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HomeMy WebLinkAboutX2020-0956 - Permits�ulvt City of Newport Beach - Building Division *X20200956` COMB Permit: X2020-0956 at 100 Civic Center Drive, Newport Beach, CA 92660 �'�`s, Permit Counter Phone (949)644-3288 Project No : 2527-2019 si Inspection Requests Phone (949)644-3255 4ac,rau�' Combination Type - MFP Issued Date : 04113/2020 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT tMLL 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: 2675 SECOND AVE NB Description: MFR (ADDITIONAL SCOPE) REPLACE MOMENT FRAME Legal Desc.: P M 207.23 PAR 1 UNIT 2 OF PROJECT LOCATED ON AP 459-112-22 TOGETHER Owner: BRAINERD JOHN HOWARD Address: 2675 SECOND AVE NO EMPLOYEES CORONA DEL MAR, CA 92625 Phone: 714-267-6758 Applicant: BRAINERD JOHN HOWARD Address: 2675 SECOND AVE Bus Lic: CORONA DEL MAR, CA 92625 Phone: 714.267-6758 Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 3 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Contractor: M P S CONSTRUCTION Address: 13871 DEODAR ST NO EMPLOYEES SANTA ANA CA 92705 Phone: 714-997-9193 Con State Lic: 858299 Lic Expire: 05131/2021 Bus Lic: BT30071350 Lic Exp Date: 03131/2021 2016 Workers Compensation Insurance VB Carrier: EXEMPT R31U Policy No: NO EMPLOYEES 0 Expire: Energy Compliance: 0 CA Seismic Safety: Building Setbacks Rear: / $0.00 Front: I $0.00 Left: I $1.00 Right: / Building Permit Fee: $200.00 Plan Check Fee: $174.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $377.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: �'ECTi��r 4 Architect: Address: Phone: O ic�yyy ee••ep Engineer: XIAO QIANG V / o°em ommms`. Address: 1520 BROOKHOLLOW DR#45 �cr/�� e• m` SANTA ANA CA 92705 �lJp p Phone: 714.662-0510 tate Lic:S-005289%. �V pi� • L Designer. Address: '1 I URN RV� m•.® Phone: mm m o 0 m 0 • i Special Conditions: REV20-0568(DELTA 1) 0000 0 0 o eeom sono Fire Hazard Zone : N Excise Tax: $0.00 Planning Department- Fire Department Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $377.00 PUBLIC WORKS APPROVAL PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penally 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 Hems) lection 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 Of 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 penally, of Dt more than five hundred dollars (5500). 1, as owner of the property, or my employees with wages as their sale compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section T044, usiness and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who, through employees' or personal effort, builds of Improves the properly, 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 n 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 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' Slate License Law). I am exemppt from licensure under the Contractors' State License Law for the following reason: y my signgtLAb%l{fw 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 perrmf, I cannot lega III all a slructuferlNit 1 have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and 6clessions.6ade. Is available upon request when this application is submitted or at the following Web site:hftp:f/www. leginfo.ca.gov/calaw.himl. igAature of Pi Owner or Authorized Agent Date .10ENSED CONTRACTOR'S DECLARATION 6ereby affirm under penalty of p rjury that I am licensed under plimislons of Chapjjer 9 (co{ mencing with Beall 00 of Division 3 of the Buslnes Professio ode, ntl iaenas is in full force qct effect. •L•i4er(IgP• Class License No Std- I "I Date d U Contractor Si ature 4ORKERS' COMPENSATION DECLARATION ./ 'ARNING: FAILOAMO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINESUP TO ON HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 8TH OF COMPE11,1I9N. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES. Hereby affiri penalty of perjury one of the following declarations: have and wW 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 P-Opmanct fthe 4rork forwhich this permit is issued. Policy No. have_ancl w4l maintaln 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' compensatiol urance terrier and policy number are: a of Agent artily that, in the performance of the if 1 should biegome subject to the we Policy Number Dale this peril is issued, I shall not employ any person in any manner so as to become subject to theirWatkkrs' compensation laws of Calttomia, and agre ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ij`/N ate iECLARATIOWkEgRDING CONSTROCTION LENDING AGENCY hereby 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). ender's 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 properly owner's behalf. I have read this application and the informa ,O'eK I have provided is correct. I agree to comply with all applicable ytyafid county ordinances and state laws relating to building construction. I- I authorize representatives of this ci ,.Pir county to a the ove-I 'led property for inspection purposes. \\�/� M t (✓f1,4 :.._.a...,. -10.....e.1.. 1——, e.ar,,.d a A/� Print POwners or Authorized AGent'SName DATE - I ' BY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 I SUBMITTED ASBESTOS NOTIFICATION To PERMITEXTENDED L_KQMD PERMITFINAL /tet/� �fn ASBESTOS NOTIFICATION IS NOT APPLICABLE CERTIFICATE Of 17 �f 1'�JI% PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: FOR LO C?® G z X C) m Z � O W U� o U M � N m ®O Q. 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