HomeMy WebLinkAboutX2021-2367 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2367
y 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 2 3 6 7 Project No : 2048-2021
;;. Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
i Issued Date : 09/16/2021
`Iickvrr4's`%: Combination Type - MFP ELEC
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/16/2024 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: 12 IMA LOA CT NB
Description: MFR -INTERIOR ALTERATION, RMV FIREPLACE, NIS WALL, MINOR ELECTRICAL *STOP WORK*121-2452*
Legal Desc.: TR 7817 LOT 3 UNIT 158 OF PROJECT LOCATED ON AP 424-041-01 TOGETHER
Owner:
MASTERS SCOTT
Address:
12 IMA LOA CT
NEWPORT BEACH CA 92663
Phone:
818-415.6370
Applicant:
GAY IV ROBERT
Address:
8948 SUNFLOWER ST
RANCHO CUCAMONGA CA 91701
Phone:
909-732-3132
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R2
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 3
Bldg Height: 0
Bldg Sprinklers: N
Flood Zone: X
Valuation: $30,000.00
Building Permit Fee: $559.00
Plan Check Fee: $486.33
Overtime Plan Ck:
$0.00
Investigation Fee:
$559.00
Record Management :
$14.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,711.46
PROCESSED BY:
ZONINI APPROVAL:
GRADIN APPROVAL:
Contractor
Address:
Phone:
Con State Lic:
Lic Expire:
Bus Lic:
Lic Exp Date:
OWNER/BLDR
MASTERS SCOTT
O/B AUTH ATT
818-415-6370
O/B
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: /
Right: /
�arkino Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$39.13
$0.00
$0.00
Plan Check Fee
Architect: MURRAY STEVEN PAUL
Address: 370 W 6TH STREET #210
SAN BERNARDINO CA 92401
Phone:
909-884-7660 State Lic: C01'�jQ,
Engineer:
KHOURY NADER
•°...
••mo°
Address:
1278 GLENNEYERE ST#201
LAGUNA BEACH CA 92651
Phone:
949-637-8357 State Lic:C-06V
Designer:
• o
m ° • •
Address:
0000
®
Phone:
e o
Special Conditions:
1-21-2452*stop work* [gyp)
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o c
c00000
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Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$52.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$538.33 Fee Due at Permit Issuance : $1,173.13
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: V
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OWNER -BUILDER DECLARATION ;r
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)`._.,.
Iction 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
Ifessions 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,
siness 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
7ents 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
d for the purpose of sale).
s 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
fly 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 Iicensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for m4not
esidence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegall�
a structure that I have built as an owner -builder if it n c nst - c d in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 f the usiness and
Ifessions Coda pis available upon request when th'5 ab �p r�S t� Ilowing Web site:http://www.leginfo.ca.gov/calaw.html. G
nature of droperty Owner or Authorized Agent 6Ul' - e Da/. �(J i"OZ
'%NSED CONTRACTOR'S DECLARATION
weby affirgfdndea penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
i effect. Llt(!rFA Class License No Date Contractor Signature
AWERS' CbMPENSATION DECLARATION
ZNING: FAILr •TJ)SFCURE 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
iYgF COMP NSATIOe, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
affirm under Penalty of perjury one of the following declarations:
,a and will Maintain a certificate of consent to self -insure for workers'
Ince of the work for which this permit is issued. Policy No.
compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
and y✓TII mal'Main 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'
came? Ind ISolicy number are:
of Agent
Policy Number Expiration as
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
, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant Date_
ECLARATION REGARDING CONSTRUCTION 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 property owner's behalf.
I have read this application and the information I have pro ed is correct.
I agree to comply with all applicable city and county ordi nces nd stat aws relating to building construction. `/ /
I authorize representatives of this city or coylnty to ent hIP= i-pNpperty for inspection purposes. �' . 4 14
>ignature of Property Owner or Authorized
ACTION I DATE
PART 61 OF TITLE 40 AND AQMD
PERMITCANCELLED
PERMITEXTENDED
ERML CERTIFICATE
CERTIFICATEFICATEOF
OCCUPANCYISSUED
TO
FOR OFFICE USE ONLY
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