HomeMy WebLinkAboutX2020-2314 - Permitsr City of Newport Beach - Building Division II�III�III�III�III�III�IIIIIII�IIIIIIII�IIII II COMB Permit: X2020-2314
�£. 100 Civic Ceptee Drive, Newport Beach, CA 92660 X 2 0 2 0 2 3 1 4
x Project No: 1855-2020
r. '� � Permit G96nter Phone (949)644-3288
'ui Inspection Requests Phone (949)644-3255
c,. Issued Date : 10/1412020
J 1xa1rTM`b Combination Type - MFP MECH ELEC PLUM NO CONSTRUCTION WORK Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1011512023 OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. NoWotk on Sundays or Holidays
Job Address: 311 E EDGEWATER AVE NB p, g �v ,q /�
Description: MFR REMODEL (E) BATHROOM 55 SF *STOP WORK 120-3025 O1 V SATURDAYS
Legal Desc.: NEWPORT BAY TR SUB OF BLK C LOT 13
Owner: TARDIE GERARD P
Address: 311 E EDGEWATER AVE
NEWPORT BEACH, CA 92661
Phone:
Applicant: CARLSON JAMES
Address: 2300 CLIFF DR
NEWPORT BEACH CA 92663
Phone: 949-645-3051
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R21U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 3
Bldg Height: 0
Bldg Sprinklers: N
Valuation:
Building Permit Fee: $161.00
Plan Check Fee: $140.07
Overtime Plan Ck:
$0.00
Investigation Fee:
$161.00
Record Management:
$14.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $555.52
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
SHERREN CONSTRUCTION INC Architect:
CARLSON JAMES
Address:
5311 GRANDVIEW AVE Address:
2300 CLIFF DR
YORBA LINDA, CA 92886
NEWPORT BEACH CA 92663
Phone:
714-713-7721
Phone:
949.645-3051 State Lic:C013773�
Con State Lie: 660658
Engineer:
Lie Expire:
03/31/2022
Address:
`
Bus Lie:
BT30066561
Lie Exp Date:
0913012021
Phone:
State Lie:
Worker's Compensation Insurance
Designer:
Carrier:
STATE COMP
INSURANCE Address:
Policy No:
1679172
sysy
Expire:
02101/2021
Phone:
Building Setbacks
Rear: I
Special Conditions: LIQUEFACTION & HIGH
Front: I
DENSITY AREA
Left: I
Right: /
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$46.25 Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share:
$0.00 Fire Plan Rev
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00 Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00 Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PM Plan Check : $0.00
Grading Bond:
$0.00
Electrical %:
$11.27
San Dist: $0.00
Mechanical %:
$6.44
NMUSD Fee: $0.00
$0.00
Plumbing %:
$14.49
$0.00
P,lyr„ Chick Fee» $141.S3a Fee Due at Permit Issuance :
a a
$413.57
e o
o PWBLICMORKS APPROVAL:
PLAN CHECK BY:
e eu
0
0 0
aJ APPROVAL TO ISSUE:
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
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 (_) 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 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
improved for the purpose of sale).
❑ 1, 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:
By 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, 1 cannot legally
sell a structure that I have built as an owner -builder if it has not been constructed in Hs entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00 1of ivision 3 of the Business and Pro essions de, y lic rise is in full force
and effect. License Class License No Date /o i 2 o Contractor Signature
WORKERS' COMPENSATION DECLARATION
NANNING: 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
COST 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:
1 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
f)/rmance of the work for which this permit is issued. Policy No.
have and will mainta rkers' 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'
rance carrier and polic nu ber are: /r-)
is of Agent G_.J %_W�
certify that, in the performance of the
, if I should become subject is the wq
Date
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
r� I provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Y'L/ ate
CLARATION REGA�I CO STRU ION LENDING AGENCY
:reby 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 co,
I agree to comply with all applicable city and county ordinances a ate relating to building construction.
I authorize representatives of this city or county tj eider the a -Id property for inspection purposes. /—
of ProDertv Owner or Authorized
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
I DATE I BY
1
1403'
OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
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