HomeMy WebLinkAboutX2021-0788 - Permits (2)1 E1 I, Tk City of Newport Beach jai 1111111111111111111111111����p����������������p��������11JillCOMB Permit : X2021 -0788
C� Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0896-2021
Q� = Permit Counter Phone: (949) 718-1888 Issued Date : 05/2612021
newportbeachca.gov/civic Final Date:
Combination Type - SFP Permit Status: Reissued
Work Class - Alteration Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 2024 NAUTILUS LN Legal Desc : N TR 3763 BILK LOT 75
Description: SFR REMODEL 336 SF TO CREATE (2) BEDROOMS $ (1) BATHROOM
Owner: SCOTT MOORE INVESTMENTS LLC
Address : 3360 LA PALMA E
ANAHEIM, CA 92806-2814
Phone:
Applicant: SCOTT MOORE INVESTMENTS LLC
Address : 3360 LA PALMA E
ANAHEIM, CA 92806-2814
Phone:
Owner/Builder : SCOTT MOORE INVESTMENTS LLC
Address: 3360 LA PALMA E
ANAHEIM, CA 92806-2814
Phone :
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Contractor: OWNER/BUILDER
Address :
Phone:
Con State Lic : OWNER/BUILDER
Lie Expire
Bus Lie :
Bus Lie Expire
Workers' Compensation Insurance
Carrier: EXEMPT
Policy No: 0000
W. C. Expire:
2019 Fire Sprinklers :
V-B Fire Hazard Zone
U,R-3 No of Units :
No of Stories
Architect
Address
Phone:
State Lie :
Z
1
�:0
Engineer:
CHIANGTZUUPIEN
Address :
131 LIME AVE
T-A
SAN GABRIEL, CA 91776
01
Phone:
(626)831-0818
Designer: 0
Address
Phone
NO Construction Valuation :
NO Added/New/Ti sq. ft. Bldg:
1 Alteration sq. ft. Bldg :
2 Added/New sq. ft. Garage
TOTAL sq. ft. :
Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone : X
Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
$40,000.00
0
0
0
OWNER -BUILDER
1 hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Aemts)
(Section 7031.5, Business and Professions Cade: 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
the 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
Professions CodeM 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
not 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,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal of€ort, builds or improves the property, provided that the
Improvements 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
improved for the purpose of sale).
K1, 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
apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from licensure under the Contractors` State License Law for the following reason:
By my signatore 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 legall;
sell a structure that I have built as an ownor-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Soction 7044 of the Business and
Professions Code., is available upon request whe t plication is Submitted or at the following Web site:http:IiV ww.leginfo.ca.govlcalaw.html. c,J( L�
Signature of Property Owner or Authorized Agent -� - --- Date 1[..._...( ^ 2
LICENSED CONTRACTOR'S DECLARATI IN J�
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000of Division 3 of the Business and Professions Code, and my license is in full farce
and effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
1ARNING: 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
:DST OF COMPENSATION, DAMAO" A3 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:
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
ormance or the work far 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' compensa'.
rance carrier and policy number are:
Policy Number Expiration Date
of Agent Phone #_
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 becomes bjecl to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /J7
tature of Applicant D'ate�/V�_ �^ � / ^ 2
'.I &RATt[1N RrrGRf)INr nPIMATRII -n i11Nf: er FNr`v
=reby 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).
ldeis 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 county ordinances and state laws relating to building construction.
I authorize representatives of this city or county Venter the above -identified property for inspection purposes. �
nature of Property Owner or Authorized Agent / � Pont Property Owner's or Authorized Aoent's Name �S<-' t�.iG r�G�'/ra /Date
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMIT EXPIRED I U I SUBMITTED ASRESTOS NOTIFICATION TO
PERMIT CANCFf l FD E EM
_..
PERivi7F EXTbVDED,
PERMIT FINAL 5/f31ZJ( {((�yS8E5TO5NOTI[ICAT'IONISNOTAPPLICABLE '1'0
CERT0CATE OF [ PROPOSED E OLITI m' _
OCCUPANCY ISSUED i SIGNATURE �rzl TA *�
"i"ova City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0788
F 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 7 8 8 Project No: 0896-2021
Permit Counter Phone (949)644-3288
Ph 949 644 3255
.� Inspection Requests one ( ) - -
.,.= Combination Type - SFP MECH ELEC PLUM Issued Date : Area
: 2021
[IAi M1�`
Inspection Area
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0512612024 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: 2024 NAUTILUS LN NB
Description: SFR REMODEL 336 SF TO CREATE (2) BEDROOMS & (1) BATHROOM
Legal Desc.: N TR 3763 LOT 75
Owner: HOLIDAY ADAM/JULIE
Address: 2024 NAUTILUS LN
NEWPORT BEACH, CA 92660
Phone
Applicant: JIMENEZ JULIO
Address: 11802 VALLEY BLVD
EL MONTE CA 91732
Phone: 562-335-4439
Code Edit :
2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flnnd 7nna'
X
Construction Valuation: $40.1
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 : 1,520.78
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: M T R CONSTRUCTION INC
Address: 10842 NOEL ST,STE 111
LOS ALAMITOS CA 90720
Phone: 714-315-9114
Con State Lie:
929602
Lie Expire:
03/31/2023
Bus Lie:
BT30050473
Lie Exp Date:
03/3112022
Worker's Compensation Insurance
Carrier:
EVEREST
Policy No:
7600020717201
Expire:
0810512021
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbina %:
Rear: 6'
Front: 20'
Left: 6'
Right: 6'
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$47.53
$27.16
$61.11
Plan Check Fee :
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lie
CHIANG TZUU PIEN
131 LIME AVE
SAN GABRIEL CA 91776
626-831-0818 State Lic: C-072618
JIMENEZ JULIO
11802 VALLEY BLVD
EL MONTE CA 91732
562-335-4439
Special Conditions:
Fire
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$43.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$679.98
PUBLIC WORKS F
PLAN CHECK BY:
Fire Department
$46.25
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $840.80
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
is 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,
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).
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 from licensure 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 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 Ccde, is &vailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
ignatore of Property Owner or Authorized Agent Date
JCE.oSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000 of DMvisi n 3 of the Business and Professions Cqd e�s in full force
nr. effect License Class License NO Date 2 Contractor Signature)l �/
✓ORKERS' COMPFNSATION DECLARATION
ACHING: FAILURE ru 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
DSTOFCOMPENSAT'CP', DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby, affirm-noe,.nenalty of perjury one of the following declarations:
Zk4 have and wil. 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 the
9n\rm^nce of the wcrP; for which this permit is issued. Policy No.
and will rnaimain 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'
carrier and oulicy number are:
ie of Agent
certify that, in the performance of the work for
, if I should become subject to the workers'.pd
of
Policy Number
Date
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date K J
512101202 /
CLARATION REGARDING CONSTRUCTIQN JtENDING AGENCY
hat )reby affirm under penalty of perjury tth is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
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 county ordiDgancesand state laws relating to building construction.
I authorize representatives of this city or county to en r the abo d iified property for inspection purposes. ,
Signature of Propel
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
Print ProDertv Owner's or
DATE BY / J
R403 REGULATIONS PPA TOF 0610 TIIT E 40 AND QMD RULE CE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
MvI
PROPOSED
NOTIFICATION TO
APPLICABLE TO
Civil Code).
$1-1114,