HomeMy WebLinkAboutX2022-1213 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
r fi. Inspection Requests Phone (949)644-3255
�Gzrpa�u,,n' Combination Type - MFP
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1213
x 2 6 2 2 1 2 1 3 - Project No : 1448-2021
Issued Date : 05/12/2022
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 476 MORNING CANYON RD NB
Description: DELTA 7 -ADD'L SCOPE- 80 SF PATIO W/ STEPS. BLOCK WALL 42" X 22'. 4'X14' RETAINING WALL
Legal Desc.:
Owner:
CORY CHARLES
Contractor:
PMR CONSTRUCTION
Address:
16632 HALE AV STE 125
Address:
2061 FAIRWEATHER RD
IRVINE CA 92606
SANTA ANA, CA 92705
Phone:
Phone:
714-231-7272
Applicant:
KELSAY DANIEL
Con State Lie:
716745
Address:
125 W MAIN ST
Lie Expire:
12131/2023
TUSTIN CA 92780
Bus Lie:
BT30053615
Phone:
949-375-5495
Lie Exp Date:
01131/2023
Code Edit: 2019
Type of Construction: V-B
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
Construction Valuation: $4,600.00
Building Permit Fee: $161.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $319.00
PROCESSED BY:
ZONING APPROVAL: ry1UW
Worker's Compensation Insurance
Carrier: STATE COMPENSATION INS FUND
Policy No: 9266341
Expire: 12/2112022
Building Setbacks
Zone:
Rear: 6
Front: 5 SEAWARD
Left: 6
Right: 12 MORNING CANY
king Spaces: 0
Architect:
Address:
Phone:
Engineer: YANG HONGBO
Address: 21745 SANTA POLA
State Lie:
MISSION VIEJO, CA 92692
Phone: 949-395-8953 State Lic:C-088467
Designer:
Address:
Phone:
Special Conditions:
,{ v� '
Fire Hazard Zone : N N..;)
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$155.00
Plan check Fee
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant :
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Fire Department
$0.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee: $319.00 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: 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
1e 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
of more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do U 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).
1 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
poly 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:
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
all 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 the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw. html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivisi n 3 of the Business and Pro s de, a m r �' n full force
nd effect. License Class License No Date 0.y 1 2 Z Contractor Signatur
PORKERS' COMPENSATION DECLARATION
IARNING: 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 ($100,000 , IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
SVormance of the work for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carrier and policy number are:
ie of Agent
certify that, in the
. if I should bacon
of Applicant
Policy Number
Date
which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
1pea atio provisi n .of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �
Dapey
hereby affirm under penalty of perjury that there is a construction I$ndjlfg agent
ender's Name //�
ly 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
I authorize representatives of this city or countyty-�" . tiwj
of Property Owner or Authorized
ACTION DATE I
r the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lenders Address
to building construction.
pection purposes.
rint Property Owner's or Authorized Agent's Name
OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF T 440 AND AQMD RULE
1403
PERMITEXPIRED
U I SUBMITTED ASBEST S NOTIFICATION TO
PERMITCANCELLED
O7EPA
PERMITEXTENDED
QMD
PERMITFINAL
CERTIFICATEOF
OCCUPANCY ISSUED
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: