The URL can be used to link to this page

Home My WebLink AboutX2021-2447 - PermitsCityofBeacorth 11IIIII1111111111111111111111i1111111111 IIiVDrive,enter Beach, CA I1111111 Permit Counter Phone (949)644-3288 Type - BLDG ELEC PLUM Date_ /.2.! L - 2 Z COMB Permit: X2021-2447 Project No : 2110-2021 Issued Date : 09/20/2021 PE"'.- XPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTIO ROJECT g ETED BY 0912012024 OR G-o tru ; Mo -Fri 7:0 .m oCm. and Saturday fr 8:00 a.m. to 6:00 p.m. No work on 5 Job Address: 21 HAOU TN -&o0�aor r-� ,)9qWC1^tQ�¢¢,�-,,,,.4gDescription: SFR REYA11 NG A IGH 6 LF IBA_ 1X ItIL) & ELEC FOR PRE AE1 A �, Wjk4 411 Legal Desc.: ,' to whorrt: Owner: SUCHAIRID A A & TALMOR Contractor: M & R COASTAL CONSTRUCTION Archi ec Address: 21 HARO.OU T OURDAIN Address: NEWPORT AC CA 926 Phone: c ` PPstate 3 Phone: Applicant: AHUEJOTE FA L10 ED Engineer: LACHERTODD Address: 32303 QARI 8AN DR Lic Expire: 06/30/2023 Address: 1201 N TUSTIN ANA POIN CA 92624 Bus Lic: BT30076399 ANAHEIM CA 928 Phone: 9491456-330 Lic Exp Date: 08/31/2022 Phone: 714-630-6100 Code Edit: 201 o e S n lion Insuran Type of Construction: ica s ger. yp/I,C'ai NO EMP S id bre Rs: Occupancy Group: U lL+�t7 rf� �tGriG icy No: l an Added /New sq.ft. Bldg: 0 ` sire: �9�Q VJC3rj� Ststm Added /New sq. ft. Garag 0 4 No of Stories: Note: Building Setbacks Rear: 10 Special Conditions: Al,w No of Units, 10 Bldg Height: Left: 5 Bldg Sprinklers: Right: 5 Flood Zone: Use Zone_._ ar mg InSp. Ei�t#2�•Zone : N Construction Valuation: $4.000.00 Building Permit Fee: $144.00 Plan Check Fee: $125.28 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 Excise Tax: $0.00 Additional Fee : $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $10.08 Mechanical %: $0.00 Plumbing %: `- $12.96 II TOTAL FEE: $344.07 Plan Check Fee PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: - Planning Department - Plan check Fee: Fair Share: SJH Trans : In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check, $50.75 San Dist: $0.00 NMUSD Fee: $0.00 WILL Bt INVALID or Holidays PIT - State Lic:C-067656 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: $125.28 Fee Due at Permit Issuance ° V i PUBLIC WORKSS A!"PROVAn: 0 PLAN CHECK BY` APPROVAL Tn ISSUE 6J $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $218.79 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) j(section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto 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 L) all of or U 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: offe or 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);' �a— 2 Z ❑ 1, as owner of the property, am ex lusivgl� contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contracto State License Law does not apply to an owner of property who. bui s or �9 to thereon, and who contracts for the projects with a licensed Contractor r }tI gp retractors' State License Law ❑ 1 am exempt from licensure uhde he Contractors' State License Law for the following reason: ��"�e' By my signature below I acknowledge hat, y perso esidence in which I must have resided for at least one ypX pCiior to,completion of the improvements co red by this permit, I cannot legal ell a structure that I have built as an wne 11 er as I ons ed i e et n ra IS. I u 'rofessions Code, is available upon r ues i pplic on is sub or o g eb :// .legi lignature of Property Owner or;Autho zed .ICENSED CONTRACTOR'S D LA ' hereby affirm under penalty of perjur that I am licensed under provisions of Chapter 9 (commencing with Section 7000) nd effect. License Class - License No Date _ VORKERS' COMPENSATION Dt([MPE CL TIO ' IARNING: FAILURE TO SECURE WORKERS' ATION C RAGE ;KF S V I ALP :DST OF COMPENSATION, DAMAGES AS PRDED R IN SEC N3TES N FEES.hereby affirm under penalty of perjuone ing I have and will maintain a certil formance of the work for which th have and will maintain workers' Trance carrier and policy number Te of Agent certify that, in the performance if I should become subject to of Division Signature AND CIVIL FINES UP TO ONE HUNDRED THOUSAND of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by nit is issued. Policy No. 0 of the Lab r o , f erformance of the , rk for hich this permit LWJS U nI work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' :4M&ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant - CLARATION REGARDING CON RUCTION LENDING AGENCY , !reby affirm under penalty of perju th�LTlTefe $� Ider's Name I, nd�r-A5_.d11Ce�s 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. nature of Prooertv Owner or Authorized Agent Print Property Owner's or Authorized Agenl ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED LJISUBMITIEDASBESIVSN�)IIFIL4nUN IU PERMITCANCELLED ),.(Z-24.. Dn.,tl..•• EPA •• PERMITEXTENDED • • • amo • ••• PERMIT FINAL • • • 'LJ ASBESTO5 NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF • PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATU E: • •'• �• e®® ®•® e e o o e � idn 3b97, Civil C 7044 of the Business and and my license is in full force ($100,000), IN ADDITION TO THE 3700 of the Labor Code, for My workers' laws of California, and • e ec ` •e® •e