HomeMy WebLinkAboutX2022-0233 - Permitsxror City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-0233
t 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 2 3 3 Project No : 2128-2020
Permit Counter Phone (949)644-3288
y r4 Inspection Requests Phone (949)644-3255 Issued Date : 01125/2022
Combination Type - SFF ELEC MECH PLUM Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0112512025 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: 422 ALISO AVE INS
Description: DELTA 2 - ADD'L SCOPE. NEW BATHROOM IN ADU/CHANGE SHAPE OF WINDOWS
Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BILK 28 LOT 6
Owner:
DUNCAN CHARLES W
Contractor: OWNER/BLDR
Address:
422 ALISO AVE
Address: DUNCAN WARREN
NEWPORT BEACH, CA 92663
Phone:
Phone:
Applicant:
DUNCAN CHARLES W
Con State Lic: CIS
Address:
422 ALSO AVE
Lic Expire:
NEWPORT BEACH, CA 92663
Bus Lic:
Phone:
714-747-8773
Lic Exp Date:
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: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks Rear: /
Front: /
Left: I
Right: /
Architect:
Address:
Phone:
State Lic:
Engineer: GABRIEL MICHAEL R
Address: 483 E 20TH STREET
COSTA MESA CA 92627
Phone: 949.646-6596 State Lic:S-002939
Designer:
Address:
Phone
Special Conditions: INS!"
'#
Flood Zone:
Use Zone:
Parking Spaces:
0
]-ire Hazard cone : N
Construction Valuation:
$2,000.00
Building Permit Fee:
$110.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $95.70
Additional Fee :
$0.00
Plan check Fee:
$52.00
Fire Inspection:
$0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management :
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety :
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access :
$0.00
P/W Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$7.70
San Dist :
$0.00
Building Green Fee :
$1.00
Mechanical W
$4.40
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$9.90
$0.00
TOTAL FEE : $280.70
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$280.70
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PI IRI IC WORKS APPROVAL -
ZONING APPROVAL:
mew
PLAN CHECK BY:
GRADING APPROVAL: _ APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) Indic:
iection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dem,
le permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License L
'rofessions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any violation of Secti(
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of tt
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through e
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of compl
nproved for the purpose of sale).
tms owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, 1
oan owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor
Texempt from Iicensure under the Contractors' State License Law for the following reason:
signature below I acknowledge that, except for my personal residence in which I must have resided for at least one yI
tructure that 1 have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I unr
'rofessions Code, is available upon request whe his applitis s bm� or at the following Web site:http://www.leginf
lignature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of
nd effect. License Class License No Date
COMPENSATION DECLARATION
ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL
OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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
'ormance of the work for which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe
Trance carrier and policy number are:
Policy Number
d below by the checkmark(s) I have placed next to the applicable item(s)
�h, or repair any structure, prior to its issuance, also requires the applicant for
(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
work, and the structure is not intended or offered for sale (Section 7044,
Dloyees' or personal effort, builds or improves the property, provided that the
on, the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
to completion of the improvements covered by this permit, I cannot legall,
that a copy of the applicable law, Section 7044 of the Business and
'calaw.htm).
3 of the Business and Professions Code, and my license is in full force
Contractor Signature
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
of Agent I Phone #
ertify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner s as to become subject to the workers' compensation laws of California, and agre
if I should become subject jo theyvorkers'pgfnpensation provisions of Section 3700 of the Labor Code, I shall forthwith tomply with those provisions.
signature of Applicant .�//
IECLARATION REGA ING CONSTRU AgagD G AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which
ender's Name Lender's Address
ly 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 and state laws relating to building construction.
I authorize representatives of this city or county to ente�80e v fied property for inspection purposes.
ii nature of Property Owner or Authorized Agent G" ! party Owner's or Aut
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED I__I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
PERMIT EXTENDED I LlAomi)
PERMITFINAL $-f_"L S�h(AAit/�-�I-LJ ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF '11/� PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE:
D /�WAo-
permit is issued (Section 3097_, ,Civil Code).
ONLY
DatJl T `W