The URL can be used to link to this page

Home My WebLink AboutX2021-1185 - Permitsr Mt rk. City of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2021-1185 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 1 8 s M. P Project No : 1047-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 _ _ Combination Type - MFP MECH ELEC PLUM NO CONSTRUC I iON NOISE Issued Date :06/15/2021 Inspection Area PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0611512024 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. ag{�$dtc{p.frr{r�l,$:QQ�rf�to 6:00 p.m. No work on Sundays or Holidays Job Address: 715 GOLDENROD AVE NB '�J��J /�I�JiS�Jj.�1fJ Description: MFR REMODEL 350 SF Legal Desc.: CORONA DEL MAR BLK 733 LOT 15 Owner: CUSHMAN ELIZABETH Address: 1325 PACIFIC HWY #3402 SAN DIEJO CA 92101 Phone: Applicant: HARGROVE MIKE Address: PO BOX 12784 NEWPORT BEACH CA 92658 Phone: 949-690-5677 Code Edit : 2019 Type of Construction: VB Occupancy Group: R3/U Added INew sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: N Building Permit Fee: $1,387.00 Plan Check Fee: $1,206.69 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $36.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $5.00 TOTAL FEE: $3,025.39 PROCESSED BY: Zr 'ING APPROVAL: Contractor: HHCM CORPORATION Address: PO BOX 12784 NEWPORT BEACH CA 92658 Phone: 949-812-6300 Con State Lic: 978935 Lic Expire: 11/30/2022 Bus Lic: BT30073631 Lic Exp Date: 11/30/2021 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: WO Insp. Fee: Electrical W Mechanical W Plumbing %: Rear: / Front: / Left: / Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $97.09 $55.48 $124.83 Architect: Address: �C Phone: State Lic: 0 � Engineer: MANI DEV Address: 3130 E WILLOW ST LONG BEACH CA 90803 r , Phone: 562-597-8883 State Lic:C-062778 Designer: Address: Phone: Special Conditions: HIGH DENSITY AREA Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $43.00 San Dist: $0.00 NMUSD Fee: $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: $1,206.69 Fee Due at Permit Issuance : $1,818.70 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL: APPROVAL TO I551 IE" owrJ6a-BUILSEra DECLARATION t �cansa maw Fur ma reasons) indicated below by the checkmark(s) I have placed next to the applicableitem(s) j5ecilOn 703t.5, Busines9 and Professions Got]e: Any city or coaiixy' mai �egwr s atpermm m cansvua, a¢aq mpreve, aamoosn, or repair ar.y structure, Pdor to M1a Issuance, also requires the applicantfcir the 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 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). ❑ I, 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, Business 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 improvements are not intended or offered for Sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill 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, Business 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 licensure under the Contractors' State License Law for the following reason: By 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 improvemen "overed by this permit, I cannot legal sell 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 la ction 70 4 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.ieginfo.ca.gov/calaw.htmi. " Signature of Property Owner or Authorized Agent at LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 .D" Isi th Business and Pro o e, In u orce and effect. License Class License No Date contractor Sig VORKERS' COMPENSATION DECLARATION IF v' 1 (/> J ` I IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP ONE OR SANG DOL ($100,00 J, IN ADDITION TO THE '.OST 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: I 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 thi performance of the work for which this permit is issued. Policy No. 11 have 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' compensatior isurance carrier and policy nu er are: ;arrier Policy Number Expiration Date Jame of Agent Phone # certify that, in the perfo a e t e wor for this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Cal ornia, and agre, , if I should become u ect er c p Safi provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Appl' T )ECLARAT RE I G STRU NDING UN hereby irm under p a p rju at th re is a constru ion lending agency for the performance of the work for which this permit is issued (Sect' n 3097, Civil Code). .ender' Name Lender's Address 3y my sign I certify to h of Poll " 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 t n�t�`/r the above "d mined property fo/r inn c ion purposes. 3ignature of Property Owner or Authorized Agent ` V 'Print Property Owner's or Authorized is Na Da ACTION DATE BY If RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE US NLY --R G ONS PART 61 OFTITLE 40 AND AQMD RULE 1403 PERMITEXPIRED ISUBMI EP ASBESi OS NOT, CAJ;ZN TO J_ PERMIT CANCELLED EPA0t:7 / PERMIT EXTENDED - QMD� PERMIT FINAL j' L. SBESTOJNOTIFICATI I CERTIFICATE OF 7 j` � _ PROPOSED EM0rIO OCCUPANCYISSUED - �'; f SIGNATU r FAY LL 0 L W U H w W 4� Id O 1 n w Icy W w 4! Wj W 41 W W w w me G I W G Y !d1 [ • 0 I m '3 JJ r,