HomeMy WebLinkAboutX2020-0956 - Permits�ulvt City of Newport Beach - Building Division *X20200956` COMB Permit: X2020-0956
at 100 Civic Center Drive, Newport Beach, CA 92660
�'�`s, Permit Counter Phone (949)644-3288 Project No : 2527-2019
si Inspection Requests Phone (949)644-3255
4ac,rau�' Combination Type - MFP Issued Date : 04113/2020
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT tMLL 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: 2675 SECOND AVE NB
Description: MFR (ADDITIONAL SCOPE) REPLACE MOMENT FRAME
Legal Desc.: P M 207.23 PAR 1 UNIT 2 OF PROJECT LOCATED ON AP 459-112-22 TOGETHER
Owner:
BRAINERD JOHN HOWARD
Address:
2675 SECOND AVE
NO EMPLOYEES
CORONA DEL MAR, CA 92625
Phone:
714-267-6758
Applicant:
BRAINERD JOHN HOWARD
Address:
2675 SECOND AVE
Bus Lic:
CORONA DEL MAR, CA 92625
Phone:
714.267-6758
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 3
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Contractor:
M P S CONSTRUCTION
Address:
13871 DEODAR ST
NO EMPLOYEES
SANTA ANA CA 92705
Phone:
714-997-9193
Con State Lic:
858299
Lic Expire:
05131/2021
Bus Lic:
BT30071350
Lic Exp Date:
03131/2021
2016 Workers Compensation Insurance
VB Carrier:
EXEMPT
R31U Policy No:
NO EMPLOYEES
0 Expire:
Energy Compliance:
0
CA Seismic Safety:
Building Setbacks
Rear: /
$0.00
Front: I
$0.00
Left: I
$1.00
Right: /
Building Permit Fee: $200.00
Plan Check Fee: $174.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $377.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
�'ECTi��r 4
Architect:
Address:
Phone: O ic�yyy ee••ep
Engineer: XIAO QIANG V / o°em ommms`.
Address: 1520 BROOKHOLLOW DR#45 �cr/��
e• m`
SANTA ANA CA 92705 �lJp p
Phone: 714.662-0510 tate Lic:S-005289%.
�V
pi� • L
Designer.
Address: '1 I URN RV� m•.®
Phone:
mm m o 0
m 0 • i
Special Conditions: REV20-0568(DELTA 1)
0000 0
0 o eeom
sono
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department-
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
Plan Check Fee:
$0.00
Fee Due at Permit Issuance :
$377.00
PUBLIC WORKS APPROVAL
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penally 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 Hems)
lection 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
ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
rofessions Code) or that he Of 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 penally, of
Dt more than five hundred dollars (5500).
1, as owner of the property, or my employees with wages as their sale compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section T044,
usiness and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who, through employees' or personal effort, builds of Improves the properly, provided that the
nprovements 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
n roved 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
pply to an owner of property who builds or improves thereon, and who Contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law).
I am exemppt from licensure under the Contractors' State License Law for the following reason:
y my signgtLAb%l{fw 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 perrmf, I cannot lega III
all a slructuferlNit 1 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
6clessions.6ade. Is available upon request when this application is submitted or at the following Web site:hftp:f/www. leginfo.ca.gov/calaw.himl.
igAature of Pi Owner or Authorized Agent Date
.10ENSED CONTRACTOR'S DECLARATION
6ereby affirm under penalty of p rjury that I am licensed under plimislons of Chapjjer 9 (co{ mencing with Beall 00 of Division 3 of the Buslnes Professio ode, ntl iaenas is in full force
qct effect. •L•i4er(IgP• Class License No Std- I "I Date d U Contractor Si ature
4ORKERS' COMPENSATION DECLARATION ./
'ARNING: FAILOAMO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINESUP TO ON HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
8TH OF COMPE11,1I9N. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES.
Hereby affiri penalty of perjury one of the following declarations:
have and wW 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
P-Opmanct fthe 4rork forwhich this permit is issued. Policy No.
have_ancl w4l maintaln 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' compensatiol
urance terrier and policy number are:
a of Agent
artily that, in the performance of the
if 1 should biegome subject to the we
Policy Number
Dale
this peril is issued, I shall not employ any person in any manner so as to become subject to theirWatkkrs' compensation laws of Calttomia, and agre
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ij`/N
ate
iECLARATIOWkEgRDING CONSTROCTION LENDING AGENCY
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).
ender's Name Lender's Address
y my signature below, I certify to each of the following
I am the property owner or authorized to act on the properly owner's behalf.
I have read this application and the informa
,O'eK I have provided is correct.
I agree to comply with all applicable ytyafid county ordinances and state laws relating to building construction. I-
I authorize representatives of this ci ,.Pir county to a the ove-I 'led property for inspection purposes. \\�/� M t (✓f1,4
:.._.a...,. -10.....e.1.. 1——, e.ar,,.d a A/� Print POwners or Authorized AGent'SName
DATE - I ' BY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
I SUBMITTED ASBESTOS NOTIFICATION To
PERMITEXTENDED L_KQMD
PERMITFINAL /tet/� �fn ASBESTOS NOTIFICATION IS NOT APPLICABLE
CERTIFICATE Of 17 �f 1'�JI% PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE:
FOR
LO
C?® G
z X C)
m Z �
O
W U� o
U M � N
m ®O
Q. V m I.- N
O z55°� a��
�z
P U: OW Zoo
X U
Q Lu
cco) coo
W�ao ®LL
L r
LU
0
a)
m UJ
U O p
U U y
CD
0
U
C
coO
U
°
cn
C
U
J
(Qd p G N N U) d d m p
= R d C ` IS
N � � `m ca � E+., m o h
(�6 .2 CL U) E.�: ` O r •4% O Nca
y O
U) °'"a N p U cd N 4 uyj V
O .� N U 7+ 2 y fL6 p
N A
w •N O N y a co N +�•+ Ory d '�
'D o �r m o o �� c E K 3•°
N y E O L O) O cu O O O d m
p �O O .N. a Q W a > U E
�O — N Cl) 0�_Qa�i de° y
E U L U L C Co O °- Q d O t0 N °
O U 6 c Co °« ° O °) E M w ❑ y
0 L 4 •ti
.Q U M=
O E o 'D° •° - V W o v
U r, O O C O` O S a N v) 3 �''fl a m G
° CD o ° o 6 E �' ® w.c
o o? co ca R
No 5° cu o 2mto"
(�6 N E C Q U 5C-. s N a u0) " CL N w M p N
m �w 5 U t °°oa rscc Q. ca
N 'O E O O C -O U e' c N O .E
N U' co W N — (D a) � Qy+p '�'N C `� Q
° rn U -0 Ln o ('D
°) ca c° n o °� v m e y
_ a N �Z
0) Er- X.� U 0 O UA tea+ C `O
° Cj m c) u o o m co ac°i f6 `, C aaam M0i \ Al
U
U
.000 N
ca c m a� cCU L Q cc E'�e N € w O ow
_ *y o x c °. �� 0w0) vo
U SEM Uoow Ea) a)
4- ° s C O° W O C N .y w �"
a?' cg o U k m O0 o
o
N .ia w X U w �" � .w .0 � N ti N 5
�.= U my m IX aU)M a as z.s 8