HomeMy WebLinkAboutX2022-1354 - PermitsCity of Newport Beach - Building Division
3 ! 100 Civic Center Drive, Newport Beach, CA 92660
w I Permit Counter Phone (949)644-3288
st. Inspection Requests Phone (949)644-3255
Combination Type - CIP MECH ELEC PLUM
(IIIIIIIIIIIIIII�IIIIIIIIII�II II COMB Permit: X2022-1354
x 2 0 2 2 1 3 5 4 Project No : 1028-2022
Issued Date : 05111/2022
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 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: 650 NEWPORT CENTER DR NB St: 1 Ft: 6
Description: COMM REMOVE/REPLACE (E) WATER SOURCE HEAT PUMP WITH NEW
Legal Desc.:
Owner:
650 NEWPORT CENTER DRIVE LLC
Address:
PO BOX 2450
NEWPORT BEACH, CA 92658
Phone:
Applicant:
CURTIS CAMERON
Address:
265 MCCORMICK AVE
COSTA MESA, CA 92626
Phone:
714-352-2226
Code Edit : 2019
Type of Construction:
Occupancy Group: B
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
11 Construction Valuation: $1:
Building Permit Fee: $283.00
Plan Check Fee: $246.21
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$12.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE : $526.39
PROCESSED BY:
ZONING APPROVAL:
Contractor:
TREMBLAY NATHAN
Architect:
Address:
PO BOX 6024
Address:
PINE MOUTAIN CLUB CA 93222
Phone:
Phone: State Lic:
Con State Lic:
C-078437
Engineer:
Lic Expire:
09/30/2023
Address:
Bus Lic:
Lic Exp Date:
Phone: State Lic:
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: /
larking Spa
$0.00
($247.75)
$0.00
$0.00
som
$0.00
$0.00
$74.09
$68.21
$47.63
Designer: VON MICHAEL
Address: 265 MC CORMICK AVE
COSTA MESA CA 92626
Phone: 714-352-2226
Special Conditions
0
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
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
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $526.39
PUBLIIC WORKS APPROVAL:
V 4 4 y PLAN EHECK"BY:
GRADING APPROVAL: 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
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 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
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,
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).
1 1, 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 Iicensure 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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm].
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby aifinn under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of Division 3 of the Business and Prof ssio a and my license is in full force
nd effect. License Class License No Da 1 '�- Contractor Signature ..1
VORKERS' COMPENSATION DECLARATION u
IARNING: 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 THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 1 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,
erfor0aence of the work forwhich this permit is issued. Policy No.
and will mai 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 an policy mbar ar/e�/ f (�
i 1 / c. .�) Poli53u bell l ,/ i Expiration Date
of Agent
11 certify that, in the p` rrmance of the work for which this p It 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,
iat, if I should become subject to the w s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Iignature of Applicant '_
IECLARATION REGARDIN C STRUC ION LENDING AGENCY
hereby affirm under pen_ 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
ly 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�to entNi the'above-identified property for inspection purposes. a
Signature of Property Owner or Au
ACTION DATE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
✓ner's or Authorized ADent's NAA
OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION IS NOT APPLICABLE TO
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