HomeMy WebLinkAboutX2020-2387 - PermitsUO.O.-
City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII'll IICOMB Permit: X2020-2387
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 3 8 7 Project NO:
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255Combination Type - MFP Issued Date : Area
: 2020
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1012012023 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: 700 BEGONIA AVE NB St: 1 FI: 1 Unit: A
Description: MFR REMOVEIREPLACE SIDING W/ SIDING 300 SFym�
-_. Legal Dese.: P.M. 260-09 PAR. 1 OF PROJECT 938-01 LOCATED ON AP 469-083-13
Owner: ESPOSTI GLORIA
Address: 700 BEGONIA AVE #A
CORONA DEL MAR, CA 92625
Phone:
Applicant: HENDRICKS
Address: 224 AVE
SAN CL ME
Phone 949w�54- 1
Code Edit'
Type of Construction:
Occupancy Group: =
Added /New sq.ft. Bldg:
- Added /New sq. 0. Garage.
No of Stones'
No of Units 2
Bldg Height: 0
Bldg Sprinklers:
Contractor: HENDRICKS F,3QNA'L°TP`A- Architect:
Address: 224 AVENfbA LA CUESTA �,CQ1�$iess:
SAN CLEMENTE CA �i app 0 E1jund
1"T'ione: 714-612-1598 Phorr�:100 /d r
RONAL on to Li ' 543867 Engineer:
ESTA n ue 03/31/2Q7,,m g, Address:
NTE CA v ✓ Bus Licj $TOtq'26"2 ,3 Otry{
5 �;x¢,y�..- LicDjt y10101i to VVr 'Phone:
$� e n 1i 51 vim:
2019 3 V brk Ss (r*?lrh'Pe[r9at ,lQ. Vanzp§'d•;"F Designer:
V-B,r rr "L a ' U{' rnrtt ';j igft MPT Address:
R311 ✓ �7 kf11eyyNo
e 1 > s Y
i 3.:r' Expire fir' r t"� a� !n) Phone:
vg
BtaldiSetbac`)r5 aP`�i c - �„.� 1' Special Conditions:
i rr
Right: / __ m ", e-'�V"ii
1 � ! cjl.`" w '
Building Permit Fee: TOO
Excise Tax .r. 0. 0 arming �ttrHbA1��.
Plan Check Fee: $0.0-�QAddor�e!-Fp'e ,f, `a$0 Plan chef Fee : $0.00
Overtime Plan Ck: ;Gr$din�y891tdsifee $0.00 Fair Share: $OAO'f-
investigation Fee: '1<GYa ing PC C�nspBanuj $0.00 SJH Trans : ^--'-J-�$0 DO Record Management:y:.- Gr din�r5@nii�.EWe`:'" $0.00 In -I yl..4ieusing eeF : �'J 4Q16ataEnergy Compliance: G 1HS�j PC Fee: $0.00 ._---PG6ic Works DepartmeAr'S'CA Seismic Safety: WQ Insp. Fee: \ g-00` Park Dedicgatiorr.—'��$0 BQDisabled Access : ,- PNV'Pfa�n C,ggk*'0.60
Hazardous Mat $D 00 EI tricot"%��
-.t r.. \:,a, 5° r ..--'-,tc:cs�7tL`Di�3f"' $0.00
Building Green Fee : $1 00 =-� /'i�e�ch jai I NMUSD Fee: $0.00
.d I I''-
TOTAL FEE: $1
PROCESSED BY:
ZONING APPROVAL:
Plan Check Fee
State Lic:
Lic:
=`General Service
Refund Deposit
Grading Bond:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$145.00 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:��'V V
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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
he 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
lot 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
n roved 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
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:
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} 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 avallable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calow.htmi.
QgF4Tirlf� of Propgay.Qwner or Authorized Agent - Date
.10EN9ED CONJUICTOR'S DECLARATION.
DOTbp jiffirm under penalty of perjury that I am licensed under provisions of Chapter 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
y®RKkRS' C6MPiNSATION DECLARATION
IARNIA& 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
PST, QF.COMPEN%A:Igd, J)aMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
blil *affirm under p0alty, of perjury one of the following declarations:
eahhave 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 IN
crformailce of the McRfor which this permit is issued. Policy No.
..
i'�T T)9�YP�and will,rQgiptain 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
IsuFallee carriesrd policy number are:
:arrier Policy Number Expiration Date -
lame of Agent Phone #
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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Date
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
Heby affirm under penalty 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).
Ider's Name 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 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 to enter the above -identified property for inspection purposes.
mer s or Authorized Aaent's Name
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
111�403
�PERMITEXPIRED I U I SUBMITTED ASBESTOS NOTIFICATIONTO
PERMIT EMENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
UASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
City of Newport Beach - Building Division IIIIIIIIIIIIIIIIII�IIIIIIIIII�IIIIIIIIIIII I� COMB Permit: X2020-2387
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 3 8 7 Project NO
N
S Permit Counter Phone (949)644-3288
u rt Inspection Requests Phone (949)644-3255
r'.r�ra�v.�x`• Combination Type - MFP Issued Date: 10119/2020
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1012012023 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
'.ob Address: 700 BEGONIA AVE NB St: 1 FI: 1 Unit: B
Description. MFR REMOVEIREPLACE SIDING W/ SIFDING 300 SF•
Legal Desc.: P.M. 260-09 PAR. 1 OF PROJECT 938-01 LOCATED ON AP 459-083-13 .-, �,�.�,� �� • • •:
Owner: PETERS JACQUELINE
Address: 700 BEGONIA AVE #B
CORONA DEL MAR, CA
Phone: 714-612-1598_ ,- -
Applicant:
HENDRICKS
Address:
224 AVENIDA
SAN CLEMEt
Phone:
949-254-6215
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units: 2
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
CA
0
Building Permit Fee: $144.0
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.01
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 :
$1.00
PROCESSED BY:
Contractor: HENDRICKS RONALD A Arc it ct:
sr95aۥǡ""a224 AVENIDA LA CUESTA
// If
SAN CLEMENTE CA a��
/ ate Lic 543867 �,
Lic Expire 2
�. Lic 300 32 _ s1
Fi4a fr}?i�yxp 30/ 1�
3Odt�P$° ns n Ins ance
�`•'ICarner. EXEMPT
Policy No: p '1
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Left: /
Right: / _--
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'Ad'"ditional Fee : Y $0.00
Gr ding, Eonds1Fgtr::i.j $0.00
Gr�f(iti§P&d-onsultant: $0.00
Grading Permit Fee: $0.00
Grading PC Fee: .e./.%-$$0p:,00�
TOTAL FEE: $145.00
ZONING APPROVAL:
GRADING APPROVAL:
$0.00
Plan Check Fee:
0 8 Engineer:
�. Address:
to wh°M:
Phone:
t�
e
1000/0 1,121 P,l
Designer:
Address:
a„za•.
rPhone:
c'
Special Conditions:
Lie:
Lic:
Octal
Planning
LUVII
Fios'UsplArtmenC
Plan check Fee :
$0.00
..ire ection )
Fair Share :
GG---"-'-�
Fi Ian Re
SJH Trans-------
--
$0.00
a o''
-�--Irr1ieu Housing Fee
�,,... �,
$11koo,
'�
.Fee
ilding Dept A
Public Works De
,_ -
GeneralServicE
,,..Park-Oedice 166 :
,50.00-
Refund Deposit
PAN,Plan Check'."
$0.00
Grading Bond:
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00
Fee
Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
S ••aa°
•
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l/o�y • e
�.deo•o
M.tmo
m
mo
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$145.00
mmoo
0
moo
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
rction 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 j',
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
Aessions 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
more than five hundred dollars ($500). I
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
siness 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
irovements 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
)roved 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
71y to an aM Il'b{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 exen" Nam licensure under the Contractors' State License Law for the following reason:
my signaPije geJdw 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
I 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
Ifessions Cor%, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
nature of Plpggr&�Owner or Authorized Agent gta
TENSED CONTRACTOR'S DECLARATION
frEby affirm eRd�er penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectionXPE
f Division 3 of the Business and Pr Si s Code, tense is in full force
J,evct. Licems6Class License No Dat-xContractor Signature
VKERS' COMPENSATION DECLARATION
'210Mrj: FAILURE -TO 9EQURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUMECT AN EMPLOYER TO CRIMINLTIES AND CIVIL
FINES UP TO ONE HUNDREDTH USAND DOLLARS ($100,0001, IN ADDITION TO THE
iT ORCOMPERS0115M AMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
lr¢by,affirm ugdgvenalty of perjury one of the following declarations:
y Ntave 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 IN
formance 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' compensation
urance carrier and policy number are:
-arrier Policy Number Expiration Date
Kc,ertify
of Agent Phone #
that, in the p orma e o he work for wh' 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 beco subjec t e worke ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applican Dat " i 02 d2 a'
DECLARATION REORDIA4..QONSTRUCTION LENDING AGENCY
hereby affirm undetf penalty 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
3y 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 Ic dry) I� r7 I s
I have read this application and the information I have pro a Is correct \
I agree to comply with all applicable city and coun ordi ant an aws relating to building construction.
I authorize representatives of this city or coun ant h ab°�e-id t'' led property for inspection purposes. / O
3i nature of Properly Owner or Authorized Agent > Print Property Owner's or Authorized Agent's Name Da
ACTION DATE BY V I D C ION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGUJArT10NS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
PERMIT CANCELLED
OCCUPANCY IOSSUED SIGNATURE: E O LIT IOfd 11 NOT Al LICABLE TO
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