HomeMy WebLinkAboutX2020-0387 - Permitss no City of Newport Beach - Building Division IIIIIIII VIII I IIIIII IIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0387
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 3 8 7 Project No:
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP Issued Date : 02/11/2020
Inspection Area : 1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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
Job Address: 1531 OCEAN BLVD NB
Description: SFR - REPL SIDING @ ALLEY ONLY
INSPECTOR
Legal Desc.: N TR 518 BLK B LOT 38
_
eee•
°
Owner: SMITH LELAND
Contractor:
SIMON'S FRAMING COMPANY Architect:;_®®°°o
e
Address: 3150 E BIRCH ST
Address:
25092 FARTHING
ST #45 Address:
• • ° _ e °
®e m
BREA CA 92821
LAKE FOREST CA 92630
o - • e o
Phone: 714-322-0592
Phone:
949-3574420
Phone:
State Lie:
. • ° °
•b °
Applicant: SIMON'S FRAMING COMPANY
Con State Lie:
1028321
Engineer:
® t�� eoe•o• °°°
CONS
Address: 25092 FARTHING ST #45
Lic Expire:
06/30/2021
Address:
a"'��Trlls9CIR6'tiYO°
e°
g
LAKE FOREST CA 92630
Bus Lie:
BT30070999
0 •eee • X99
Phone: 949-357.7420
Lic Exp Date:
02128/2021
Phone:
State Lic:
° ° • ° ° °
Code Edit: 2019
Worker's Compensation Insurance
Designer:
• e°°o°�
° • • m °
Type of Construction: VB
Carrier:
STATE COMP
Address:
N SA
rs B
Occupancy Group: R3/U
Policy No:
9236024
0.D1-9 Ar@ p °
Added /New sq.ft. Bldg: 0
Expire:
08/02/2020
Phone:
®° ° ° ° ° • ° ° `
Added /New sq. ft. Garage: 0
....
No of Stories: 2
Building Setbacks
Rear: I
Special Conditions:
HIGH DENSITY AREA
No of Units : 1
Front: I
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
Flood Zone:
Use Zone: Parking Spaces:
0 Fire Hazard Zone :
N
Construction Valuation: $2.000.00
Building Permit Fee: $104.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $0.00
Additional Fee :
$0.00
Plan check Fee : $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
Investigation 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 %:
$0.00
$0.00
TOTAL FE : $105.00
Plan Check Fee
: $0.00 F e-atPermit
Issuance :
$105.00
PROCESSED BY:
PUBLIC ORKS APPROVAL:
ZONING APPROVAL:
PLAN CH Y:
.J
GRADING APPROVAL:
APPROVAL TO ISSUE:
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 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 ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do C_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
im roved for the purpose of sale).
I, asownerof the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an own anofproperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). -
❑ 1 asi exempt tam licensure under the Contractors' State License Law for the following reason:
611 fiy$ignature- 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 legally
Sell a structure "I I Ijave 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
Professions Codg, is available upon request when this application is submitted or at the fallowing Web site:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LJCENSED &NTRACTOR'S DECLARATION y
I he2by affirm under'penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectior�4�7 ) of Division 3 of the Business and Prof ss ns Cade andmy_I(c_ense is in full force
M* -effect. li�P #.Vass % ---; 1 ; License No , _. �.� '� ;r.; ; Da V /_` `Contractor Signature \Z L a;: :-
WORKERS' COMPENSATION DECLARATIONc//
$QRT qNG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO RIMI 'AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COSTJbF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
646rSby affirm andel penalty of perjury one of the following declarations:
wd'v1iIIfnaintain 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
e 8Pthe 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:
-",-,� �, rf�, I Policy Number °( Expiration Date -
certify that, in the performance of 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 agrei
t, if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applica Da
CLARATION RE ARDING CONSTRUCTION LENDING AGENCY
:reby 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
DATE BY1� DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE r
EXPIRED I I III U I SUBMITTED ASBESTOS
PERMIT EXTENDED UAQMD
PERMIT FINAL/9 ��� ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE:
vq
rn
H OD
OD
rz
C N
ISS'
Uo
0
a U M
W T V
Azm�
0 0
0q)
Z
—oq
a A
E
OL7�:�
X='
s
woo
l
U
o
Ci. U
0
0
r
C.�
IN
C>
a) O UL•C
o
W
a)
C
e
fq
flCf
cocuco
= -0 O O
<°C�
odea
�
a� 0
0
U L Q
a)
Z
a
L (n
U
m t
W
LU
a) cur
C
ai
O .= O
1-
a
a
ca
Q �, O V
C
0�
a�Y'�
I
L
W
O
P
ca
-O -C
a) N 0 q.O U
m apoCU
V
=
a)
o�
•C
J
0-
0
.
..0 W L CU
I
=
m>,
O N a) (1)
Z
ca
a)z
q
O
Q
m a) OL
U Co
cJ
Li
7 7
0
z
U)
L0aC�oa)a)LL
J
O�
= CL
u c00C)
pc0>'ca)O
UO
,
Z
W
a) u)
0
O E fE 7:8c:�.
0 ave o
--
r
of
N a) V 00. O
/N
�
cL
i
W~
N 0)
Z� O m N N
i
c
O 0 tf
m�
uj
3
Of
O
ZgN
m3 0
Z
O
a)
a
CO
G a) Z N
v
m
ayi
i
C CD
U O c p E
'�
G
G
C
w
o �Q
`� D 3 a0
a`
a
o
o
o
o
e
iOCCtC
flCf
cocuco
<°C�
odea
N � 3
a
(7 U
i
m �e
J � e
eoa�—
�
`y oocm
c c
4 �
w
RD
�o 700
:EC)
Ap Q®
ORA Quo
Q
d
2 c w � Q
M y
c �
LJ U 0
S
N
N
Uo
r
"®
E �
049
01
U -0
U�Ln
NQ.
wo
tl'
� v e
800
i
i
y C
o �
ie
LD
co ® co
a)
fe M x�
C s q
eErol"
o
c
`o c
M
O 0 M
:��
ro
E •O N E
Lo .9
o •6 5
D
D v
®E
sm
CL
2 ® ._
m
o
o l
m m2
wE
o �
O
® 0
.0
O
1
C:
;5
S �
6
f�9 0 c
9
N re
€ X:
c
IQ
0 0
FbF
C
6q
0 Cn
'� ftl
Q
k
42
0
k
CN, tr
i
i
y C
o �
ie
LD
co ® co
a)
fe M x�
C s q
eErol"
o
c
`o c
M
O 0 M
:��
ro
E •O N E
Lo .9
o •6 5
D
D v
®E
sm
CL