HomeMy WebLinkAboutX2020-2657 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIiIII IIIIIIp111 COMB Permit: X2020-2657
a T 100 Civic Ceoter Drive, Newport Beach, CA 92660 1� I /-+ �+T p0 0 6 Project No : 2110-2020
r Permit Counter Phone (949)644-3288 i V O CONS S 9 &16
.. Inspection Requests Phone (949)644-3255 C0
r: c* Combination Type - MFP ELEC PLUM MECH o\o Yd Issued Date : o210a12021
r,r.ix yP fl
��. o ��a Inspection Area : 8
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST V BE COMPLETED B 09/ 2,4 OR PERMIT WILL BE INVALID
Construction Hours: Monday- Friday 7:00 a.m. 6:30 pa an;o urday fro 8:00 a.m. tc 6:00 P.m. N ork �4, ,Sundays or Holidays
Job Address: 603 ORCHID AVE NB SS��
Description: MFR REMODEL BATHRM, R/R (8) WINDOWS, DRYWAL STORA& RM,dEIIOVE 1yE7 AR, REMOVE WALL BETWN UNIT "A'. PERMIT UN PERMITTED BATHRM, REMOVE
BATHRM 200 SIF
Legal Desc.: CORONA DEL MAR BLK 641 LOT 3
Owner: PRATA CLAUDINE & CALABRETTA Contracto . TENNYSON'PAUL CONSTR CO Architect: 1 P i �. Yi ^ ^
Address: 2107 ANNIVERSARY LN Addre 391 LA PERLE LANE Address:
NEWPORT BEACH, CA 92660 �;- COSTA MESA CA 92627 ` / a
Phone: P one 949-645-0572 Phor� Ufa Li O
Applicant: JOHNSON TERRY Con State Lic:. 435942 Env,VVVer,r��� , 06h ILLS GA m. .
Address: 17 SKYGATE Lrc Expire 02/28/2021 Adddiieees5,� 2821 CL HOUO R.
ALSIO VIEJO CA 92656 / Bus Lic: BT00022352 5'� ' COs MkCy. A 26 r C
Phone: 949.939-7118 ry` Lic Exp Date: 06/30/2021 Ppbdoa: �.,rb State Lic:S-003047 r- r
Code Edit: 2019 Worker's Compensation Insurance ® •.NSesigner: JOH 1 N RRY a / C • 'r'0
Type of Construction: V-B r Carrier. STATE FUND O Address: 1 KY E O fin
Occupancy Group: R3/ Policy No. 1042844 �� a IEJO CA 92656 � W . C^= /mil
Added /New sq.ft. Bldg: 0 Expire: 10/01I2021 Ph e: 4 9-7118 .� Z \' J
Added /New sq. ft. Garag 0 - ^ 8
No of Stories: 2 !QQ Building Setbacks Rear: 5' Speels o ions: HIGH DENSITY FORM ON
No of Units 2 �� C) ; Front 20' PLANS
Bldg Height 0 Left: 3� a 120-1536
Bldg Sprinklers. Ri t: ` Z-�
Flood Zone: 46z . R-2 Par ' ces: 0 . e Hazard Zone : N --"I
Construction Valuation 600 r"-
Building Permit Fee $@8,9�0 ax: 9SO.0Q0 PI ning a, ant- Fire Department
Plan Check Fee: $773.43 +° ` al Fee : $0 Q Plan c c ee $46.25 Fire Inspection: $0.00
Overtime Plan Ck: $0.�00 ng BondsreC )VVV 6�'i(0 Fai h $0.00 Fire Plan Rev $0.00
Investigation Fee: $889.00 _'- . ding PC Coy16$T1f: 0.00 H ns : $0.00 Demolition Fee
Record Management: $30.00 "�`.;: Grading P it F �C) $0.00 In u Housing Fee: $0.00 Building Dept Adm $0.00
Energy Compliance: $0.00 k" Gradin ` $0.00 P is Works Department - General Service $0.00
CA Seismic Safety: $0.00 Q I $0. Park Dedication : $0.00 Refund Deposit $0.00
Disabled Access: $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00
Hazardous Mat $0.00 Ele al %: 62.23 San Dist:
$0.00
Building Green Fee: $3.00 Mach al %: $35. NMUSD Fea: $0.00 $0.00
Plumbin o: `�1! $ .0 $0.00
TOTAL FEE : $2,808.48 N P Check Fee : $408.17 Fee Due at Permit Issuance : $2,400.31
PROCESSED BY: - p f PUBLIC WORKS. APPROVAL:
ZONING APPROVAL: V-� C.� PLAN CHECK BY: ✓ v
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor' State License Law for the r son(s) indicated b the'L'lyeckr
ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, al improve, demo istr rep ant
permit to file a signed statement that he or she is licensed pursuant to the provisio/d)
ra s' State License `'('Chapter 9 minty
fessions Code) or that he or she is exempt from Iicensure and the basis for the alleny violation of S@@n�t�on 7031.5 b any lice
more than five hundred dollar ($500). OO\
I, as owner of the property, or my employees with wages as their sole compensatill oT�) porlis of the wo , and the structu
siness and Professions Code: The Contractor' State License Law does not apply tpp``r�rty wjhrough em yees' or personal el
rovements are not intended or offered for sale. If, however, the building or improve0tin one.q r of comp ion, the Owner -Builder
roved for the purpose of sale). O
I, as owner of the property, am exclusively contracting with licensed C
Ily to an -Owner of property who builds or improves thereon, and who cc
I am exempt from Iicensure under the ContractorsState License Law
m7signature below I acknowledge that, except for my personal resides
a structure that I have built as an owner -builder if it has not been co
fesslons Code, is available upon request when this application is IT
nature of Propsrtp Owner or Authorized Agent
TENSEDC(jNTRACTOR'S DECLARATION
arebv affirm under penalty of perjury that I am licensed u r provislP
J effect. Lice.ise Class ceps
)RKERS' COMPENSATION DECLARATION
.URE WORKERS' COMPENSAI
D/ MAGES AS PROVIDED FOR
rehy affirm uncer penalty of perjury one
I. gate and will maintain a certificate
e,mrnce of the work for which this n
Lave and will Tairtain worker ' omp,
nce carrierand policy num r are:
S
rC'ii Agent
certify that, in the p ",qi_ a e yyII
I f I shodld becomes#to worAl
lature of AoDlicant
;to constriFd the prdf§,,t(S
rthe projects w icense
e following reason:
which I ust have resided
d in' entirI I by IlcenstAon
r the foll6�ng Web,site:http
Chapter 9 (commencing with
' SHALL SUBJECT AN EMPLOYER TO CRIMINAL
R.COOE, INTEREST, AND ATTORNEY'S PEES.
consent self -insure for workers' compensation, issued by the
is iss d. Policy No_
sa' n insotance, as required by Section 3700;of the Labor Codr
u'
Policy Number 'pia
for wh _ is permit is issued, I shall not I
co on provisions of Section 3700
rreby affirm under penalty of pegvtha ere is
lder's Name a.,`A•.
my signature below, I certify to each ,f0 ing:
I am the property owner or authorized t , { on"V pro rty ow
I have read this application and the informR 1 h e provided
I agree to comply with all applicable city and dpord cet
I authorize representatives of this city or count - e
nature of Prooertv Owner or Authorized Anent
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE I BY
agency pen
`` a0er
1ry�laws Slaat g to
llJfi9d property foy
(s) I. have placed next to the applicable items)
prior to its issuance, also requires the applicant for
with Section 7000) of Division 3 of the Business and
U a permit subjects the applicant to a civil penalty of
Business and Professions Code: T
pursuant to the Contractor' State
one year prior to cor
I understand that a
UP TO
performance
and
Jed or offered for sale (Section 7044,
;improves the property, provided that the
NA den of proving that it was not built or
/ortS State License Law does not
et'
Tier ere��is permit, l cannot legapermit, I cannot legalll
law, Sec 7��e Business and
ate
s n;�,/ d my license is in. full force
HOV/ANo DOLLARS ($100,000), IN ADDITION TO THE
by Section 3700 of the Labor Code, for th
this permit is issued. My workers'
eron in any rr��ll��One o as to ec a subject to the workers' compensatiop laws yf California, and agree
Code, I shallr}Ajt ith co y those provisions. f
l
Date
of thZe7;orJ9F�,• is is permit is issued (Section 3097, tr ivil bode)
/ Q
�
S,
61 t' iInE 40 AN A RULE
OS NOT N TO
CA110DIIIS NOTQPPICABLE TO
Owner's or Authorized AD
I FOR OFFICE USE ONLY
Date