HomeMy WebLinkAboutX2021-3350 - PermitsCity of Newport Beach - Building Division
s
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP GRAD ELEC MECH PLUM
*X2021-3350*
COMB Permit: X2021-3350
Project No: 2913-2021
Issued Date: 02/23/2022
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST V 1D INSPECTION. PROJECTS MUST BE COMPLETED BY 0212312025,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. t0 6:00 p.m._.. "rk'on Sundays or Holidays
Job Address: 2231 MESA DR NB
Description: SFR NEW MUDROOM 216 SF (NON -CONDITIONED SPACE) *STOP WORK* DRAINAGE AND CLAS$® G TO MATCH ICC ESR 3267
Legal Desc.: TR 706 LOT 162 SELY1/2 SWLY 16B FT IN LOT
Owner: FELIX SANDRA Contractor. LOR
Address: 2231 MESA DR Addres FELIX STACY R SANDRA Address:'°'
NEWPORT BEACH CA 92660 - O/B FORM AT E� ^ J0�0 �u:'
Phone: 9491351-1707P
949- 7 V� Gone: Sfate Lic Applicant: RINGO RALPH -2ic' O/B "f Eng"" 0�: GT Address: 2231 CAPE COVE re. �uiPt + °
C� d� ess: 10692 SILVER CIR
MONARCH BEACH CA 926�>'w"' Bus Li a, % Fr'. GARDEN GROVE CA 92843
Phone: 949/351-1787 x� to
Phone: 714-204-2874 State Lic Cb75466 • °° °°°°°°
• a
®°d.a
Code Edit: 2019 -, ker' x nsurance- °'- Designer �s °+•°+:
Type of Construction: V-B $ ie k.�` �• Address:
Occupancy Group: U i olicy No a • ° a ° °
Added/New sq.ft. Bldg: 0 •_V Expire: Phone:
y
Added /New sq. ft. Garage: 0
No of Stones: 1 B
ull ac25 G��
No of Units : p^Special Condition
Bldg Height: 0 ' Left: 50
Bldg Sprinklers: NRight: 5 �� }
Flood Zone: Xse Zone: Parkin Spaces, �, 0 Fire ,$op`L-"N
Construction Valuation: 830 000.00 f -
Building Permit Fee: $559.00 Ta " $ j 1 Planning Department - Fire I y;,
Plan Check Fee: $486.33 A diti- al a $p ld 7 Plan check Fee : 2.00 1 'a°"d on: $0.00
Overtime Plan Ck: $0.00 Gr Bonds Fee p yC.�Sa' 0 Fair Share : $0. =ip* 'Fire Pla $0.00
Investigation Fee: $559.00 GPs ing PC C,ykwiQ $0.00 SJ s : . '0 rtion Fee
Record Management: $18.00 Grading Permit Fee: $237.00 n-lieu Housing Fee Building Dept Adm $0.00
Energy Compliance: $0.00 Grading PC Fee: $1 Public Wo part General Service $0.00
CA Seismic Safety: $3.90 WQ Ins Fee: $0.00 Ded $0.00 Refund Deposit $0.00
Disabled Access : $0.00 ')t. • an Check : $203.00 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %: 9.13 San Dist: $0.00
Building Green Fee : $2.00 Mechanical ° : NMUSD Fee: $0.00 $0.00
Plumbing °/ $50.31
$0.00
TOTAL FEE : $2,431.03 Plan Check Fee : $788.00 Fee Due at Permit Issuance : $1,643.03
PROCESSED BY: J PUBLIC WORKS APPROVAL: D
ZONING APPROVAL: F PLAN CHECK BY: PER
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
1 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)
action 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 applicNt 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
fessions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
mess and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throu�h employees' or personal effort, builds or improves the property, provided that the
)rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of c ) pletion, the Owner -Builder will have the burden of proving that it was not built or
)roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70 4, Business and Professions Code: The Contra' State License Law does not
)ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed ContragtorK pursue _ cerise Law
I am exempt from licensure under the Contractors' State License Law for the fo
my signatur¢irefoW„I acknowledge that, exce �.61
—
I a sVucture tM I (lave built as an r- uI He if it has not been constructed in its E
' gAons Code is -available upon re uest when th' ap 'on is subm#4ed ol'At the
(nature of P�op¢rly C)wner or Author ed A
—
:ENSED CONTRACTOR'S DE LAR
—
I
areby affirm iuldetgenalty of perjury hat I am licensed undeCe.
i effect. Ll��rjse less
Lic��12KER5'GONIpENSATION
DE LA TION
RNING: PAILUg� Tq S�aOURE WORKERS' CO PENS ION GOV
GE ISSIbF
COMPENSATION, DAMAGES AS PROvI DFO
]0601I
9rtby affirm Oder penalty of perjury o e of the ollo
g declarations:
I have ant,vjift maintain a certifcat of c
If-insE
Md jnance o the work for which this p mit i ss d.
licy N
I have and'wlh'm$intain workers' com ens i u
ce, a
urance carrier and policy number are:
rrier _ Policy Number_
IS of Agent
certify that, in the performance of the
if I should become subject t e
lature of Applicant X
hereby affirm under penalty of perjury that
Ender's Name
ly my signature below, I certify to each OfAt
I am the property owner or authorized to
I have read this application and the infor
I agree to comply with all applicable city
I authorize representatives of this city 'r
signature of Property Owner or Authorized P
AI TInN I DATE
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
A* SIOBJECT"AN EMPLOYER TO CRIMINAL
INTEREST, AND ATTORNEY'S FEES.
for
person it
r Code, I
is a construction lending agency for the performance of the work
Lender's Address_ . ---
act on the property owner's behalf.
ppation I have provided is tort
1n or Inances and state s ruction..
ntifed property for inspection purposes.
lent X Print Property Owner'
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
SUBMITTED ASBESTOS NOTIFICATION TO
PROPOSED
NOTIFICATION IS NOT APPLICABLE TO
year prior t com le ion of the improvements covi red by this permit, I cannot lega
rid s[alti IN= f the applicable law, Secti 7044 of the Business and
nfo.ca.gbv/calaw.html.
()(1DIn lv�itlil�at Z C 2 3 (2
of Division 3 of the Business and Professions Cod ti33 and my license is in full force
TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOWLARS"($100,000), IN ADDITION TO THE
Relations as provided for by Section tOO of the Labor Code, for
perrormance of the work for which this permit is issled. My workers'
this
USE ONLY
Insp.
workers' compensation laws of California, and
Date