HomeMy WebLinkAboutX2021-0652 - PermitsCity of Newport Beach - Building Division
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COMB Permit :X2021-1652
�' 100 Civic Center Drive, Newport Beach, CA 92660
x 2 0 2 1 1 6 5 2
- `- Parmit,Cdunter Phone (949)644-3288
Project No : 1441-2021
ss. Inspection Requests Phone (949)644-3255
`:attRtl,t4 -' Combination Type - MFP
Issued Date: 06/23/2021
CONSTRUCTION
NO CONSTRUCTION W yOI
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST
VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/23/2024 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: 5000 1/2 NEPTUNE AVE NB
Description: MFR REPLACE (E) DECK RAILING `STOP WORK 121-1339 (E)
Legal Desc.:
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Owner: YOUNG GARY GEORGE Contractor:
OWNER/BLDR Architect:
EXPOSE ALL STRUCT L
Address: 5000 NEPTUNE AVE Address:
NEWPORT BEACH CA 92627
YOUNG GARY GEORGE Address:
ELECTRICAL PLUMBIN ND
Phone:
Phone: YOUNG
Applicant: YOUNG
Phone:
MECHAIVItMCOMPOPMTS
GAR
GARY GEORGE Con State Lie:
O/B Engineer:
Address: 5000 NEPTUNE AVE Lic Expire:
Address:
NEWPORT BEACH CA 92627 Bus Lie:
s
Phone: 949-500-9006 Lie Exp Date:
Phone:
State Lie:
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Code Edit: 2019 Worker's Compensation Insurance Designer: LUCCHESI JOEY
Type of Construction: VB Carrier:
Occupancy Group: R3/U
Address: 5001
NEPTUNE AVE
Policy No:
Added /New sq.ft. Bldg: 0 Expire:
NEWPORT BEACH CA 92627
Added /New sq. ft. Garage: 0
Phone: 949-922-4670
No of Stories: 2 Building Setbacks
No of Units : 2
Rear: I Special Conditions:
HIGH DENSITY AREA
Bldg Height: 0
Front: I
Left: /
u.. --
Bldg Sprinklers:
Right: I
Flood Zone: X-0.2 Use Zone: Parking Spaces: 0 Fire Hazard Zone:
N
Construction Valuation: $500.00
Building Permit Fee: $110.00 Excise Tax:
$0.00 Planning Department -
Fire Department
Plan Check Fee: $95.70 Additional Fee :
Overtime Plan Ck: $0.00 Grading Bonds Fee:
$0.00 Plan check Fee : $46.25
$0.00
Fire Inspection: $0.00
Investigation Fee: $110.00 Grading PC Consultant :
Fair Share : $0.00
$0.00 SJH Trans : $0.00
Fire Plan Rev $0.00
Demolition Fee
Record Management: $0.00 Grading Permit Fee:
$0.00 In -lieu Housing Fee: $0.00
Building Dept Adm $0.00
Energy Compliance: $0.00 Grading PC Fee:
$0.00 Public Works Department -
General Service $0.00
CA Seismic Safety: $0.00 WQ Insp. Fee:
Disabled Access : $0.00
$0.00 Park Dedication : $0.00
Refund Deposit $0.00
Hazardous Mat $0.00 Electrical %:
PAN Plan Check: $0.00
$0.00
Grading Bond: $0.00
Building Green Fee : $1.00 Mechanical %:
San Dist: $0.00
$0.00 NMUSD Fee: $0.00
Plumbing %:
$0.00
$0.00
$0.00
TOTAL FEE : $362.95 Plan
Check Fee: $0.00 Fee Due at Permit Issuance: $362.95
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
G <, PUBLIC WORKS APPROVAL:
ooC o o0
PLAY) CHECK BY:
APPROVAL TO ISSUE:
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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 tq the applicable item(9)
(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
the 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
Professions 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
not more than five hundred dollars ($500). -
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
improvements 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
improved for the purpose of sale).
❑ I, as owner of the property, am exclusivelycontracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply 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:
By 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
sell a structure that I have built as an owner -builder i it has not'been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of th Business and
Professions Code, is available upon request wyn
-s applica' n is submitte r at the following Web site:http://www.leginfo.ca.gov/calaw.html. Dat 6 `r> --r a�
Signature of.Property Owner or Authorized AgaIa
LICENSED CONTRACTOR'S DECLARA
I hereby affirm under penalty of perjury that I ased under provisions of Chapter 9 (commencing with Section 7Q00) of Division 3 of the Business and Professions C e, and my license is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: 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 ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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
performance 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' compensatiol
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
SITE of Agent -' -
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
Iat I should becom y bject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant D l </
IECLARATION REG D G CONSTW TION L NDING AGENCY
hereby affirm under enalty 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
ly 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 tq enter he above -identified property for inspection purposes.
Bnnnh Ue of Pronertv Owner or Authorized Agefih � �-'y gz Print Property Owners or Authorized Agents Name %Ail ti%U> e (G/23[ri
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED \ I SUBMITTED ASBESTOS NO%rCATIM TO
PERMITCANCELLED UEPA • • • • • ••
PERMIT EXTENDED QMD
PERMIT FINAL Z ASBEST S NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF Zt PROP S� EMO TION •• ••• • • • •°°
OCCUPANCYISSUED SI ATU ° °