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HomeMy WebLinkAboutX2022-1145 - Permit Applicationrr�wrrj, City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (91 Inspection Requests Phone (91 Combination Type - MFP ELEC MECH PLUM PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID Iii Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. and Job Address: 14 ARIES CT NB Description: MFR INTERIOR REMODEL 1578 SF. TANKLESS WATER HEATER(GARAGE), PE' Legal Desc.: TR 7817 LOT 1 UNIT 78 OF PROJECT LOCATED ON AP 424-041-01 TOGETH Owner: KOUTOUSIS HARRIET Address: 14 ARIES CT NEWPORT BEACH, CA92660 Phone: Applicant: LARRY MCEE Address: 639 MAPLE AVE BREA, CA 92821 Phone: 714-357-9799 Code Edit 2019 Type of Construction: V-B Occupancy Group: R2/U Added /New sq.ftBldg: 0 Added /New sq. ft. Garage 0 No of Stories: // �. No of Units : 6 Bldg Height: 0 Bldg Sprinklers: Flood Zone: N / X Construction Valuation — 150 Building Permit Fee \0� $�,�37. Plan Check Fee: $1,337 111 : Overtime Plan Ck. $6.0� Investigation Fee: $1,537.06 Record Management: $16.00' Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $1,00 Hazardous Mat $0.00 Building Green Fee : $6.00 *X2022-1145* Contractor: MC G CON§T,�WT Address: X714-357-9799 LE AA1��EE A 92821 ^ Q Phone: Con Stat ic: 7963 Lic E e: 0 012023 Bu ic: T30078719 ;. Exn Date: 05/31/2023 �ECT57Y1UST BE CCISIMFLETED y from 8:00 a.TTd 6:00 p.m �ppoc SIWNEL. (122- 80) J O 0 Ot Ar itect: � ddress: r0�` Phone: rker's Co ensation Insurance Carr STATE COMP. INS P icy No: 9043410 tiJ xpire 01/26/2023 p uildmg`Setbacks Rear I ,v /Lr Front I 'A' _W 77 -�s Left. I 6, Riaht: I TOTAL FEE: $5,863.77 PROCESSED BY: � � / I 1.) i / ZONING APPROVAL: tl,l '�" GRADING APPROVAL: COMB Permit: X2022-1145 Project No : 1055-2022 Issued Date : Inspection Area : 2 OR PERMIT WILL BE INVALID on Sundays or Holidays Engineer: TABATABAEE R HADI M Add 515 W C ALTH AV ress. -� FULLER 92832 Phone: a State Lic:C 29 Designer. Address: Phone, �1 .;?Ccd€(1ons: HAUL :BG JL - Tax: ,:;i $0"00 rang Department - naI Fee 'y:4 2� ; $0.00 �n,Vlffn check Fee : $ .0 3 Bonds FQ .> $0.00 Fair Share : $ 0 onsullW $0.00 "q SJH Trans : 0.00 Fee. $0.00 In -lieu Housi as : $0.00 &,blic Wor epart nt Park D ication : .00 P Ian Chi $0.00 al%: ?-5.1� Sa ist: $0.00 g : F 16 USD F e: $0.00 n$.33 5 Plan Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $27.00 $265.00 $664.00 $0.00 $0.00 $0.00 Fee ✓$..1489.19 Fee Due at Permit Issuance : $4,474.58 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: KH OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the ContraZith tate License Law for the reason( dicate (Section 7031.5, Business and Professions Code: Any city or county that reqpermit to construct, alter, imp e, demolish, the permit to file a signed statement that he or she is licensed pursuant to thisions of the Contractors' S License Law (C Professions Code) or that he or she is exempt from licensure and the basis falleged exemption. Any ' ation of Section 7& not more than five hundred dollars ($500).,P ❑ 1, as owner of the property, or my employees with wages as their sole coation, will do L of or U portions oflewoi Business and Professions Code: The Contractors' State License Law does nly to an own prop who, who, thrgry� mplot improvements are not intended or offered for sale. If, however, the building ovement' old withj�I\ 6 year, mpletion, Im roved for the purpose of sale). \\ Ga /�I, as owner of the property, am exclusively contracting with licensed Cons onstruC &'j project �ecrtion 7044, sinapply to an owner of property who builds or improves thereon, and who contthe prgje Ith a lIcQ ed Contras pursu�1 00❑ 1 am exempt frda, „censure under the Contractors' State License Law following �ason: Iwby the checkmark(s) I have placed next to the applicable item(s) repair any structure, prior to its issuance, also requires the applicant for er 9-(commencing with Section 7000) of Division 3 of the Business and 5 any' applicant for a permit subjects the applicant to a civil penalty of and th tructgre is not intended or offered for sale (Section 7044, s' pe nal effort, builds or improves the property, provided that the erOOwner- der veil) have the burden of proving that it was not built or s and Professio Coi The Contractors' State License Law does not I to the Contracto ' State License Law). By my signature be;c.v I acknowledge that, except for my personal reside in which I must hW ided for a st one year prior to completion of t si . 3'.Ldure thct I ha,,e built as an owner -builder if it has not been tructed in its entirety by'(censett,�6A ractors. I understand that a copy of the Professions Code is available upon request when this application is Sgubmitted erxithe following Web s�: tp://v .leginfo.ca.gov/caIaw.htm1. Signature of Property Owner or Authorized Agent ^r,� LICENSED CONTRACTOR'S DECLARATION 1 helaby affirm under Fen nity of perjury that I am licens nder v�aria of Chapter 9 (corii'mencing with Section 7000)~of and effort. License Class K90ns o Date WORKERS' CCk1P`=4SATION DECLAR N i WA.iJI.1J: FAILURE TO SECURE WORKERS' COMPE ION COVE IS UNLA'RRUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES COST OF COMPENSAT10B1DAMAGES ASPROVID OR IN SECTIO 706B T LLr�ABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereoy a;firm under penalty of perju ne of the fo wing declarations; Q 1 'ice and will maintain a ificate of op sent to "self -insure for workers' compensation., issued by the Director of, Inc perfnr . nce of the work .or ch this pee iris Issued. Policy No. ``� and will mat worlkerr,+ cafrlpensahon insurance, as required by Section 3700 of the Labor.-Odde for the peg, insurance carrier a olicy n^uR[19L;r Carrier ... V.P ___ Policy Number his permit, I cannot of the Business and 3 of the s and Professio +� license is in full force or signature x 1 TO ONE HUNDRWTHQUSPAD D%LARS ($100,001H. IN ADDITION TO THE 3700 of the Labor Code, for of t>S wgrl f Vvhjiliffthis permit is issued. My workers' Jame of Agent :1I certify that, In tA9 pa mans f the war Y-r which this permit is issued, I shall not eITIIiiiiy any person in any marine o as to co subject to the workers' compensation laws of California, and agre hat, if I should beco'*' ub t to wo J com nsatlon provisions of Section 370 T4h86Labor Code, I shall fo ith com w' hose provisions. Signature of Applicant vr� rC' ,,� 1 Date )ECLARATION REGARD C STRUC NG A ENCY ggyyyy���� hereby affirm under penalty le th I truction lending cy t ayc erforme of work f hi his permit is issued (Section 3097, Civil Code). -ender's Name r•.'. Q: v is Ad s 3y my signature below, I certify tkj;y�a�c f the g: I am the property owner or autA&nze act on the propert behalf5 / I have read this application and'ikinfo ation I hav Ovid cor I agree to comply with all applice b(a,city cou i a.cas a ate laws rela g to buil ' g struction. I authorize representatives of this cit or co ty to a I antified pr arty for i pe n purposes. ��(( ii nature of Property Owner or Authorized'. ant t PropertyOwner's or Authorized Agent's Name /C l lc,��fl �u —G`t Date 1/ Z-t ACTION DATE BY RATION OF C PLIANCE TH DE OF FEDERAL FOR OFFICE USE ONLY GULATIONCBA 61OFT E4 ND AQMD RULE PERMIT EXPIREDI i LIN6Tv1ITTEDA ST NOTIFICATIUN IU PERMITCANCELLED PERMIT EXTENDED q PERMITFINAL ASBESTO NOTIFICATION IS NOTAP LICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: li i l I