HomeMy WebLinkAboutX2021-2864 - PermitsCity of Newport Beach - Building Division
COMB Permit: X2021-2864
.�. 1 100 Civic Center Drive, Newport Beach, CA 92660
Project No'. 2499-2021
)
H , Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC PLUM MECH
Issued Date : 01103/2022
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0110312025 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: 3196 CORTE HERMOSA NB
Description: SFR REMODEL 224 SF (KITCHEN, (E) BAY WINDOW)
Legal Desc.: N TR 12271 LOT 60
J,:�4`1¢ fi
Owner: BEARDSLEY BRUCE/CORLANN Contractor:
MCDONALD CONSTRUCTION Architect:
Address: 3196 CORTE HERMOSA Address:
NEWPORT BEACH, CA92660
11051 ARROYO AVE Address:
SANTA ANA CA 92705
-
Phone: Phone:
714-323-5251
- Phone:
State Lic: O,„
Applicant: CARD JAMES Con State Lic: 1024297
Engineer.
° ° ° ° ° • , °
Address: 14GUMWOOD Lic Expire:
03131/2023
Address:
• ° pp°°°°
IRVINE CA 92612 Bus Lic:
BT30060675
.°°•••
,
Phone: 949-500-2208 Lic Exp Date:
09130/2022
Phone:
State Lic: • • • ° °
Code Edit: 2019 Worker's Compensation Insurance
Designer:
°• •
CAROJAMES .p••, '-'•
•
Type of Construction: VB Carrier:
CALIFORNIA INS CO Address:
14 GUMWOOD ....
Occupancy Group: R3/U Policy No:
460091230305
-
IRVINE CA 92612 ° ° °
Added /New sq.ft. Bldg: 0 Expire:
06/01/2022
Phone:
9491500-2209 ° • • ° • + °
Added /New sq. g. Garage: 0
•.°°•
,
No of Stories: 2 Building Setbacks
Rear: /
Special Conditions: LIQUEFACTION AREA •, ......
°
No of Units : 1
Front: /
• • • ° °
Bldg Height: 0
Leg: I
° ° ° ° •
Bldg Sprinklers: N
Right: /
Flood Zone: X Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $42,000.00
Building Permit Fee: $703.00 Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $611.61 Additional Fee :
$0.00
Plan check Fee :
$52.00 Fire Inspection: $0.00
Overtime Plan Ck: $0.00 Grading Bonds Fee:
$0.00
Fair Sham:
$0.00 Fire Plan Rev $0.00
Investigation Fee: $0.00 Grading PC Consultant:
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $12.00 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 WO Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit $0.00
Disabled Access : $0.00
PAN Plan Check: $0.00
Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %:
$49.21
San Dist : $0.00
Building Green Fee : $2.00 Mechanical %:
$28.12
NMUSD Fee: $0.00
- $0.00
Plumbing %:
$63.27
$0.00
TOTAL FEE : $1,521.21 r
Plan Check Fee:
$663.61 Fee
Due at Permit Issuance : $857.60
t ..
PROCESSED BY: BY: .r°
PUBLIC WORKS APPROVAL:
ZONING APPROVAL: °- `�
PLAN CHECK BY:
Al
GRADING APPROVAL:
APPROVAL TO ISSUE:
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the mason(s) indicated below by the checkmark(s) I have placed rent to the applicable item(s)
act!on 7031.6, 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
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License taw (Chapter 9 (oommenoing with Section 7000) of Division 3 of the Business and
ifessions Code) or that: he or she is exempt from ricensure 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).
1, as owner of the property, or my employees with wages as their sole compensation, will do L) all -ofor L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
riness and Professions Coder The Contractors'State License Law does not apply to an owner of property who, through employe", or personal effort builds or improves the property, provided that the
xovements 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
ly 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 licensure under the Contractors' State License Law for the following reason:.
Try signature below I acknowledge that,. except for my personalresidenceIn which I must have resided for at (east Doe year pnoC to -completion of the improvements covered permR, I cannot legally
a structure that I have built as an oby this
owner -builder it it has not been constructed its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 this
the Business and
'essions Code, is available upon request when. this application is submitted or at the following Web sitedlttp:/MANw.leginfo,ca.gowcalaw.html.
lature of Psoperly Owner or Authorized Agent
EMBED CONTRACTOR'S DECLARATION Date
'Etjy affirrn.Var penalty of perjury thIt I am licensed under provisions of Chapter Q commencing with Section 700p otD Qn 3 of the Business and Professi ns.Cod , an v nse is in full force
effect. License Bass iS License No �QC: L% LY ! Date ,mod' S G— �! '
RKERS' COMPENSATION DECLARATION Contractor Signature?
.•��.w m— auMILUT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tSt00,0001, IN ADDITION TO THI
PER�AMCN,-DAMAGES AS PRONGED PORIN SECflON 3TO6.OF THE LgBOA CODE, INTEREST, AND ATTORNEI^e FEES.
iereby affirm under penalty of perjury one of the following declarations:
S Save an j y/114rpdintain 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
SS?Mance of the work for which this permit is issued, Policy No.
x*e and vyll maiptain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this
:urartce c mer ant olicy number are: permit is issued. My workers' compensalio
Iwer AO-USLf rc, LIL_q y tf 6 Ob/!Z3 b 3 6S/
age of Agent •T: S-T c• ,1 Policy Number Expiration Date fo/// 2Z—
Wlc.rrUW' 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 asp to become subject to the workers` compensation laws of California, and ogre
it, if i should become subbjjectto the wor rs mpensa lon provisions of Section 3700 of the Labor Code, 1 shall forthwith comply With those provisions.
[nature of Applicant d s
:CiJIRATION REGAltDINGCONSTRUCTION LENDING AGENCY Dated/'3/L2
Dreby affirm under penalty of perjury that there is a construction lending afor the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name gencyLender's Address
my signature below, 1 mrory to each of the following:
I am the property owner or authorized to act on the property behalf.
I have read -this application and the information.I have provided is correct,
I agree to comply with ail applicable city and county ordinances and state laws relating to building construction..
I authorize representatives of thiscity or countytoenterthe abov/entifiedproperly for inspection purposes.
nature of Pmn.H name.,.. n..u.____... ___. f /l.. _ i/
By
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
CERTIF/CATEOF I
./ - V A� " l(1 k T' ' T J3 IvurIrnxuuN U NOT,iRPPLICABLE TO
OCCUPANCY ISSUED ( ! ROPOSEDi1pQ�rOLff10 `40
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