HomeMy WebLinkAboutX2021-2026 - Permitstut City of Arport Beach Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
... XT Inspection Requests Phone (949)644-3255
Combination Type - MFP
111111111111111111111111111111111111111111111111111111COMB Permit: X2021-2026
X 2 0 2 1 2 0 2 6 Project No :
Issued Date : 08/0312021
Inspection Area : 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0810312024 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: 1525 PLACENTIA AVE NB
Description: MFR REMOVE/REPLACE (E) 22 SQ OF B.U.R, CLASS A (BLDG E) CRRC #0634-0001 _
Legal Desc.: FIRST ADD TO NEWPORT MESA TR LOT 815 S11/2 -EX ST-
Owner:
SANDPOINTE COVE PROP LLC
Address:
322 N TUSTIN ST
ORANGE CA 92867
Phone:
Applicant:
JIM MURRAY
Address:
322 N TUSTIN ST
ORANGE CA 92867
Phone:
714-744-4476
Code Edit : 2019
Type of Construction: VB
Occupancy Group: R2
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 0
Bldg Height: 0
Bldg Sprinklers: N
Construction Valuation:
Building Permit Fee: $351.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $352.00
PROCESSED BY:
ZONING APPROVAL:
Contractor:
JIM MURRAY ROOFING INC
Address:
322 N TUSTIN ST
ORANGE CA 92867
Phone:
714-744-4476
Con State Lic:
1022421
Lic Expire:
01/31/2023
Bus Lic:
BT30076137
Lic Exp Date:
08/31/2022
Worker's Compensation Insurance
Carrier: AMERICAN INDEMNITY
Policy No: JIWC217756
Expire: 01/27/2022
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: /
Left: /
Right: /
king Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Fire
Planning Department -
Plan check Fee
Fair Share:
SJH Trans :
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
State Lic:
State Lic:
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 II
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $352.00
PUBLIC WO�tF�'S AFPROVAL:
0
PLAN CHECK BY:
GRADING APPROVAL: m<¢ `�< APROVAL`iQISSWE:
m c c ® o
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¢ec me¢ ¢o¢ o m ¢mo ¢c
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
le 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 Iicensure 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 `) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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).
I am exempt from Iicensure under the Contractors' State License Law for the following reason:
y 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
all 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
professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
ignature 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 0 0) 01 D' ision 3 of the Business and Pro _ + d my license is in full force
nd effect. License Class License No Date L Contractor Signatuf
JORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUeIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION E706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
Triance of the work for which this permit is issued. Policy No.
have and will m"inf�workers'
rance carrier and lic number,
of Agent
insurance, aA required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Date
certify that, in the performaqqw6.f the work for which this permiil 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
t, if I should become sub' o t orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ' N��
nature of Applica Da a (J/
CLARATION RE ARD NG CONSTR TION LENDING AGENCY
;reby affirm under penalty of perjury th t 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 I 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 prove ed is correct.
I agree to comply with all applicable city and county ordXnco and state laws relating to building construction.
I authorize representatives of this city or co nt toe a entified property for inspection purposes. 1'•vA1 �i/Q
nature of PrODertv Owner or Authorized ADent f Print Property Owner's or Authorized Agent ' at u's Nar& p7"` ' `O"'� •'
ACTION I DATE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
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IMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
61 OF TITLE 40 AN D AQM D RULE
TOS ryQTI FIC)710N 0•
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IS NOT APPLICABLE TO
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