HomeMy WebLinkAboutX2022-0195 - Permits0*""' w , City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
�u_ ±5 Inspection Requests Phone (949)644-3255
Combination Type - MFP
������I III COMB Permit: X2022-0195
Project No : 0185-2022
Issued Date : 02/04/2022
Inspection Area : 2
rcnmr r txrrKts 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST
Construction Hours: Monday -Friday 7:00 a.m.
Job Address: 501 COLUMBIA
BE COMPLETED BY 02/04/2025 OR PERMIT WILL BE INVALID
to 6:30 p.m. and Saturday from 8:00 to
ST NB
a.m. 6:00 p.m. No Work on Sundays or Holidays
Description: MFR BALCONY REPAIR
Legal Desc.: TR 7817 LOT 1 UNIT 68 OF PROJECT LOCATED ON AP
424.041.01
TOGETHER
Owner: NEWPORT CREST HOA
Address: 201 ENTREPID ST
Contractor:
SMITH ANGUS CONSTRUCTION Architect:
NEWPORT BEACH CA 92663
Address:
12342 CANYON TERRACE Address:
Phone:
SANTA ANA CA 92705
Applicant: SMITH ANGUS
Phone:
714-538-1191 Phone: Slate Lic:
Address: 12342 CANYON TER
Con State Lic:
Lic Expire:
637440 Engineer: XIAO WANG
02/28/2022
SANTA ANA CA 92705
Bus Lic:
Address: 1520 BROOKHOLLOW OR #45
ST01101101
Phone: 714-538-1191
Lic Exp Date:
09/30/2022 SANTA ANA CA 92705
Code Edit : 2019
Phone: 714-662-0510 State Lic:S-005289
Type of Construction: V-S
Worker's Compensation
p
Insurance Designer:
Occupancy Group: U
Carrier:
GIGA SOLUTIONS Address:
Added /New sq.ft. Bldg: 0
Policy No:
AMX0800030005
Added /New sq. ft. Garage: 0
Expire:
10101/2022 Phone:
No of Stories: 2
No of Units : 6
Building Setbacks
Rear: / Special Copditions`
Bldg Height: p
Front: ,
Bldg Sprinklers:
nklers:
I
Flood Zone:
Right: /
ction Valuation: $9 500 00
Use Zone: Parkin Spaces: 0 Fire Hazard Zone : N
Permit Fee: $246.00
Excise Tax:
$0.00
ck Fee: $214.02
Additional Fee :
Planning Department -
$0.00 Fire Department
FCheck
Plan Ck: $0.00
Fee:
Grading Bonds Fee:
Plan check Fee : $0.00 Fire Ins $0.00
$0.00 Fair Share pection:tion
$0.00
anagement: $0.00
Grading PC Consultant :
Grading Permit Fee:
$0.00 $0.00 - Fire Plan Rev $0.00
SJH Trans : $0.00 Demolition Fee
ompliance: $0.00
Safety :
Grading PC Fee:
$0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00
$0.00ic Public Works Department -
$0.00
Disabled Access: $0.00
WO Insp. Fee:
General Service $0.00
$0.00 Park Dedication : $0.00 Refund Deposit
Hazardous Mat $0.00
Electrical %:
$0.00
P/W Plan Check : $0.00 Grading Bond: $0.00
$0.00
Building Green Fee : $1.00
Mechanical %:
San Dist: $0.00
$0.00
Plumbing %:
NMUSD Fee: $0.00
$0.00 $0.00
$0.00
TOTAL FEE : $461.02
Plan Check Fee : $461.02 Fee Due at Permit Issuance
$0.00
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL: i,G
PLAN CHECK BY:
GRADING APPROVAL: °� ° °
° ° °
APPROVAL TO ISSUE:
° o oco
r
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of Pssons Code: Any tty orrcounty that requ�es a permit to coetmct,ratterf improvelrtany structure. prior to its issuance, also requires lthe
, demolish, or repair applicant for
ection 7031.5, Business and Profe
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 an
ofessions 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
t more than five hundred dollars ($50U). r (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
rty who, through I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of o
he
Iprovements are not ntendedeoToffered for sale. Sfahowlever,theabudld ng orr imprlovtement ansoldfwithnleemployees' personal rfll builds
or improves
property, provided
t that t
one year of completion, the Owner -Builder the burden of proving it was nobuilt or
(proved for the purpose of sale).
ad Contractors to construct the project (Section Business and Professions Code: The Contractors' State License Law does no
] I, as owner of the property, am exclusively contracting with licens
)ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor
r pursuant to the Contractors' State License Law).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
11
YII ay signature
belat ow I acknowledge built ow that, except f-builder of hanot personal residence constructed whiin ch I must have by licensed contractors. I understalnd that a copy of theapplicable law, Section 7044tof the Business and
hi, permit I cannot lega
rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.legirifo.ca.gov/calaw.html. Date
ignature of Property Owner or Authorized Agent
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SecDate7000 of Division 3? tC
nd effect. License Classo tra for Signaturehe Bushfes ions o e, d my i ei se is in u force
License No
VORKERS' COMPENSATION DECLARATION
IARNING: 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 (E100,000), 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
P
rmance of the work for which this permit is issued. Policy No.ave 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
ance carrier and policy number are: Expiration Date
,arrier Policy Number Phone #
flame of Agent
�I certify that, in the performance of work for which this permit is issued, I shall not employ any person in any manner c as l become subject to the workers' compensation laws of California, and agree
:hat, if I should become subject to of �w work
corn IT ation pr visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions Date \ aZ 'fir' " �'
Signature of Applicant T
ON REGARDING C J RUCT ON LENDING AGENCY k for which this permit is issued (Section 3097, Civil Code).
ECLARATI
hereby affirm under penalty of perjury that t ere is a construction lending agency foLender's Address o t e wor o
ender's Name
,y 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 rovided is correct.
I agree to Comply with all applicable city and county r nances aril-Afate laws relating to building construction. ^
I authorize representatives of this city or countyjto (ate the above-r4entified property for in�spectrinf pon Pkp owner's or Authorized Agent's NameV
of Property Owner or
PERMIT FINAL
CERTIFICATE OF In -
OCCUPANCY ISSUED
OF COMPLIANCE WITH CODE OF FEDERAL
PART 61 OF TITLE 40 AND AQMD RULE
TO
JS NOTIFICATION IS NOT APPLICABLE TO
DEMOLITION
FOR OFFICE USE ONLY
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