HomeMy WebLinkAboutX2021-0863 - Permits (2)wtuy City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2021-0863
Gaa 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 8 6 3 Project No
F v Permit Counter Phone (949)644-3288
a.1 Inspection Requests Phone (949)644-3255
Issued Date : 04/13/2021
Combination Type - MFP
NO CON STRUC;Tid14`Nh1aR�
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 04/13/2024 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: 1819 W BAY AVE NB St: 1 FI: 1 Unit: A
Description: MFR DOOR CIO IN FAMILY ROOM
Legal Desc.: P M 183-24 PAR 1 UNIT 1 OF PROJECT LOCATED ON AP 47-181-17 TOGETHER
Owner: MARALLY JOHN Contractor: OWNER/BLDR
Address: 6965 EL CAMINO REAL #105231 Address:
CARLSBAD, CA 92009
Phone: 760-419-9603 Phone:
Applicant: MARALLY JOHN
Address: 6965 EL CAMINO REAL #105231
CARLSBAD, CA 92009
Phone: 760-419-9603
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R211.1
Added Mew sci t. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units: 4
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Valuation: $3,000.00
Building Permit Fee: $127.00
Plan Check Fee: $0.00
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
TOTAL FEE: $1
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lie: O/B
Lie Expire:
Bus Lie:
Lie Exp Date:
Workers Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: I
Right: I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
ON SATURDAYS
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lie:
State Lie:
Special Conditions: HIGH DENSITY
OWNER/BLDR RECEIVED
Planning Department -
Plan check Fee
Fair Share :
SJH Trans:
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PIW Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
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:
$0.00
�2E6
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $128.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: it" I A
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DO
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
ie 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
at more than five hundred dollars ($500).
irl, 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,
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
nproved for the purpose of sale).
7 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
pply 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).
7 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 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 he Business and
'rofessions Code, is available upon request whe this applicatio 's submitted or at the following Web she:http://www.leginfo.ca.gov/calaw.htmi. �[
signature of Property Owner or Authorized Agen Dat€ L/
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed u der provisions of Chap (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
COMPENSATION DECLARATION
1ARNING: 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 I$100,0001, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 I have and W.".I 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
3rfnrrence of 1hi work for which this permit is issued. Policy No.
]I have and will r,Iai,nain 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'
.su. anca carrier aLd policy number are:
Policy Number Expiration Date
of Agent
r`ify that, -I 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 agre
`t r I should become subject tothth�/y�'orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iynamra of Applicant _ A L!/ _ Date��J /w 21
h3. Eby 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)
endpr's Name Lender's Address
y my signature below, s certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
1 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,(oknter the above -identified property for inspection purposes.
of Prooertv Owner or Authorized
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
I DATE I BY
u -Z
DECLARATION OF COMPLIANCE WITH CODE OF FEDEI
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION
FOR OFFICE USE ONLY
Date
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