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HomeMy WebLinkAboutX2021-1381 - Permits.+trd City of Newport Beach - Building Division �4. 100 Civic Center Drive, Newport Beach, CA 92660 N Permit Counter Phone (949)644-3288 y� Inspection Requests Phone (949)644-3255 " izv tia Combination Type - MFP MECH ELEC PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1381 Project No: 1218-2021 Issued Date : 08/23/2021 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/23/2024 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: 7203 SEASHORE DR NB _ Description: MFR REMODEL 1,633 SF Legal Desc.: SEASHORE COLONY TR LOT 10 BLK L POR OF LOT AND POROF LOTS 11 & 12 BLK L Owner: WILSON MAYNARD E Address: 1241 SUMMERSHADE DR LA HABRA, CA 9031 Phone: Applicant: MILLER RAY Address: 10423 CLIOTH ST WHITTER CA 90601 Phone: 888-411-8680 Code Edit : 2019 Type of Construction: VB 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: N Flood Zone: X Building Permit Fee: $1,423.00 Plan Check Fee: $1,238.01 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $24.00 Energy Compliance: $91.45 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $6.00 TOTAL FEE: $3,169.81 PROCESSED BY: ZONING APPROVAL: Contractor: SOUTH COAST INC Address: 9984 WALNUT TREE LANE YUCAIPA CA 92399 Phone: Con State Lic: 711660 Lic Expire: 08/31/2023 Bus Lic: BT30076359 Lic Exp Date: 08/31/2022 Worker's Compensation Insurance Carrier: STATE OOMP. INS Policy No: 9099951 Expire: 0210512022 Building Setbacks Use Zone: 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: / arking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $99.61 $56.92 $120.07 0 Architect: PACKARD DAVID Address: 13215 PENN ST STE 300 WHITTIER CA 90602 Phone: 562-945-8821 State Lic:C016822 Engineer: Address: �v Phone: NO bsN7"C➢$tmjcylnygsON Designer: PltYC 0 p WORK Address: Special Conditions: LIQUEFACTION HfGH' `FACTION & rci DENSITY AREA 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 : $50.75 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 Plan Check Fee : $1,329.46 Fee Due at Permit Issuance : $1,840.35 . � fY4 i 46V Ofi Y O ©o PUBLxC40RKS APPROVAL: PLAN CHECK BY: - Ye GRADING APPROVAL: Y APPROVAL TO ISSUE: YO Yti 4 1 ccc t.� YO d 4 uo0 O(.Y LDER 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 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 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). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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). 1 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ,y 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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. ignature of Property Owner or Authorized Agent O .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury t I am licensed under provisions 9f �/hppte mmencing with Section 1 3 of the Business and Pro ssi o a my license is in full force nd effect. License Class License No �/ / ///lt!/ Date Contractor Signatu VORKERS' COMPENSATION DECLARATION ARMING: 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 (6100,000(, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS 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 th arfoLp,65ce of the work for which this permit is issued. Policy No. and will nif-DIqworkers' 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' rarrier�nd olict. number aret'� E (�� �0�� Z/r5/2,L- '�iAfZ Pol . Nu 1 Expiration Date of Agent ❑I certify that, in the perfor once th o hich 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 ogre that, if I should become su ect to a pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.�//9J q� Signature of Applicant Dat `�G u3w( DECLARATION REGA ING CONSTRU ON ENDING AGENCY I hereby affirm under pe ally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: �a�o , I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have pro e c t. I agree to comply with all applicable city and county ordi an to laws relating to building construction. authorize representatives of this city or count ;t an d ntified property for inspection purposes. 3 Signature of Property Owner or Authorized A Print Property Owner's or Authorized Agent's Na e Z ACTION DATE BY 7bEdirARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG CATIONS PART61 OFTITLE 40 AND ACMD RULE 1403 ••• ••• • ••e + PERMITEXPIRED LJ I sui�mrTTED ASBESTOS NOT:ICATION TO + • + �— PERMITCANCELLED E A • • • • • + « PERMIT EXTENDED 0A MD • + PERMITFINAL I �L.I �1ti J°� . ASB STOS N IC IS NOT APPLICABLE TO CERTIFICATE OF 1 PROP E D I•• ••• • • • •a• OCCUPANCYISSUED SIG TUR • • • • • «