HomeMy WebLinkAboutX2019-3676 - PermitsCity of Newport Beach - Building Division
o� 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
c3 Inspection Requests Phone (949)644-3255
r".atirrtiv`� Combination Type - MFP ELEC
COMB Permit: X2019-3676
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
Project No: 2527-2019
Issued Date: 03110/2020
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 2675 SECOND AVE NB
Description: MFR REBUILD DECKICARPORT 206 SF
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
Record Management:
CORONA DEL MAR, CA 92625
Phone:
714.267-6756
Applicant:
BRAINERD JOHN HOWARD
Address:
2675 SECOND AVE
Hazardous Mat
CORONA DEL MAR, CA 92625
Phone:
714-267-6758
Code Edit : 2016
Type of Construction: V -B
Occupancy Group: R3/U
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: $35,000.00
Building Permit Fee: $581.00
Plan Check Fee: $505.47
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$18.00
Energy Compliance:
$0.00
CA Seismic Safety:
$4.55
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
Contractor:
M P S CONSTRUCTION
Address:
13871 DEODAR ST
Fair Share
SANTA ANA CA 92705
Phone:
714-997-9193
Con State Lic:
858299
Lic Expire:
0513112021
Bus Lic:
BT30071360
Lic Exp Date:
03/31/2021
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: 5'
Front: 15'
Left: 3'
Right: 3'
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$61.34
$0.00
$0.00
II TOTAL FEE : $1,232.36 Plan Check Fee
PROCESSED BY: COG
ZONING APPROVAL: _ W
GRADING APPROVAL:
Architect
Address:
Phone: State Lic
Engineer:
XIAO QIANG
Address:
1520 BROOKHOLLOW DR #45
Fair Share
SANTA ANA CA 92705
Phone:
714-662-0510 State Lid
Designer:
®®��
Address:
Park Dedication :
Phone: �,pl�d GO��
Special Conditbns: Noise agreement
0
Fire Hazard Zone : N 9" I& e�
Planning Department -
Fire Department
Plan check Fee
$40.00
Fair Share
$0.00
SJH Trans:
Fire Plan Rev
In -lieu Housing Fee:
$0.00
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$0.00
San Dist :
$0.00
NMUSD Fee:
$0.00
$545.47 Fee Due at Permit Issuance : $686.89
d o m
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
1L1 a o
APPROVAL TO ISSUE: � o � o
�c o00 o u cc oo� moo.,
Fire Department
$40.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$545.47 Fee Due at Permit Issuance : $686.89
d o m
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
1L1 a o
APPROVAL TO ISSUE: � o � o
�c o00 o u cc oo� moo.,
OWNER -BUILDER DECLARATION
I hereby affirm under penalty 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 item(s)
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 appliddnt for
is 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 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
of more than five hundred dollars ($500). $
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, 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
nproved 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' State License Law).
1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below 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 permit, I cannot legally
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 1009iof Division 3 of the Business and Pro sions Code �'lld icLnse is in full force
nd effect. License Class License No Dat ' �% Contractor Signature_ --!
VORKERS' COMPENSATION DECLARATION f�1
DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE
OST 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 Industrial Relations as provided for by Section 3700 of the Labor Code, for the
erformance 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 performance of the work for which this permit is issued. My workers' compensatior
Isurance carrier and policy number are:
Policy Number
of Agent
Date
rtify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
if I should become subject to the wwoorkers' o pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant y d'Z D _ G
CLARATION REGAAAFWfNG CONSTRUC ON LENDING AGENCY
Ireby 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).
Ider's Name Lender's Address
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 enter the ab e -Identified property for inspection purposes. ` /G �V G—Lo
nature of Prooertv Owner or Authorized Anent%/•�� Print Property Owner's or Authorized Agent's Name X %.0 "i i � a`te
ACTION DATE
PERMITEXPIRED •
PERMIT CANCEbLEB
PERMIT EXTENDED
PERMITFINAL low",
I
•••
OCCUPANCY ISSUED ! _
BY DECLARANION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
• _ _I _vu I SUBMITTED ASBESTOS NOTIFICATION TO
UASBESTOS NOTIFICATION IS NOT APPLICABLE TO
•.• . PROPOSED DEMOLITION
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