Loading...
HomeMy WebLinkAboutX2019-0836 - PermitsW7� City of Newport Beach - Building Division IIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIII COMB Permit: X2019-0836 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 8 3 6 Project No : 0564-2019 Permit Counter Phone (949)644-3288 r $ Inspection Requests Phone (949)644-3255 - - - - `z"'4t:ox Issued Date : 04I1812019 Combination Type -.SFP PLUM 4/00() Inspection Area : 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID I Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 6:00 a.m. to $:00 pw�ork on Sundays or Holidays Job Address: 1025 W BALBOA BLVD NB &s �` Description DEMO DETACHED GARAGE W/LIV ABOVE (1) BDRM 450 SF, INCLDS SEWER CAP � Legal Desc.: N. ®7v/v Owner: METRO CALIFORNIA LLC Contractor. GONTERMAN CONSTRUCTION Architect. Address: 227 20TH ST #100 Address: 1842 PARK ST Address: NEWPORT BEACH, CA 92663 NEWPORT BEACH CA 92648 Phone Phone: 949-697-0746 Phone' ��.^.y® State Lie: Applicant. GONTERMAN CONSTRUCTION Con State Lic 858073 Engineer: - ww Address: 1842 PARK STLie Expire: 04/30/2021 Address: . NEWPORT BEACH CA 92648 Bus Lie: BT30048414 Phone 949-697-0746 tic Exp Date. 09/30/2019 Phone: 'State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer: GUIDERO WILLIAM. :Type of Construction. VIB Carrier: STATE COMP Address: 425 30TH ST #23 Occupancy Group: R31U Policy No:. 9116891 NEWPORT BEACH CA 92663 Added/New sq.ft. Bldg: 0 Expire: 07/01/2019 - Phone: Added /New sq. ft. Garage 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: LIQUEFACTION, .2% FLOOD No of Units 1' Front:'? Bldg. Height: 0 `. Left: / Bldg Sprinklers: Right. / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone? N - Construction Valuation: $3.000.00 - - - Building Permit Fee: $122.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee:.. $0.00 Additional Fee $0.00 Plan. check Fee is - $0.00 Fire Inspection: $0.00 Overtime Plan Ck. - ,$0.00 Grading Bonds Fee $0.00 Fair Share : $0.00 Fire Plan Rev - .$0.00 Investigations Fee: $0.00 Grading PC Consultant $0.00 SJH Trans : $0.00 Demolition Fee 'Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 CA Seismic Safety: $0.00 : WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit ' $0.00 Disabled Access : $0.00 - PAN Plan Check: $0.00 Grading Bond: $0.00 '-Hazardous Mat '.$0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %::: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $10.98 $0.00 TOTAL FEE : $133.98 Plan Check Fee: $133.98 Fee Due at Permit Issuance : $0.00 °° PROCESSED BY: ;, ° „� ..� PLIB44`, W©RjS APPROVAL: 6� ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: `' < ° `° o 6 °X'M&A`L°TO ISSUE: G \ E.G.&- •O 00 °. ° °°4 46 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 item7the (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 appli 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 Busin 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 apermit subjects the applicant to a civil pe not more than five hundred dollars ($500). ❑ I, as owner of the property; 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 704 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 thimprovements 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 buo Im raved for the purpose of sale). 5 - 1, 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). ❑ I 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 improvements covered by this permit, I. cannot legali sella structure that I have built as an owner-builder if it has not been constructedin its entirety by licensed contractors. 1 understand that copy of the applicable law, Section 704 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. 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 Section 000. f ivil 3�jdthe Business and Professions C de, and my license is In full force and effect. License Class License No Dat t Contractor Sianat WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSA �DLLARS (§700,0001, I ADB ION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 13 1 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 performance of the work for which this permit is issued. My workers compensatio insurance camel a policy nu r are: Carrier r olicy Number Expiration Date Name of Agent Phone # 131certify that, in the performance ofPeyork 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 ogre. that, if I should become subject to �kr. wor ers' compensation provisions of tion3of T00 the Labor Code, I shall forthwith comply with those provisions. Signature of Applican fNG ''� gat�0--- —a- DECLARATION DECLARATION REGAR ING CONS CT LENDIWGENC I hereby affirm under penalty of p ry hat 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 signature below, I certi t ach of the following: - I am the property owner or authorized to act onthe grope wners behalf. l.. I have read this application and the information I have y'bvi ed is correct. _ I agree to comply with all applicable city and county Id na ces and state laws re ting-ta-bn118in'gconstruction. I authorize representatives of this city or coun y to nter abo -id tifie'd property for. inspection purposes. Signature of Propert Owner or Authorized Agent Print Property Owner's or Authorized A ent's Na D e 0 ACTION DATE BY.DE RA NOF LO .LIANGEE TH CODE OF FEDERAL FOR OFFICE USE ONLY - - GULATIONS PART 61 OF TITLE 40 AND AOMD RULE - 3 •• •. PERMIT EXPIRED SU11IMITTED ASBESTOS DOTIFIC.gTION TO: ,•, ' �: •. w • • • • '•.. PERMIT CANCELLED LIE .' • • • •.• • I PERMITEXTENDED - p PERMIT FINAL q�'�ASBE OS NOTIFICA NIS APPLICABLE TO CERTIFICATE OF l-19-1 / �n�yv�- PROPO DEMOLITION ••• ••• - OECUPANCYISSUED SIG ,/�- • • • •.