HomeMy WebLinkAboutX2018-1935 - Permitsno City of Newport Beach - Building Division
- 100 Civic Center Drive, Newport Beach, CA 92660
E, Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG
IIIIIIIIIIIIIIIIIIIIIIIIII'llllllllllllllllu II COMB Permit: X2018-1935
X 2 0 1 8 1 9 3 5 Project No :
Issued Date : 0612512018
Inspection Area : 5
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. ° ° •
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Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays ...
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Job Address: 1827 SABRINA TER NB emom ome•oo
Description: BLOCK WALL ON PIL 97' X 6' ° ° m • m m e
Legal Desc.: N TR 2813 LOT 115
Owner:
JOYO COLIN I
Address:
1827 SABRINA TER
Record Management:
CORONA DEL MAR 92625
Phone:
Applicant:
P V M
Address:
15643 PESCADOS DRIVE
Hazardous Mat
LA MIRADA CA 90638
Phone:
714-736-0477
Code Edit: 20
Type of Construction: V-
Occupancy Group: U'^° `
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units: 0
Bldg Height. 0
Bldg Sprinklers:
Building Permit Fee: $386.60
Plan Check Fee: $342.50
Overtime Plan Ck:
$0 0,
Investigation Fee:
$0 00
Record Management:
$0 0
Energy Compliance:
CA Seismic Safetyr-
• °
Disabled Access :
$0.00
Hazardous Mat
$0.00 ,-
Building Green Fee :
$1.00 F
TOTAL FEE:
PROCESSED BY:
ZONING APPROVAL:
Contractor: P V M
Address: 15643 PESCADOS DRIVE
LA MIRADA CA 90638omO
Phone: 714-736-04
Con State Lt 432966
Lie: Expire 03/31/2019
Bus Lic: BT3NOSM
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Lic Exp Date, /3012018 �� P,�hone•
e s Compensatio s �,O N'b'esigner:
Career COMP Address:
Poli o+
=�Exp1 a` 1 Phone:
uil tbacks Rear, / Special Conditions:
Front-
awl's.�vn`` P` Inc So R1.01
Fire HazardZefle.
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ading Bonds Fee:
Grading PC Consults
GradinrOiW . 0
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W In: 0
Electrical m/m"*` $0.00
Mechanical %: T�
t�*�Plumbing %: $0.00
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Trans: $0.00 emo
uWbuslna'. Fee : $0.0 .. -Bui
$0.00
Dist
Bond:
$0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$767.00
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Trans: $0.00 emo
uWbuslna'. Fee : $0.0 .. -Bui
$0.00
Dist
Bond:
$0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$767.00
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) 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
is 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
'rofessions 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
of more than five hundred dollars ($500).
I, as owner of14%Woperty, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and PrVenirs 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
nprovernents are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
$ �rovve(:for the,puleAt of sale).
1, ae 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
ppljrto In 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).
I I am exempM1{rorn iioensure under the Contractors' State License Law for the following reason:
n%yi5nature b*efow ('acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal)
1pu gpyucture tall hate 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 law, Section 7044 of the Business and
'rofessions Cork, is available upon request when this application is submitted or at the following Web site:hftp://w .leginfo.ca.gov/calaw.html.
i6nalth of Property Owner or Authorized Agent Date
5(;VMD COUTRAFTOR'S DECLARATION
hereby affirm u11CAr'pa);lalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti 70 0) o Di 'sios 3 of the Business and Pr es ' Code yri hse is in full force
tideffoat. License Class - License No D to P Contractor Signatur
I/OR'ICERS' CCC Me jNSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
k(formance of the work for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carrier and policy number are:
Policy Number
of Agent
Date
I certify that, in the performance f the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
t, if I should become sgubject a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. j
nature of ApplicantV at _ (-I t-qty
CLARATION R ING UC ION LENDING AGENCY
areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ider's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ord' a "R and state laws relating to building construction. _
I authorize representatives of this city or county er tbove-identifie party for inspection purposes. //��
nature of Pronertv Owner or Authorized ADenA Print Pronertv Owner's or Authorized ADent's NarA OA- s$ ... Date G A f V
ACTION DATE BY /\� DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY "
J REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
r / n 1403 - -
PERMIT EXPIRED let/�f //c,I,Qj'V._-�4'=kMLIBMITrED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED
WAQMD
PERMIT FINAL
LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCYISSUED
SIGNATURE: