HomeMy WebLinkAboutX2021-1863 - PermitsvFo2 City of Newport Beach - t�dilding Division
100 Civic Center Drive, Newport Beach, CA 92660
v Permit Counter Phone (949)644-3288
s... ,. Inspection Requests Phone (949)644-3255
Combination Type - MFP
IIIIII�II�II��IIII�I�III�IIIIIIII�I II COMB Permit: X2021-1863
Project No: 1607-2021
Issued Date : 07127/2021
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0712712024 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: 210 CRYSTAL AVE NB
Description: MFR - R/R SIDING REPLACE WINDOWS, FRONT AND REAR DOORS W/DUTCH DOOR STYLE
Legal Desc.: BALBOA ISLAND SEC 5 BLK 5 LOT 6
Owner:
BIDNICK BILLIEIREBECCA
Address:
2334 ALHAMBRA ST
NORCO CA 92860
Phone:
Applicant:
RDA MICHAEL
Address:
26356 VINTAGE WOODS RD, APT 18D
LAKE FOREST CA 92630
Phone:
949/873-8021
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:
Valuation: $25,000.00
Building Permit Fee: $501.00
Plan Check Fee: $435.87
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$14.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $1,003.87
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
MCCORMICK CONSTRUCTION
Address:
1017 S HATHWAY ST
SANTA ANA CA 92705
Phone:
951-847-1996
Con State Lic:
1047355
Lic Expire:
11/30/2022
Bus Lic:
BT30076073
Lic Exp Date:
07/27/2022
Workers Compensation Insurance
Carrier: FALLS LAKE FIRE
Policy No: FLA01735900
Expire: 07/01/2022
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: /
Right: /
king Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
[0
Architect
Address:
Phone: State Lic
Engineer:
HECHT RANDY
Address:
190B2 TANGLEWOOD LN
HUNTINGTON BEACH CA 92648
Phone:
714-274-9122 State Lic:C-055637
Designer:
Address:
Phone:
Special Conditions: LIQUEFACTION & HIGH
DENSITY AREA
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 : $1,003.87
° PUBLIC WORKS APPROVAL: i
5
J ° VLAN CHECK BY:+
° fs
APPkOVALTO ];§6E:
OWNER -BUILDER
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).
L.I I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions bf 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 70i 4, 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).
J I am exempt from licensure under the Contractors' State License Law for the following reason: I
'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 contractorsunderstand 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.l ginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION ff//
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7006 of ivisi n 3 of the Business and Pr ffes3jans mod" nd my license is in full force
nd effect. License Class License No Date 2 Contractor Signaturez
VORKERS' COMPENSATION DECLARATION
FARMING: 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
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 Directo� of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
eryrmance of the work for which this permit is issued. Policy No.
- I have and (+{ill maintain lygrkers' compen�ati�� 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
Isurance tarns and poll r mbK are: 1�\
Number
is of Agarn_--F1'SL 7 'D V I/`
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any
if I should become subjecuo erp/}rcers' compensation provisions of Section 3700 of the Labor Code, I shall
nature of Applicant 01i s*�
CLARATION REGARDIN STRUCTION LENDING AGENCY
:reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work 1
ider's Name Lender's Address
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 ordinan sand state laws relating to building construction.
I authorize representatives of this city or county to,lenterJA-iidentified or inspection purposes.
signature of Property Owner or AL
ACTION DATE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
Print ProDertv Owner's or
II�.rr
BY r
EC LR TION OF COMPLIANCE WITH CODE OF FEDERAL
FOR
REGULA ONS PART 61 OFTITLE 40 ANDAQMD RULE
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I SUBM ED ASBESTOS NOTIFICATION TO
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so as to become subject to the workers' compensation laws of California, and agre
i comply with those provisions.
t this permit is issued (Section 3097, Civil Code).
USE ONLY