HomeMy WebLinkAboutX2020-0261 - Permits,/ , City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0261
'� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 2 6 1 Project No: 0213-2020
h Permit Counter Phone (949)644-3288
j$n Inspection Requests Phone (949)644-3255
°.r,.�.;Yx� Combination Type - BLDG ELEC PLUM Issued Date : 01/30/2020
0
Inspection Area : 1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7:00 a.m. to 6:80 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 1824 W OCEAN FRONT NB
Description: SFR REPLACE DAMAGED BLOCK WALL ALONG 19TH STREET (6'H X 20LF), "INSIDE THE P/L", REPLACE LIGHT FIXTURES ON TOP OF WALL & PLUMBING RISER
Legal Desc.: NEWPORT BEACH SEC BLOT 12 BLK 18 AND LOTS 13 & 14BLK 18
Owner:
MARTIN WILLIAM & CAROL
Contractor:
AMERICAN HOME BUILDERS
Architect:
$0.00
Address:
1824 OCEAN FRONT W
Address:
1278 GLENNEYRE ST STE AHB
Address:
$0.00
Hazardous Mat
NEWPORT BEACH, CA 92663
Building Green Fee :
LAGUNA CH CA 92651
$0.00
pr -
P EC
Phone:
Phone:
949-510-4609
Phone:
StINS I U
Applicant:
AMERICAN HOME BUILDERS
Con State Lic:
837052
Engineer:
AUJAGHIAN DAMIR
Address:
1278 GLENNEYRE STREET STE AHB
Lic Expire:
02/2812021
Address:
510 OLD NEWPORT BLVD #C
LAGUNA BEACH CA 92651
Bus Lic:
BT30070862
NEWPORT BEACH CA 92663
Phone:
949-510-4609
Lic Exp Date:
01/31/2021
Phone:
949.675.4103 State Lic:C-038570
Code Edit: 2019
Type of Construction:
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: $412.00
Plan Check Fee: $365.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $883.92
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation Insurance
Carrier: EXEMPT
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /0
Front: / -1
Left: / �4
Right: /''-4
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$28.84
$0.00
$37.08
Designer:
Address:
Phone:
Special Conditions:
Planning Department -
Fire Department
Plan check Fee
Fire Inspection:
Fair Share
Fire Plan Rev
SJH Trans
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL: Cv
PLAN CHECK BY:
v
GRADING APPROVAL: APPROVAL TO ISSUE:
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$0.00
$0.00
$0.00
$0.00
$0.00
$883.92
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Fire Department
$40.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee : $0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL: Cv
PLAN CHECK BY:
v
GRADING APPROVAL: APPROVAL TO ISSUE:
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$0.00
$0.00
$0.00
$0.00
$0.00
$883.92
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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)
lection 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
le 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).
] 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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
nprovements 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
nproved for the purpose of sale).
1 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
pply 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:
y 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 legall)
all 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 law, Section 7044 of the Business and
rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
ignature of Property Owner or Authorized Agent Date
ICENSED CONTRACTOR'S DECLARATION �>
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectigM 70 D ivisi n 3 of the Busins and ProfessSaD d my license is in full force
nd effect. License Class License No D to '.`�r3o Contract, r ' nature
COMPENSATION DECLARATION
IARNING: 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 unbar panalty of perjury one of the following declarations:
....
1 ha ra and wjll 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
. ..
erformance of the+rooFle for which this permit is issued. Policy No.
�1 pa0ee and will rpaintain 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' compensatiol
rsurance carrieLand golicy number are:
iatrler•� !,• ` Policy Number Expiration Date
Agent vnone v
V that, in theperformanS a work focA his permit is issued, I shall not employ any person in any manner so as to become subject to th orkers' ompensa
should become subjec om ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prov' ' ns.
; of pileart Da —
'AW ARDING CONS ION LENDING AGENCY
®ffir underpanalty of perjury that there is a construction lending agency for the performance of the work for which this. permit is issued (Section 3097, Civil Cade).
Na a .... Lender's Address _
laws of California, and
By 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 provideis correct. j
I agree to comply with all applicable city and coun rdi nces and state laws relating to building construction. i
I authorize representatives of this city or cou toe ve-identified property for inspection purposes. -
Signature of Property Owne . u rized Agent Print Property Owner's or Authorized Aga =s amN a --
Signature C440
ACTION DXrE7 I BY bECIARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE U LY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED IJAQMD
PERMITFINAL Ll ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF I Y UU % PROPOSED DEMOLITION
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