HomeMy WebLinkAboutX2022-1145 - Permit Applicationrr�wrrj,
City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (91
Inspection Requests Phone (91
Combination Type - MFP ELEC MECH PLUM
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID Iii
Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. and
Job Address: 14 ARIES CT NB
Description: MFR INTERIOR REMODEL 1578 SF. TANKLESS WATER HEATER(GARAGE), PE'
Legal Desc.: TR 7817 LOT 1 UNIT 78 OF PROJECT LOCATED ON AP 424-041-01 TOGETH
Owner:
KOUTOUSIS HARRIET
Address:
14 ARIES CT
NEWPORT BEACH, CA92660
Phone:
Applicant:
LARRY MCEE
Address:
639 MAPLE AVE
BREA, CA 92821
Phone:
714-357-9799
Code Edit
2019
Type of Construction:
V-B
Occupancy Group:
R2/U
Added /New sq.ftBldg:
0
Added /New sq. ft. Garage
0
No of Stories:
// �.
No of Units :
6
Bldg Height:
0
Bldg Sprinklers:
Flood Zone:
N /
X
Construction Valuation
— 150
Building Permit Fee
\0�
$�,�37.
Plan Check Fee: $1,337 111 :
Overtime Plan Ck.
$6.0�
Investigation Fee:
$1,537.06
Record Management:
$16.00'
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$1,00
Hazardous Mat
$0.00
Building Green Fee :
$6.00
*X2022-1145*
Contractor: MC G CON§T,�WT
Address: X714-357-9799
LE AA1��EE
A 92821 ^ Q
Phone:
Con Stat ic: 7963
Lic E e: 0 012023
Bu ic: T30078719 ;.
Exn Date: 05/31/2023
�ECT57Y1UST BE CCISIMFLETED
y from 8:00 a.TTd 6:00 p.m
�ppoc
SIWNEL. (122- 80)
J O
0 Ot Ar itect:
� ddress:
r0�` Phone:
rker's Co ensation Insurance
Carr STATE COMP. INS
P icy No: 9043410
tiJ xpire 01/26/2023
p
uildmg`Setbacks Rear I ,v
/Lr Front I 'A' _W
77 -�s Left. I 6,
Riaht: I
TOTAL FEE: $5,863.77
PROCESSED BY: �
� /
I 1.) i /
ZONING APPROVAL: tl,l '�"
GRADING APPROVAL:
COMB Permit: X2022-1145
Project No : 1055-2022
Issued Date :
Inspection Area : 2
OR PERMIT WILL BE INVALID
on Sundays or Holidays
Engineer: TABATABAEE R HADI M
Add 515 W C ALTH AV
ress. -�
FULLER 92832
Phone: a State Lic:C 29
Designer.
Address:
Phone,
�1 .;?Ccd€(1ons: HAUL :BG JL
-
Tax: ,:;i $0"00 rang Department -
naI Fee 'y:4 2� ; $0.00 �n,Vlffn check Fee : $ .0
3 Bonds FQ .> $0.00 Fair Share : $ 0
onsullW $0.00 "q SJH Trans : 0.00
Fee. $0.00 In -lieu Housi as : $0.00
&,blic Wor epart nt
Park D ication : .00
P Ian Chi $0.00
al%: ?-5.1� Sa ist: $0.00
g : F 16 USD F e: $0.00
n$.33 5
Plan
Fire Department
Fire Inspection:
Fire Plan Rev
Demolition Fee
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$27.00
$265.00
$664.00
$0.00
$0.00
$0.00
Fee ✓$..1489.19 Fee Due at Permit Issuance : $4,474.58
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
KH
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the ContraZith
tate License Law for the reason( dicate
(Section 7031.5, Business and Professions Code: Any city or county that reqpermit to construct, alter, imp e, demolish,
the permit to file a signed statement that he or she is licensed pursuant to thisions of the Contractors' S License Law (C
Professions Code) or that he or she is exempt from licensure and the basis falleged exemption. Any ' ation of Section 7&
not more than five hundred dollars ($500).,P
❑ 1, as owner of the property, or my employees with wages as their sole coation, will do L of or U portions oflewoi
Business and Professions Code: The Contractors' State License Law does nly to an own prop who, who, thrgry� mplot
improvements are not intended or offered for sale. If, however, the building ovement' old withj�I\ 6 year, mpletion,
Im roved for the purpose of sale). \\ Ga /�I, as owner of the property, am exclusively contracting with licensed Cons onstruC &'j project �ecrtion 7044, sinapply to an owner of property who builds or improves thereon, and who contthe prgje Ith a lIcQ ed Contras pursu�1 00❑ 1 am exempt frda, „censure under the Contractors' State License Law following �ason:
Iwby the checkmark(s) I have placed next to the applicable item(s)
repair any structure, prior to its issuance, also requires the applicant for
er 9-(commencing with Section 7000) of Division 3 of the Business and
5 any' applicant for a permit subjects the applicant to a civil penalty of
and th tructgre is not intended or offered for sale (Section 7044,
s' pe nal effort, builds or improves the property, provided that the
erOOwner- der veil) have the burden of proving that it was not built or
s and Professio Coi The Contractors' State License Law does not
I to the Contracto ' State License Law).
By my signature be;c.v I acknowledge that, except for my personal reside in which I must hW ided for a st one year prior to completion of t
si . 3'.Ldure thct I ha,,e built as an owner -builder if it has not been tructed in its entirety by'(censett,�6A ractors. I understand that a copy of the
Professions Code is available upon request when this application is Sgubmitted erxithe following Web s�: tp://v .leginfo.ca.gov/caIaw.htm1.
Signature of Property Owner or Authorized Agent ^r,�
LICENSED CONTRACTOR'S DECLARATION
1 helaby affirm under Fen nity of perjury that I am licens nder v�aria of Chapter 9 (corii'mencing with Section 7000)~of
and effort. License Class K90ns o Date
WORKERS' CCk1P`=4SATION DECLAR N i
WA.iJI.1J: FAILURE TO SECURE WORKERS' COMPE ION COVE IS UNLA'RRUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
COST OF COMPENSAT10B1DAMAGES ASPROVID OR IN SECTIO 706B T LLr�ABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereoy a;firm under penalty of perju ne of the fo wing declarations;
Q 1 'ice and will maintain a ificate of op sent to "self -insure for workers' compensation., issued by the Director of, Inc
perfnr . nce of the work .or ch this pee iris Issued. Policy No. ``�
and will mat worlkerr,+ cafrlpensahon insurance, as required by Section 3700 of the Labor.-Odde for the peg,
insurance carrier a olicy n^uR[19L;r
Carrier ... V.P ___ Policy Number
his permit, I cannot
of the Business and
3 of the s and Professio +� license is in full force
or signature x 1
TO ONE HUNDRWTHQUSPAD D%LARS ($100,001H. IN ADDITION TO THE
3700 of the Labor Code, for
of t>S wgrl f Vvhjiliffthis permit is issued. My workers'
Jame of Agent
:1I certify that, In tA9 pa mans f the war Y-r which this permit is issued, I shall not eITIIiiiiy any person in any marine o as to co subject to the workers' compensation laws of California, and agre
hat, if I should beco'*' ub t to wo J com nsatlon provisions of Section 370 T4h86Labor Code, I shall fo ith com w' hose provisions.
Signature of Applicant vr� rC' ,,� 1 Date
)ECLARATION REGARD C STRUC NG A ENCY ggyyyy����
hereby affirm under penalty le th I truction lending cy t ayc erforme of work f hi his permit is issued (Section 3097, Civil Code).
-ender's Name r•.'. Q: v is Ad s
3y my signature below, I certify tkj;y�a�c f the g:
I am the property owner or autA&nze act on the propert behalf5 /
I have read this application and'ikinfo ation I hav Ovid cor
I agree to comply with all applice b(a,city cou i a.cas a ate laws rela g to buil ' g struction.
I authorize representatives of this cit or co ty to a I antified pr arty for i pe n purposes. ��((
ii nature of Property Owner or Authorized'. ant t PropertyOwner's or Authorized Agent's Name /C l lc,��fl �u —G`t Date 1/ Z-t
ACTION DATE BY RATION OF C PLIANCE TH DE OF FEDERAL FOR OFFICE USE ONLY
GULATIONCBA 61OFT E4 ND AQMD RULE
PERMIT EXPIREDI i LIN6Tv1ITTEDA ST NOTIFICATIUN IU
PERMITCANCELLED
PERMIT EXTENDED q
PERMITFINAL ASBESTO NOTIFICATION IS NOTAP LICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE: li i l
I