The URL can be used to link to this page

Home My WebLink AboutX2022-0440 - PermitsSiAu% r -City of Newport Beach - Building Division 1111111111111ill 1111111111111111111111111111111111COMB Permit: X2022-0440 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 2 0 4 4 0 µ b P Project No: 0389-2022 Permit Counter Phone (949)644-3288 'j�, Inspection Requests Phone (949)644-3255 ", lrou,��* Combination Type - MFP MECH ELEC PLUM Issued Date : Inspection Arearea :2022 b1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 0311812025 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: 510 MARGUERITE AVE NS Description: MFR REMODEL KITCHEN AND (2) BATHROOMS. REMODEL FRONT EXTERIOR. GLASS BI-FOLD 8 SLIDER DOORS. REPIPE HOUSE. (625 Si Legal Desc.: PM 303-20 PAR 1 OF PROJECT 938-01 LOCATED ON AP 459-203-24 TOGETHER Owner: BOONE AARON Address: 510 MARGUERITE AVE CORONA DEL MAR, CA 92625 Phone: 408-431-7280 Applicant: ZIMMERMANTOM Address: 10545 ELLIS AVE FOUNTAIN VALLEY, CA 92708 Phone: 714-317-3683 Code Edit: 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 3 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: N Construction Valuation: Building Permit Fee: $799.00 Plan Check Fee: $695.13 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $24.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,843.79 PROCESSED BY: ZONING APPROVAL: Contractor: P C C DESIGN INC Address: 10545 ELLIS AVE FOUTAIN VALLEY CA 92708 Phone: 714-962-7500 Can State Lie: 983565 Lie Expire: 05131/2023 Bus Lie: BT30070901 Lie Exp Date: 02/28/2023 Worker's Compensation Insurance Carrier: OHIO SECURITY INS Policy No: XWS57453686 Expire: 08/01/2022 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: 5 Front: 20 Left: 3 Right: 3 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $111.86 $87.89 $71.91 N CONSTRUCTION WORK Architect: Address: Phone: State Lie: Engineer: ��yg��y BENrlNIN Address: 24310 M09TON P LAGUNA HILLS CA 92637 Phone: 949446-1417 State Lic:S-064449 Designer: ZIMMERMAN EILEEN Address: 10545 ELLIS AVE, FOUNTAIN VALLEY, CA 92708 Phone: 714-317-3683 Special Conditions: HIGH D�&SL ' l NE 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 Departing -tit ' "' $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 : $747.13 Fee Due at Permit Issuance: $1,096.66 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 5� 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, priorto 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). ❑ 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, 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-Builderwill 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 Iicensure 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 legally 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 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:tly w .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 7000 D'vis'o^ny �3 of the Business and ProfessQns Code y license is in full farce and effect. License Class License No Date C:C)2—�Ontractor Signa WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND HOUSAND DOLLARS I$100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 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 Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thf omance of the work for which this permit is issued. Policy No. �I hive 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' compensatior nsur nce carrier and policy number are: Zx6er Policy Number Expiration Date Name of Agent Phone # :1I certify that, in the Perfmance of the work for which 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 agree 'hat, if I should become s to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applica Date �4-%4D22 DECLARATION RE STR ION LENDING AGENCY hereby affirm under f e' at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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.v"v✓v C-:,T"7, I authorize representatives of this city or COLD y t e r the above -identified property for inspection purposes. f '1� Signature of Property Owner or Authorized Age Print Property Owner's or Authorized Agent's N Date Il ly ACTION DATE BY ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED QMD PERMITFINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEOF PkOPOSEDD MOL 10 OCCUPANCYISSUED SIGNATURE: