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HomeMy WebLinkAboutX2020-1921 - Permit ApplicationCity of Newport Beach - Building Division IUu Civic Center Drive, Newport teach H Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC MECH PLUM GRAD PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST LID /NSPECTI.ON JECTS MU,s'I Construction Hours: Monday - Friday 7:00 to 6:30 p.m. ar}� urdayfm 8:0 Job Address: 2339 PORT CARLISLE PL li Description: SFR ADDITION 3326 SF 8: REMODEL 1690 SF 8 G GE ADD 1 OAF �r0 Legal Desc.: N TR 7845 LOT 72 +LO Owner: Address: Phone: Applicant: Address: Phone: MDG REAL ESTATE LLC 2339 PORT CARLISLE PL NEWPORT BEACH, CA 92660 Y 714-904-4734 COMB Permit: X2020-1921 Project No 1535-2020 Issued Date : 02/24/2021 Inspection Area : 6 IE COMPLETED BY021 a.m. to 6:00 p.m. No Contr or:'' D,G �::MSUCTION MNGEMNT Architect: B Ny>,nrHILLIP A ess 1 POST SUITE 200 Address: AVIA IRVINE CA 92618 EIM CA 92807 Phone. 714 904 4734. F Phone' 7 931.8720 HEARN GREG (y- Con Sta a Lice 928591 E ,I�nR PARVIZ 1 POST #200 Lle 02/28/2021 s: < . 0 DELMAbP IRIVINE, CA 92618 I/I_ B ' is B /28120 2 VVV 714-904-4734 lY Lip Date:.. '` 02128/2022 Code Edit 2019 Workers Compensation Insurance Type of Constructlo Va a RRR�l1 Carrier: `zF:+" Policy No: EXEMPT no employees Occupancy Grou ,' 'q.: Added /New sq ft ^$idg: Added /New sq. ft.. CBrag 3326 Expire: _ No of Stones ; 2 �" twlding Setbacks Rear 1Q''` No of Units : S1 Bldg Height: po -� " Front 20'. Lek -6' Bldg Sprinklers:��, Right 5' Flood Zone: y�.,.. Use Zone: PC53 Paiking-$paces: Building Permit Fee: $7,077.00 Plan Check Fee: $5,639.19 `tr, Overtime Plan Ck: $0.00 4�'y Investigation Fee: $0.00 Record Management : $70.00 Energy Compliance: $303.00 CA Seismic Safety: $97.50 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $30.00 TOTAL FEE: $22,613.93 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: • �'la IRVINE C -921 �i �,P,\OD 714-6 -74at. Address: `J WILL BE INVALID or Holidays AVI i U ate L11:C-03789 C-211 TIGHT QUARTERS TO HAUL DEBRIS Hazard Zone : N Y Excise Tax: '`a�1 GJ 0.00-P Plan ' g artment- Additi I Feq�X-lieu �1� a eck Fee Gr ds 00 F Share " Gra 'n on0 JH Trans radi erm it 00 Iti-IieuHousing Fee ding PC Fee0 - Pupll'cWorks Department - Insp. Fee: 0 Park Dedication : $0.00 IPM Plan Check : $516.00 Electri 0�039 San Dist : '' $0.00 Mechani /.08 NMUSD Fee: $6,119.84 Plumbing.93 Fire Department $185.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $26.00 General Service $219.00 Refund Deposit $564.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee: $22,613.93 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION > {v I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for t ason(s) indicated belmv`�; he c ckm (s) have placed next to the applicable items) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construe er, improve, deal . �0 pair any str tuA,, for to its issuance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Co ctors' St It tense hapter 9 (co a ing'. Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged ex ion. Anny\��n of fSS0 7031.5 by a appliCa for rmit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). \ tt ' I, as owner of the property, or my employees with wages as their sole compens will do (�>� �f or (�,petlons of the wo , and the structure is inT ed or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not to an ownerif prop9,l(�Yi6�No, through a oyees' or personal effort, b ' ds' proves the property, provided that the nprovements are not intended or offered for sale. If, however, the building provement is sold WitRinWale year of co etion, the Owner -Builder will hav h - an of proving that it was not built or nproved for the purpose of sale). �% p'(� �f11 -� I, as owner of the property, am exclusively contracting with He d Contractor o constr.4t the project (4[ on 7044, Business and Professions Code: Th ofd tors' State License Law does not pply to an owner of property who builds or improves thereon, who contra or the projects with a lids ed Contractor pursuant to the Contractors' State Lid a ). 7 I am exempt from licensure under the Contractors' S License La r the following reason: . ly my signature below 1 acknowledge that, except fo y perso . ence in. which I must have resided for at least one year prior to completion of i rovement o by this permit, I cannot Iegall) ell a structure that I have built as an owner-buil If it has n9t constructed in its entirety by licensed contractors, I understand that a copy licable law, S ti 44 of the Business and 'rofessions Code, is available upon requea an this ap�'Ic on is submitted or at the following Web, ,Iattp://www.leginfo.ca.gov/calaw.ht k 'signature of Property Owner or Author] gent . Da 3 .ICENSED CONTRACTOR'S LARA T10 hereby affirm under penalty o Nury that I a censed under'provisions of Chapter 9 (commencing with Section 7000) of Divis f e� ess and Profes ' as Co a license is in full force nd effect. License Class - License No Date tor Signatur 1IORKERS' CONJ SATIO CLARATI Ada O~ 'ARNING: FAILURES E W 3' COMPELl3ATION ERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P STIES IL FINES UP TO E HUNDREPTHOU 0 DOLLARS I$100,e00l, IN ADDITION TO THE OST OF COMPENSA pD AGES AS PROVI R INS N3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES a`y' hereby affirm and of perjury one of the following declarations: �. I have and well no :{n certificate of cnt to self -insure for workers' compensation, issued byv,€h'eDirector of Industria elatio�,Qas pr ad for by Section 3700 of the Labor Code, for th erformance of the wor ; h this permit is issued. Policy No.� ]I have and will maintai , rkers' compensat' urance, as required by Section 3706;,o Ai Labor Code, for the p ormanc�he rk for which this permit is issued. My workers' compensatiol Isurance carrier and policy gmber are: ']er pllcy Number is of Agent L� �. ,y r;,`,:: certify that, in the performance' f�he ork hich this permit is if I should become subject to thorkts' compensation provisio nature of Applicant M -•X ii 1_v, CLARATION REGARDING CONSTRT LEI ENC Ireby affirm under penalty of perjury tha, pr a c uction Is Idler's Name "+.k�. my signature below, I certify to each of the-.o g: I am the property owner or authorized to ac , th ropery I have read this application and the informati , he I agree to comply with all applicable city and coy o ii a I authorize representatives of this city or county, t ?gnte he abp, of Property Owner or Authorized ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED CERTIFICATE OF OCCUPANCYISSUED I DATE I BY Date :mploy pion in an an so as to become subject to the workers' compensation laws of California, and of r Code, tWaI1_,J9Kwith comply with those provisions. work for which this permit is issued(Section3097, Civil Code). Ts relating to building construction. property for inspection purposes. Print Property Owner's or Authorized Agent's Name _ Date NCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION SIGNATURE: