HomeMy WebLinkAboutX2022-0749 - Permits1r^u"r City of Newport Beach - Building Division
' t ' 100 Civic Center Drive, Newport Beach, CA 92660
`. n... Permit Counter Phone (949)644-3288
s: r: .. • Inspection Requests Phone (949)644-3255
c�cxruag�' Combination Type - SFP
II IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2022-0749
x 2 9 2 2 e 7 4 s Project No :
Issued Date : 03/1412022
Inspection Area: 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0311412025 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: 918 E BALBOA BLVD NB
Description: SFR REROOF T/O COMP SHINGLES & REPLACE W/ COMP SHINGLES 90 SQS, R/R SIDING W/ SIDING 419 SF & CHANGE OUT (11) WINDOWS & (4) DOORS "NO HEADER CHANGE*
Legal Desc.: BALBOA TR LOT 9 BLK 13 ALL -INC POR ABAN ST ADJ-(AND BALBOA BAY FRONT - -
Owner:
ARCHER CAROL
Address:
918 E BALBOA
NEWPORT BEACH, CA 92661
Phone:
Applicant:
MUR-SOL BUILDERS, INC
Address:
119 E JOSEPH ST
ARCADIA, CA 91006
Phone:
626-447-0558
Code Edit : 2019
Type of Construction: V-B
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:
Flood Zone:
Construction Valuation: $63,691.00
Building Permit Fee: $1,216.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access,
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$3.00
TOTAL FEE: $1,219.00
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ZONING APPROVAL:
Contractor:
MUR-SOL BUILDERS, INC
Architect:
Address:
119 E JOSEPH ST
Address:
ARCADIA, CA 91006
'fA
Phone:
626-447-0558
Phone: tr,,..s
Con State Lic:
997510
Engineer:d3
Lic Expire:
1013112022
Address:
Bus Lic:
BT30067305
-
Lic Exp Date:
05/31/2022
Phone: State Lic:
Workers Compensation Insurance
Designer:
Carrier:
STATE COMP INS FUND
Address:
Policy No:
9212692
Expire:
0612012022
Phone:
Building Setbacks
Use Zone:
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: /
king Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
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
Plan Check Fee: $0.00
Fire Department
$0.00
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
Fee Due at Permit Issuance : $1,219.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
o^ne�
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
Irofessions 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
got more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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).
I, as owner of thn 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 s7 exemp• from licensure under the Contractors' State License Law for the following reason:
Iy 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 Iegall1
e;l 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
'role;^ions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
lirinabve of Prooei-b, Owner or Authorized Agent Date
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti" 7b00 f Di ision 3 of the Business and Prof i Ste- nBe is in full force
nd effeJt. Licens3 CILss License No Da t�J 22 Contractor Signature
VORKERS' COBIPENSATION DECLARATION ✓/
,ARMING: FAILURE I0 SE..RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FINES UP TO ONE HUNDRED THOU AND DOLLARS WOO 000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
neleoy affirm under penalty of perjury one of the following declarations:
I have and w.;l 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 the
erformance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number Expiration Date
of Agent Phone #
I 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 become subject to the workers' compensation laws of California, and
I, if I should becom ubje to he mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
(nature of Applicant Da e ?( Lf 2"Z
CLARATIW REG D NSTR CTION LENDING AGENCY
3reby affirm under natty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 Civil Code).
ider's 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 an to laws relating to building construction.
I authorize representatives of this city or co t to ant r e b � qd- perty for inspection purposes.
signature of Property Owner or Authorized AgerhtX / L,� Print Property Owner's or Authorized Ag
ACTION DATE BYE BLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REG€CULATIONS PART 61 OF TITLE 40 AND ACM D RULE
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
EPA
PERMIT EXTENDED
AQMD
PERMFICATEL
CERTIFICATE OF
OCCUPANCY ISSUED
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