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Home My WebLink AboutX2021-0555 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIUIII�IIIIIIII�IIIIIIIIIIII IICOMB Permit: X2021-0555 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 5 5 5 Project No: 0603-2021 E9 .4 Permit Counter Phone (949)644-3288 - - c�S Inspection Requests Phone (949)644-3255 a� �� * , Combination Type - MFP Issued Date : 04/1312021 0 Inspection Area: 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/13/2024 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: 19 SAND DOLLAR CT NB Description: MFR CREATE NEW DOOR INTO GARAGE Legal Desc.: TR 8835 LOT 4 UNIT 10 CP -10 G-10 P-10 OF PROJECT LOCATED ON AP Owner RHYNARD ALVIN Address: 19 SAND DOLLAR CT Overtime Plan Ck: NEWPORT BEACH, CA 92626 Phone: $0.00 Applicant: GRAYJERRY Address: 2708 CARDINAL DR CA Seismic Safety: COSTA MESA, CA 92626 Phone: 714-656-9749 Code Edit: 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $1.000.00 Building Permit Fee: $110.00 Plan Check Fee: $95.70 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: $254.95 1720113**9=1d:yi i ZONING APPROVAL: Contractor: GRAY CONTRACTING SERVICES Architect: Address: 2708 CARDINAL DRIVE Address: COSTA MESA CA 92626 Phone: 714-656-6749 Phone: State Lie: Con State Lie: 608805 Engineer: SINGER JOANNE Lie Expire: 1213112022 Address: 24451 MUELA Bus Lie: BT30074938 MISSION VIEJO CA 92692 Lie Exp Date: 0413012022 Phone: 949-413-9057 State Lic:C-026900 Worker's Compensation Insurance Designer: GRAY JERRY Carrier: WC EXEMPT Address: 2708 CARDINAL DR Policy No: COSTA MESA, CA 92626 Expire: Phone: 714-656-9749 Building Setbacks Rear: / Special Conditions: Front: I Left: / Right: / G Use Zone: Parking Spaces: 0 ,may Fire Hazard Zone : N.0 i� Excise Tax: $0.00 Planning Department- Fire Department Additional Fee : $0.00 Plan check Fee : $46.25 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 $254.95 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: $0.00 OWNER -BUILDER 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 items) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, sitar, 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 Irofessions 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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). 1 1, 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). 7 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:hftp://www.leginfo.ca.gov/calaw.htmi. 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 700) o Divisi n 3 of the Business and P essions de, an y I! ane is in full force ind effect. License Class License No Dat Contractor Signatur VORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER 70 CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE UNDRED THOUSAND D ARS 0,0001, IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0705 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. 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' rance carder and policy number are: - Policy Number Expiration Date Agent 11 certify 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 agre th , if I should become subject to the workers' co pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Data DECLARATION R ING CONST CTIO LENDI Cy I hereby affirm un er penalty of pe " hat there is a ruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 cc ty to enter the ove-ide tified arty for inspection purposes. L Signature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Agent's Name S rzr X Date l % u ACTION DATE 8Y DE CO IAN ITH CODE OF FEDERAL FOR OFFICE USE ONLY IATION ART TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO • ++; • +"+ �•' ••+ +� ••• +.• +• PERMITCANCELLED LIEPA PERMIT EXTENDED LJAOmD PERMIT FINAL L1 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF 9,l I PROPOSED DEMOLITION ••. OCCUPANCYISSUED 3v �( SIGNATURE: : +++ •T• •�• :•' +• .. 0• • . ;•• :•• /z�cj CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92558.8915 www.newportbeachca.gov 1(949) 644-3300 SMOKE DETECTOR AND CARBON MONOXIDE SELF -CERTIFICATION (this certification is to be filled out by the permittee or homeowner) Project Address: N D J)o t -L_ Ail. C.`T' , G J L ,Cl -x- o 103 Permit Number _ �( -t% ?-1 — o 5 5 5 Property Owner: A t. -V t 14 t2 14\4 rJ AR O Licensed Contractor. t!r CMA't-D Lic 4: Iy a $`8 0 I The State of California now requires that stroke and carbon monoxide detectors must be installed in all residential buildings California Residential Code (CRC) Section 8314.1, CRC R315.2 states in part that existing dwellings be "retrofitted with smoke detectors and carbon monoxide detectors. CRC Section R314.3, CRC 8315.3 defines required locations. Both boxes below must be checked. all Carbon Monoxide Alarm: On the ceiling or wall outside of each separate sleeping area In the immediate vicinity of bedrooms or in each hallway outside of the roams, and each level of the dwelling. Detectors are also required in bedrooms with gas fired appliances MCI Smoke Alarms: Installed in each room used for sleeping purposes, outside each sleeping area, and on each level of the dwelling unit. Retrofitted detectors may be battery operated for buildings where no alterations are performed on the interior, Multiple -purpose alarms (carbon monoxide and smoke alarms) shall comply with all applicable standards and must be approved by the State Flee Marshall. The devices must be Installed per manufacturer's specifications. 1, the undersigned, hereby certify that I am the permlttee or homeowner of the project. I further certify that smoke alarms and carbon monoxide alarms are present and tested to be functional in all the following locations: Signature' 17ate. NOT This self-c22tions only used far projects to the exterior of the structure here access to the rnteriolwLtl+e�eth'ng by the City of Newport Beach Building inspector is net achieved during the course of construction. falm54SmokooatectaropdGa1b.HM... K!d.$atfCntt OW12MG