HomeMy WebLinkAboutX2021-0772 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
F' Permit Counter Phone (949)644-3288
u - Inspection Requests Phone (949)644-3255
Combination Type - MFP MECH ELEC PLUM
COMB Permit: X2021-0772 IIIXIQIIIIIIII�IIIIIIII�IIIIIIII�IIlllllllllllq II
Project No: 0710-2021
Issued Date : 04/12/2021
Inspection Area: 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0411212024 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: 2901 QUEDADA NB
Description: MFR REMODEL 375 SF (KITCHEN) -
Legal Desc.: N TR 7167 LOT 22
Owner:
NEWMAN ERIN
Address:
10632 N SCOTTSDALE RD #B116
SCOTTDALE AZ 85264
Phone:
Applicant:
MANZER BRUCE
Address:
24275 PONCHARTRAIN LN
LAKE FOREST CA 92630
Phone:
714-720-4394
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R21U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 4
Bldg Height: 0
Bldg Sprinklers: N
Flood Zone: X
Construction
Building Permit Fee: $929.00
Plan Check Fee: $808.23
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$8.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$3.00
TOTAL FEE: $1,980.28
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: ALLEN CONSTRUCTION & DESIGN
Address: 950 CONGRESS ST
COSTA MESA CA 92627
Phone: 949-307.9892
Con State Lie:
941113
Lie Expire:
1213112021
Bus Lie:
BT30074218
Lie Exp Date:
02/28/2022
Worker's Compensation Insurance
Carrier: WC EXEMPT
Policy No: (NO EMPLOYEES)
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: I
Right: /
irking Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$65.03
$37.16
$83.61
0
Architect: GILL JEFFREYT
Address: 18201 VON FARMEN #250
IRVINE CA 92612
Phone: 9491553-1117 State Lic:C-018377
Engineer:i
Address:
Phone: State Lie:
Designer:
Address:
Phone:
Special Conditions:
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
$46.25
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: $854.48 Fee Due at Permit Issuance : $1,125.80
e o P.1IBLIC WORKS APPROVAL: -
s
PLAN CHECK BY:
APPROVAL TO ISSUE:
0
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
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 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
not 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 (_) 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 effort, 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).
❑ 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
apply 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).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By 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 legall,
sell 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 7D44 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:/Nvww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) - iv's,�on 2 3 of the Business and Pro si �CDdeylieeasn<is in full force
and effect. License Class License No Date L.'Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FRIES UP TO ONE HUNDRED THOUSAND DOLLARS (§t00,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 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
performance of the work for 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'
rance carder and policy number are:
Policy Number Expiration Date
of Agent
11 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 became subject to the workers' compensation laws of California, and agre
rat, if I should becomesuupiect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. —
ignature of Applicant C—� Date L/ I
iECLARATION REG jG CONSTRUCTION LENDING AGENCY
hereby affirm under l5enalty 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 Lenders Address
By 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.
1 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 = enti ' erty for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Ag
ACTION DATE BY RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REG ' TIO S PART61OFTITLE40ANDAQMD RULE
PERMIT EXPIRED U I SUBMITT4D ASBESTOS NOTIFICATION70. •.:
PERMIT CANCELLED UEPA . .
PERMIT EXTENDED QMD
PERMITFINAL it �3 ry1 S- ASBEST NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF PROPOSE E LITI _ • • • ®•
OCCUPANCYISSUED SIGN RE: • e
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