HomeMy WebLinkAboutX2022-0393 - Permits (3)crak City of Newport Beach - Building Division
r 100 Civic Center Drive, Newport Beach, CA 9266C
Permit Counter Phone (949)644-3288
r " w Inspection Requests Phone (949)644-3255
Combination Type - MFP MECH ELEC PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-0393
Project No : 0353-2022
Issued Date : 0410812022
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PRWLCTS MUST BE C ETED BY 0410812025 OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Sajtdrday from 61:00 a�Xo . 0 p.m. No work on Sundays or Holidays
Job Address: 501 PLAYA NB `Z"
Description: MFR ALT - WATER DAMAGE REPAIR @ 1ST FLOOR 80 SF 0
Legal Desc.: N TR 7166 LOT 1�Q� • w -
Owner: CARPENTER NANCY Contractor: R OTECTER! II rchitect:
Address: 501 PLAYA Address: OLD FIEL{- #20g0� 0t Address:
Phone: 949 64NEWPO B1 gRT 9EACH, CA 92660 Phone: 62-26-822&`.���'v Phone: yr"r� State Lic:
Applicant: PRIDY ALLISON Con to Lic: 871494 O (�''` Engineer: LOVELACE MIL
Address: 4659 PEPPERWOOD AVE xpire: 01/31/2024 S Address: 10509 VISTA SO NKWY, #102
LONG BEACH, CA 90806 us Lic: B 077806 +,,O SAN rn{,r��yyO CA 921 ,
Phone: 562-746-2714 _ Lic Exp te112023 ,,x Phone: $5y9�9'111 to L 039734
Code Edit : 2019 Worker's ompens n Ih3urance Designer: CjE`Y JON
Type of Construction: V-B arrier ACE AMERICAN INS Addres3 CHERRY ST _
Occupancy Group: R2tUe
Policy No WLRC64977787 r RIGHT, CA 8
Added /New sq.ft. Bldg: 0Expire 03I0112023 P rg��9-248-2673 �Y _
Added /New sq. ft. Garage: 0.. - � rye
No of Stories: 2Building. Setbacks Rear I o ecial`Qphditions:
No of Units : 4 Front IBldg
Left I
Bldg Sprinklers: 0 Right / �G�i`
Flood Zone: Use Zone. .:Parkin Spaces: 0 Fire Haz Zone
Construction Valua00.00 t �=
Building Permit Fe $ 9.00 ^ �Ex`cise Tax ', $0.00 Planning Department- Fire Department
Plan Check Fee: $ .43 mg` Additional Fee s�€�.> $0.00 Plan check Fee : $ . 0 Fire Inspection: $0.00
Overtime Plan Ck $0 Gradmy Boflds Fe0: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00
Investigation Fee: $0.00 =% Grath 'pC C Itant : $ 0^ SJH Trans : g $0.00 Demolition Fee
'A � In -lieu H sin Record Management::::: .00 ading Fee: �g�^' g Fe $0.00 Building Deptce $0.00
Energy Compliance: ,. $ . 0 ing P Fee: NV,��.0 Public orks De rt t- General Service $0.00
CA Seismic Safety :'.$0.0 sp. Fee: $G.00 1 P Dedic n;r` $0.00 Refund Deposit $0.00
Disabled Access, - $0.00 - k •§.q L NV Pla h ek : $0.00 Grading Bond: $0.00
A 'A.
Hazardous Mat $0.00, ctrical %: A"a a„1 $V'•23 San Di `°� $0.00
Building Green Fee: $3.66= Mechanical eta . ,'%' 5.56 NM D e: $0.00 $0.00
Plum" %1C
TOTAL FEE: $1,903.23 PIan'Check Fee ;' ' $825.43 Fee Due at Permit Issuance : $1,077.80
PROCESSED BY: - PUb[IC'W9RKS AkPkOVAL:
ZONING APPROVAL: PLAN CHECK BY:,
GRADING APPROVAL: APPROVAL TO,ISSr1E:
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
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 Iicensure 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 doll) all of or L) portions of the wor 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 oyee 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 Dom lion, the er-Builder will have the burden of proving that it was not built or
improved forthe purpose of sale). ,- ,
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 044, Business and P
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the
❑ 1 am exempt from Iicensure under the Contractors' State License Law for the following reason:'
By my signature below I acknowledge that, except for my personal residence in which Imust have resided fof at least one year prior to com
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
Professions Code, is available upon request when this application is submitted or at thefollowing Web site:http://www.leginfo.ca.gov/calaw.
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION P
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section NOO visi IT
and effect. License Class License No
COMPENSATION DECLARA
FAILURE TO SECURE WORKERS'
FOR
hereby affirm under penalty of perjury one
I have and will maintain a certificate-,
erfo 2 ce of the work for which this, pern
have and will ai am workers' -comps
isurance carrier a d Do icv number are!.
ie of Agent _
certify that, in
if I should be
lature of Aool
EVTC3T 6 OF THE LABOR CODE;
declarations self Insure for workers'
ed. Policy No
insurance as required by
hereby affirm under pen4y of perjury th VV,re is a
ender's Name - "= - _A
ly my signature below, I certify to each of the rowkt
I am the property owner or authorized Coa+du
I have read this application and the inform
I agree to comply with all applicable city an
I authorize representatives of this city or county t(
lianature of Pronertv Owner or Authorized Agent i
ACTION I DATE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
this
1403
owners
SUBJECT AN BM YER TO CRIMINAL PENALT
REST ANpjTTO 'S FEES.
mpensati0n -Hed by the pir f Indi
_i370(1'of the Labor C r theVirforr
By of the 'dqp
3usiness and
itractor Signs
UP TO ON HUf
Date
The Contractors State License Law does not
e License Law).
Section 7044 of the Business and
Date
hill and my
in full force
DOLLARS ($100,000), IN ADDITION TO
by Section 3700 of the Labor Code, for
this permit is issued. My workers'
I shall not employ any person in any mann so as t e e subject to the workers' compensation laws of California, and agre
ction 3700 oftheLabor Code, I shall fo ith co ly IT those provisions.
_� ` i LI —
OF COMPLI,
PART 6I OF
Address
40 AW ACID RULE
15 NOTAPPLICABLE TO
permit is issued (Section 3097, Civil Cade).
Owner's or Authorized Ad
I FOR OFFICE USE ONLY