HomeMy WebLinkAboutX2021-0926 - Permits$ City of Newport Beach - Building Division
a ' d00 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
'..rvx• Combination Type - MFP ELEC MECH PLUM
*X2021-0926* COMB Permit: X2021-0926
Project No : 0857-2021
Issued Date: 04120/2021
Inspection Area: 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0412012024 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: 33 SEA ISLAND DR NB
Description: MFR INTERIOR REMODEL 212 SF BATH, KITCHEN, WATERPROOF DECK REPAIR 151 SF
Legal Desc.: TR 8444 LOT 1 UNIT 33 OF PROJECT LOCATED ON AP 442-251-01 TOGETHER feI ,cr1�
Owner: GRAY KELLY Contractor: OWNER/BLOR Architect: WALZ JOHN ROBERT l i P ECTO
Address: 33 SEA ISLAND DR Address: ALEXANDER SHERRY Address: 510 LARKSPUR AVE
NEWPORT BEACH, CA 92660 CORONA DEL MAR CA 92625
Phone: Phone: 714-270-3313 Phone: 949-836-5977 State Lic:C031388
Applicant:
WALZ JOHN ROBERT
Address:
510 LARKSPUR AVE
Record Management:
CORONA DEL MAR, CA 92625
Phone:
949-836-5977
Code Edit: 2019
Type of Construction: V -B -SPR
Occupancy Group: R2
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 9
Bldg Height: 0
Bldg Sprinklers: Y
Construction Valuation:
Building Permit Fee: $619.00
Plan Check Fee: $538.53
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$12.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $1,341.58
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lie: O/B
Engineer:
Lie Expire:
Address:
Bus Lie:
Fire Plan Rev
Lie Exp Date:
Phone:
Workers Compensation Insurance
Designer:
Carrier:
Address:
Policy No:
PM Plan Check:
Expire:
Phone:
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: I
Front: I
Left: I
Right: I
Parkina SDaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$43.33
$24.76
$55.71
Plan Check Fee
State Lie:
Special Conditions: OIB AUTH ATTACHED
Fire Hazard Zone: N
Planning Department -
Fire Department
Plan check Fee
Fire Inspection:
Fair Share
Fire Plan Rev
SJH Trans
Demolition Fee
In -lieu Housing Fee
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
PM Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
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$0.80
° $0.06 °
0 00
° $0.00
°$ata°
$0.00
$0.00
$0.00
$0.00
$584.78 Fee Due at Permit Issuance : $756.80
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
Fire Department
$46.25
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
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0000
c
0000
0
00 0
c o 0
e o
oeeeoo
0
$0.80
° $0.06 °
0 00
° $0.00
°$ata°
$0.00
$0.00
$0.00
$0.00
$584.78 Fee Due at Permit Issuance : $756.80
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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)
Section 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
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).
1, 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,
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 oWerd 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
ve rposeof sale).ri:,a,
owner of the property, amly contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
o 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 I 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 res'den a in which I must have resided for at least one year prior to completion of the improvement/Sect'
d by this permit, I cannot legall,
ell a structure that I have built as an owner -builder if it has not bE o tructt its an�'rety by licensed contractors. I understand that a copy of the applicable law, 7044 of the Business and
'rofessions Code, is available upon request wh this applicati ' 9 Rf dor at following �.http://www.leginfo.ca.gov/calaw.htmi.signature of Property Owner orAuthorize t -
.ICENSED CONTRACTOR'S DECLgI ION
hereby affirm under penalty of perjury that I a licensed under rovisions of Chpt'er 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), 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:
31 have arL-061%aintain 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
erformance oftile work for which this permit is issued. Policy No.
and'difl 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'
carrier-BIMpolicy number are:
Policy Number
of Agera *
Date
iify that, in the Performance a ork ff hich 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
I should. subject t rk-rs /comg�Ino�on pns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /1
ire of Ap. nt .,.., te— ` o
pgnalty of perjury that the Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
1*'g Name - Lender's Address
V y 9lgnatur8 bplowi Icertify to each p he following:
I am the property owner or authorized to act on the property
I have read this application and the information I have II Vic
I agree to comply with all applicable city and county i ard
I authorize representatives of this city or couno �,t
PERMITCANCELLED
PERMITEXTENDED
CERTIFICATE OF
OCCUPANCY ISSUED
behalf.
dating to building construction.
ler y fofinspection purposes.
Print ProDertv Owner's or Authorized App
OFC NTPUANCE WITH CODE OF FEDERAL
AOT61OFTITLE 40 AND AQMD RULE
:D ASBESTOS NOTIFICATION TO
ASBESTOS NOTIFICATION IS NOT
PROPOSED
TO
I FOR OFFICE USE ONLY
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