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HomeMy WebLinkAboutX2022-1155 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II # Per Civic Center hone,Newport 9)644Beach, CA92660 N® CONSTRUCTIONNOISE e I r Permit Counter Phone (949)644-3288 ! ! 4 C Inspection Requests Phone (949)644-3255 Combination Type - GRAD ELEC PLUM PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID /NSP��J.-�IRQ.�'C� Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. a t r (r Job Address: 1805E BAY AVE NB Description: SFR HARDSCAPE/LANDSCAPE INCL YARD DRAINAGE Legal Desc.: BALBOA TR EAST SIDE ADD LOT 3 BLK 27 ALL-INC S112ABAN ST ADJ ON Owner: MCCAFFERTY BRIAN & ROXANNE Contractor: ATP BUILDERS INC Address: 1805 E BAY AV Address: 201 SHIPYARD WAY #1 NEWPORT BEACH CA 92661 NEWPORT BEACH CA 92663 Phone: Phone: 949-887.1777 Applicant: GARCIA RON Address: 155 ROCHESTER ST COSTA MESA CA 92627 Phone: 626-224-3300 Code Edit : 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flnnd 7nne: AE Construction Valuation: Building Permit Fee: $501.00 Plan Check Fee: $435.87 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $30.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE : $1,455.87 PROCESSED BY: ZONING APPROVAL: Con State Lic: 1013886 Lic Expire: 0513112024 Bus Lic: BT30056365 Lic Exp Date: 08/31/2022 Worker's Compensation Insurance Carrier: 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: / Right: / Parkino Soaces $0.00 $0.00 $0.00 $0.00 $237.00 $199.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee COMB Permit: X2022-1155 Project No : 1061-2022 Issued Date : 06/07/2022 Inspection Area : 1 ILL) BY UH YtKMII WILL BC IN VAL p.m. No work on Sundays or Holidays Architect: METODIEV TRIFON Address: 155 ROCHESTER COSTA MESA CA 92627 Phone: 949-293-2176 State Lic:C037844 co co Engineer: DEIHIMI AMIR Address: 4400 CAMPUS DR NEWPORT BEACH CA 92660 p�Wd 1 1 Phone: 949-752.1612 State Lic:C047283 0 Designer: -i Address: Phone: a Special Conditions: LIQUEFACTION AREA HIGH DENSITY Fire Hazard Zone : N 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: $686.87 Fee Due at Permit Issuance PUELIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: \,JC �c/I APPRO VAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $769.00 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicz ted 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 L iw (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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions oft a 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 a ployees' 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 comp) tion, 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, ¢usiness 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: ar prior to completion of the improvements covered by this permit, I cannot legal) By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one y sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I un erstand 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.leginf .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 Sect! 7000) of Division 3 of the Business and Profess on de, and my license is in full force and effect. License Class License No Da Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT ES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 th performance of the 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 pe ormance of the work for which this permit is issued. My workers' compensatiD insurance carrier and policy number are: Carrier Policy Number Expiration Date N e of Agent Phone # D as to become subject to the workers' compensation laws of California, and agre ri ,1 certify that, in the performance of the rk far which this permit is issued, I shall not employ any person in any manner E that, if I should becom subje t to w ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant y DnIZ�/�/2a DECLARATION RE RD G CONSTRUCTION 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 Code). 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 correct. I agree to comply with all applicable city and county ordinances an ate laws relating to building construction. I authorize representatives of this city or county o e the ab a-i ntified property for inspection purposes. �'ZZ Signature of Property Owner or Authorized Agent Print Property Owner's or Aut prized Agent's Name - Li Da l ACTION DATE BY ECLAR N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE SE ONLY 11GULATIO PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED ISUBMITTE ASBESTOS NOfiFIi AT-cr TO PERMITCANCELLED EPA - PERMIT EXTENDED QMD PERMITFINAL ' ZV tZS \�! ASBESTOS N TIF ATION 15 NOT APPLICABLE TO CERTIFICATE OF l �//` P OSEDD ION OCCUPANCYISSUED SIGNATU