HomeMy WebLinkAboutX2022-1155 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
# Per Civic Center
hone,Newport
9)644Beach, CA92660 N® CONSTRUCTIONNOISE
e I r Permit Counter Phone (949)644-3288 ! ! 4 C Inspection Requests Phone (949)644-3255
Combination Type - GRAD ELEC PLUM
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID /NSP��J.-�IRQ.�'C�
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. a t r (r
Job Address: 1805E BAY AVE NB
Description: SFR HARDSCAPE/LANDSCAPE INCL YARD DRAINAGE
Legal Desc.: BALBOA TR EAST SIDE ADD LOT 3 BLK 27 ALL-INC S112ABAN ST ADJ ON
Owner: MCCAFFERTY BRIAN & ROXANNE Contractor: ATP BUILDERS INC
Address: 1805 E BAY AV Address: 201 SHIPYARD WAY #1
NEWPORT BEACH CA 92661 NEWPORT BEACH CA 92663
Phone: Phone: 949-887.1777
Applicant:
GARCIA RON
Address:
155 ROCHESTER ST
COSTA MESA CA 92627
Phone:
626-224-3300
Code Edit : 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Flnnd 7nne: AE
Construction Valuation:
Building Permit Fee: $501.00
Plan Check Fee: $435.87
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$30.00
Energy Compliance:
$0.00
CA Seismic Safety :
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE : $1,455.87
PROCESSED BY:
ZONING APPROVAL:
Con State Lic:
1013886
Lic Expire:
0513112024
Bus Lic:
BT30056365
Lic Exp Date:
08/31/2022
Worker's Compensation Insurance
Carrier: EXEMPT
Policy No: NO EMPLOYEES
Expire:
Building Setbacks
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: /
Right: /
Parkino Soaces
$0.00
$0.00
$0.00
$0.00
$237.00
$199.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
COMB Permit: X2022-1155
Project No : 1061-2022
Issued Date : 06/07/2022
Inspection Area : 1
ILL) BY UH YtKMII WILL BC IN VAL
p.m. No work on Sundays or Holidays
Architect: METODIEV TRIFON
Address:
155 ROCHESTER
COSTA MESA CA 92627
Phone:
949-293-2176 State Lic:C037844
co
co
Engineer:
DEIHIMI AMIR
Address:
4400 CAMPUS DR
NEWPORT BEACH CA 92660
p�Wd
1 1
Phone:
949-752.1612 State Lic:C047283
0
Designer:
-i
Address:
Phone:
a
Special Conditions:
LIQUEFACTION AREA
HIGH DENSITY
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist :
$0.00
NMUSD Fee:
$0.00
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$686.87 Fee Due at Permit Issuance
PUELIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: \,JC �c/I APPRO VAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$769.00
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicz
ted 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 L
iw (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).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions oft
a 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 a
ployees' 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 comp)
tion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044,
¢usiness 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 Iicensure under the Contractors' State License Law for the following reason:
ar prior to completion of the improvements covered by this permit, I cannot legal)
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one y
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I un
erstand 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://www.leginf
.ca.gov/calaw.html.
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 Sect! 7000) of
Division 3 of the Business and Profess on de, and my license is in full force
and effect. License Class License No Da
Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT
ES 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.
I hereby affirm under penalty of perjury one of the following declarations:
111 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
performance of the work for which this permit is issued. Policy No.
❑I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe
ormance of the work for which this permit is issued. My workers' compensatiD
insurance carrier and policy number are:
Carrier Policy Number
Expiration Date
N e of Agent
Phone #
D as to become subject to the workers' compensation laws of California, and agre
ri ,1 certify that, in the performance of the rk far which this permit is issued, I shall not employ any person in any manner E
that, if I should becom subje t to w ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Signature of Applicant
y
DnIZ�/�/2a
DECLARATION RE RD G CONSTRUCTION LENDING AGENCY
I hereby 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).
Lender's Name Lender's Address
By 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 an ate laws relating to building construction.
I authorize representatives of this city or county o e the ab a-i ntified property for inspection purposes.
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Signature of Property Owner or Authorized Agent Print Property Owner's or Aut
prized Agent's Name - Li Da l
ACTION
DATE
BY
ECLAR N OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE
SE ONLY
11GULATIO PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
ISUBMITTE ASBESTOS NOfiFIi AT-cr TO
PERMITCANCELLED
EPA -
PERMIT EXTENDED
QMD
PERMITFINAL
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ASBESTOS N TIF ATION 15 NOT APPLICABLE TO
CERTIFICATE OF
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P OSEDD ION
OCCUPANCYISSUED
SIGNATU