lip Date:.. '` 02128/2022
Code Edit
2019
Workers Compensation
Insurance
Type of Constructlo
Va a
RRR�l1
Carrier:
`zF:+" Policy No:
EXEMPT
no employees
Occupancy Grou ,'
'q.:
Added /New sq ft ^$idg:
Added /New sq. ft.. CBrag
3326
Expire:
_
No of Stones ;
2
�"
twlding Setbacks
Rear 1Q''`
No of Units : S1
Bldg Height: po
-� "
Front 20'.
Lek -6'
Bldg Sprinklers:��,
Right 5'
Flood Zone:
y�.,..
Use Zone: PC53
Paiking-$paces:
Building Permit Fee:
$7,077.00
Plan Check Fee: $5,639.19 `tr,
Overtime Plan Ck:
$0.00 4�'y
Investigation Fee:
$0.00
Record Management :
$70.00
Energy Compliance:
$303.00
CA Seismic Safety:
$97.50
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$30.00
TOTAL FEE: $22,613.93
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
• �'la IRVINE C -921
�i �,P,\OD 714-6 -74at.
Address:
`J
WILL BE INVALID
or Holidays
AVI
i U
ate L11:C-03789
C-211
TIGHT QUARTERS
TO HAUL DEBRIS
Hazard Zone : N
Y
Excise Tax: '`a�1 GJ 0.00-P Plan ' g artment-
Additi I Feq�X-lieu
�1� a eck Fee
Gr ds 00 F Share "
Gra 'n on0 JH Trans
radi erm it 00 Iti-IieuHousing Fee
ding PC Fee0 - Pupll'cWorks Department -
Insp. Fee: 0 Park Dedication : $0.00
IPM Plan Check : $516.00
Electri 0�039 San Dist : '' $0.00
Mechani /.08 NMUSD Fee: $6,119.84
Plumbing.93
Fire Department
$185.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$26.00
General Service
$219.00
Refund Deposit
$564.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee: $22,613.93 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION > {v
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for t ason(s) indicated belmv`�; he c ckm (s) have placed next to the applicable items)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construe er, improve, deal . �0 pair any str tuA,, for to its issuance, also requires the applicant for
is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Co ctors' St It tense hapter 9 (co a ing'. 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 ex ion. Anny\��n of fSS0 7031.5 by a appliCa for rmit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500). \ tt '
I, as owner of the property, or my employees with wages as their sole compens will do (�>� �f or (�,petlons of the wo , and the structure is inT ed or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not to an ownerif prop9,l(�Yi6�No, through a oyees' or personal effort, b ' ds' proves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building provement is sold WitRinWale year of co etion, the Owner -Builder will hav h - an of proving that it was not built or
nproved for the purpose of sale). �% p'(� �f11
-�
I, as owner of the property, am exclusively contracting with He d Contractor o constr.4t the project (4[ on 7044, Business and Professions Code: Th ofd tors' State License Law does not
pply to an owner of property who builds or improves thereon, who contra or the projects with a lids ed Contractor pursuant to the Contractors' State Lid a ).
7 I am exempt from licensure under the Contractors' S License La r the following reason: .
ly my signature below 1 acknowledge that, except fo y perso . ence in. which I must have resided for at least one year prior to completion of i rovement o by this permit, I cannot Iegall)
ell a structure that I have built as an owner-buil If it has n9t constructed in its entirety by licensed contractors, I understand that a copy licable law, S ti 44 of the Business and
'rofessions Code, is available upon requea an this ap�'Ic on is submitted or at the following Web, ,Iattp://www.leginfo.ca.gov/calaw.ht k
'signature of Property Owner or Author] gent . Da 3
.ICENSED CONTRACTOR'S LARA
T10
hereby affirm under penalty o Nury that I a censed under'provisions of Chapter 9 (commencing with Section 7000) of Divis f e� ess and Profes ' as Co a license is in full force
nd effect. License Class - License No Date tor Signatur
1IORKERS' CONJ SATIO CLARATI Ada O~
'ARNING: FAILURES E W 3' COMPELl3ATION ERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P STIES IL FINES UP TO E HUNDREPTHOU 0 DOLLARS I$100,e00l, IN ADDITION TO THE
OST OF COMPENSA pD AGES AS PROVI R INS N3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES a`y'
hereby affirm and of perjury one of the following declarations:
�.
I have and well no
:{n certificate of cnt to self -insure for workers' compensation, issued byv,€h'eDirector of Industria elatio�,Qas pr ad for by Section 3700 of the Labor Code, for th
erformance of the wor ; h this permit is issued. Policy No.�
]I have and will maintai , rkers' compensat' urance, as required by Section 3706;,o Ai Labor Code, for the p ormanc�he rk for which this permit is issued. My workers' compensatiol
Isurance carrier and policy gmber are:
']er pllcy Number
is of Agent L� �. ,y r;,`,::
certify that, in the performance' f�he ork hich this permit is
if I should become subject to thorkts' compensation provisio
nature of Applicant M -•X ii
1_v,
CLARATION REGARDING CONSTRT LEI
ENC
Ireby affirm under penalty of perjury tha, pr a c
uction Is
Idler's Name "+.k�.
my signature below, I certify to each of the-.o g:
I am the property owner or authorized to ac , th
ropery
I have read this application and the informati , he
I agree to comply with all applicable city and coy
o ii a
I authorize representatives of this city or county, t ?gnte
he abp,
of Property Owner or Authorized
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
CERTIFICATE OF
OCCUPANCYISSUED
I DATE I BY
Date
:mploy pion in an an so as to become subject to the workers' compensation laws of California, and
of r Code, tWaI1_,J9Kwith comply with those provisions.
work for which this permit is issued(Section3097, Civil Code).
Ts relating to building construction.
property for inspection purposes.
Print Property Owner's or Authorized Agent's Name _ Date
NCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: