HomeMy WebLinkAboutX2021-1086 - Permitsa� City of Newport Beach - Building Division IIIIIIIIIIII'IIIIIIII�IIIIIIIII�lllllll� II COMB Permit: X2021-1086
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 0 8 6 Project No : 1006-2021
Permit Counter Phone (949)644-3288
s.. Inspection Requests Phone (949)644-3255
F+iaa,cv`= Combination Type - MFP ELEC PLUM Issued Date : 05/1212021
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED B Y 05112(2024 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: 6 CANYON ISLAND DR NB
Description: MFR - FIRE DAMAGE REPAIR IN BEDROOM #2 & DECK.
Legal Desc.: TR 8445 LOT 1 UNIT 6 B1 2 G OF PROJECT LOCATED ON AP 442-241-01
Owner: OAKHURST INTERNA '" ora��cor. 'm`"'�C�'SKS'-kESTORATION CONTt27�01t�` -`�- Archifect
Address: 6 CANYON ISLAND D ate. 7� dtlak "s 9767 E EASTERAV ItA8,d*7CGS le-
NEWPORT BEACH C 2660D T CENTENNIACC08OiTZ—
Phone, Phone 303 789-4258 h ffff00'State Lic:
Applicant: MURPHY JEREMIAH St c. NM%V.,0-
0 �Engineer: HANSEN HANS CHRISTOPHER
Address: 160 E MAIN ST #201 Lic E Address: 180 E MAIN ST #201
TUSTIN CA 92780 EM � TUSTIN CA 92780
Phone: is��'p Date: 2022 Phone: 714-573-0073 State LicfS-003027
Code Edit: 2019 mpe�s s n Designer:
Type of Construction: V-B rn - - ED
Address:
Occupancy Group: R20licy 3- 9-
Added /New sq.ft. Bldg: 0 04/0 0 Phone:
Added /New sq. ft. Garage: 0 - k,
No of Stories: 2 Building Setbacks Rear: / Special Conditions:
No of Units : 7 Front: /
Bldg Height: 0 Left: / m
Bldg Sprinklers:)Xf � �^'
Flood Zone: rr: s 1r es: 0 i Z : N � _ E
Construction Valuation: $85,010.00
work started) (no work started)
Building Permit Fee: $1,089.00 Exci a Tax: $0.00 Planning Department - Fire Department EE
Plan Check Fee: $947.43 Additional Fee : $0.00 Plan check Fee : $46.25 Fire Inspection: k $0.00
Overtime Plan Ck: $0.00 NoLg Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan v $0.00
Investigation Fee: $0.00 g onsu an rans: em n
Record Management: $30.00 g Permit Fee: $0.00 In -lieu Housing Fee : $ Qg tA $0.00
Ene Com liance: $0.00 - e - ep Ins Witials: "ce $0.00
r9Y P g R6 Fee' $9 09 -—,e,�,t- p•
CA Seismic Safety: $0.00 $0.00
Disabled Access: $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %: $76.23 San Dist: $0.00
Building Green Fee : $4.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00
Plumbing %: $98.01 $0.00
TOTAL FEE : $2,299, .'plan Check Fee : $993.68 Fee Due at Permit Issuance : $1,297.24
PROCESSED BY; " ` sa �' o G PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: _ ` c APPROVAL TO ISSUE:
e e e
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)
ction 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
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
fessions 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
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,
liness 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
rovements 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 theproject.(Sect,Lon. 70,4.4,.9usiness and.Rrofessions=Code: The Contractors' State License Law does not
ly to an owner of prop TR�VNO d it ff—fdrthe"projects With a licensed Contractor pursuant to the Contractors' State License Law).
J 1 am exempt from lice - ure under the Contrac t e n e following reason:
ly my signature below I a nowl e� except fo p re ce i ich I must have resided for at IBae, Rife ysar--paibftb completion of the improvements covered by this permit, I cannot legally
ell a structure that I have uilt arr"ft-builde ' In I s entirety by have, contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is avail le upon request wh th application is submitted or at the following Web site:http://mvwd 'Ig o.Ca al V,, `;
lignature of Property Own ror t E'E «- �. "-�_^'4`-:u: IIJJ % vl a � i`" IlC' Date
.ICENSED CONTRAC R' C TIO w
hereby affirm under lgna penal of p ju m li sed nd to a' r 9 (spm lencing h Sectiggl�y,,7Q 0 q(Du ision 3 of the Business and PrQfessions jCode, and my license is in full force
rideffect. License Class ns b%'i: o'ir SuteeVV
PORKERS' COMPENS TI TION
IARNING: FAILURE TO SECURE ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU CT _ 0 CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAM ES BINS XW
o N N - S2'N
hereby affirm under penalta of pury one the f -I have and will maintai a c ificate onse worker c pe ti a Director of Industrial Relations as provided forll by Section 3700 of the Labor Code, for tha
rmance of the work for hich - s iss I
have and will maintain orkers' 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
I rance carrier and policy_ umber are: g p�
.anner !ZZPolicy Num - ` Disc
lame of Agent E V ate. PI $
�I certify that, in the perfor anc o e ork for which this,,PPenniPis' sued, I shall not employ any person'��qI ��{tII������{{II�@@rr ���e subject to the workers' compensation laws of California, and agree
iat, if I should become subj ct to the workers' NV�LS� t�$Wted� of Section 3700 of the Labor Codet'I's'IialYPoYf 9hbply w— iKthose provisions.
lignature of Applicant
IECLARATION REGAR �,�{21JCTION LENDING AGENCY �.
hereby affirm under penalt ` :10 HL h ormance o e work for which this permit is issue dd (,Syc' , Civil Code).
ender's Name Lender's Address .,
ly my signature below, Ice€nep to each of the following: !`—
I am the property owner ar authorized to act on the roe own -"
I have read this applicati an a In orma Ion ave 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.
lignature of Property Owner or Authorized Agey Print Property Owner's or Authorized Agent's Name ,I YI� �5<<VUY Date
4CTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 1• . ... ---
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
'•' •�• -� .•. .•. .•
PERMIT CANCELLED
EPA
PERMITEXTENDED
QMD
PERMIT FINAL
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
R POSED DEMOU (ON
• �' • • • • s s c
°•� ° • e e
OCCUPANCYISSUED
SIGNATU `��
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