HomeMy WebLinkAboutX2022-1476 - Permitstiy�A•1gry, City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
,. n. Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP ELEC MECH PLUM
COMB Permit: X2022-1476
iipiiiigiii II
Project No : 1362-2022
Issued Date : 05/26/2022
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 601 LIDO PARK DR NB St: 1 FI: 3 Unit: 3-B
Description: MFR INTERIOR ALTERATION 100 SF. NEW SLIDER, 2 WINDOWS, COFFERED CEILING
Legal Desc.: TR 7695 LOT 1 UNIT 7E G-1-28 OF PRO) LOCTD ON AP 47-021-29
Owner:
MAHONEY PATRICK
Address:
601 LIDO PARK DR 3B
NEWPORT BEACH, CA 92663
Phone:
Applicant:
SMITH BRADFORD
Address:
425 30TH ST #22
NEWPORT BEACH CA 92663
Phone:
949-631-3682
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R2
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Flood Zone: X
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 :
$8.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $1,168.21
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
CARROLL BRIAN
Address:
364 VISTA BAYA
NEWPORT BEACH CA 92660
Phone:
714-404-4999
Con State Lic:
348696
Lic Expire:
12/3112023
Bus Lic:
BT98042804
Lic Exp Date:
08/3112022
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: I
Parkino Soaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$70.14
$55.11
$45.09
Plan Check Fee
0
Architect: SMITH BRADFORD
Address: 425 30TH ST #22
NEWPORT BEACH CA 92663
Phone: 949-631-3682 State Lic: C014146
Engineer:
Address:
Phone: State Lic:,/y,
Designer:
Address: i a � p tp p 11 �s LE`C.0 8 °',
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
$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
$487.87 Fee Due at Permit Issuance : $680.34
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
oc
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 the
ctors' State
cense Law (Chapter 9 (commencing
Professionsofile a signed Code) r that hetD she is exempt from that he or she Sicensu edandrsuant to the the basis fort he lsions allegedfexe exemption. Any violationlof Section 7031.5 by any applicant fforJa permit subjith Section ects th0) ofe applicant toivision 3 ta che ivusiness and
l penalty of
not more than five hundred dollars ($500).
L)
I, as owner of the property, or my employees with wages as their sole compensation, will do 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).
I 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 legal)
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 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://www.leginfo.ca.gov/calaw.html. D
Signature of Property ()wrier or Authorized Agent
i, ICF WED CONI RACTOR'S DECLARATION
hereby affirm inner penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 Di Isi n 3 of the Business and Pr f si Co and n y icg erase is in fuli force
land Effect. Licensa Class License No Date v� Y� Contractor Signatur r"---��
WORKERS' COMPENSATION DECLARATION IN ADDITION TO THE
IWARNNAG: FAILURE T9 SE4:U RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS I$100,000I,
COST & COMPENCATIOK DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES.
1,hereby affirm rde, penalty of perjury one of the following declarations:
I have and wi'ri ,Taintain 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 IN
�n mance of tale work for which this permit is issued. Policy No.
I 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' compensatior
Lnce carve, and policy number are:
U, r, ier Policy Number Expiration Date
Phone #
Na of Agent
certify that, in the performance of the work for whic permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agrei
at, I should become A�COONSTOvFROUCTION
brkers' com nsay on provisions of tion 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant lm— / Date
DECLARATION REG LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil de).
Lender's Name Lender's 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.
I have read this application and the information I have provided is corre
I agree to comply with all applicable city and county ordinances an at aws relating to building construction.
I authorize representatives of this city or cou o en a able ide fie pr pert for i spection purposes. YYD (� pat S Z
Signature of Property Owner or Authorized Agen 55� not Property Owner's or Authorized Agent's Name (r✓h
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
PERMIT EXTENDED AQMD
PERMITFINAL 'l 7.? J SBESTOS OTIFI NOTAPPLICABL TO
CERTIFICATE OF W PROP D OU
OCCUPANCY ISSUED SIGNATURE,