HomeMy WebLinkAboutX2020-0547 - Permits�vIoA City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type -SFP
11111p1111111111111il111111111111111111111111111 JillCOMB Permit: X2020-0547
x 2 9 2 9 8 5 4 7 Project No :
Issued Date : 0310212020
Inspection Area : 2
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 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 530 SAN BERNARDINO AVE NB
Description: SFR REMOVE (E) 11 SQ OF WOOD SIDING, INSTALL JAMES HARDIE SIDING
Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BLK 33 LOT 8
Owner:
STOBART NIGEUKIM
Address:
325 LA JOLLA DR
Record Management:
NEWPORT BEACH, CA 92663
Phone:
$0.00
Applicant:
ERICISPECIALTY SIDING
Address:
1801 N ORANGETHORPE PARK
Hazardous Mat
ANAHEIM CA 92801
Phone:
714-680-3000
Code Edit : 2019
Type of Construction: VB
Occupancy Group:
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Building Permit Fee: $248.00
Plan Check Fee: $0.00
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 : $249.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
SPECIALTY SIDING
Address:
1801 N ORANGETHORPE PARK
Fair Share
ANAHEIM CA 92801
Phone:
714-680-3000
Con State Lic:
656845
Lic Expire:
09/30/2020
Bus Lic:
BT30065101
Lic Exp Date:
06/30/2020
Worker's Compensation Insurance
Carrier: STATE COMP. INS
Policy No: 9228682
Expire: 03131/2020
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: /
Front: /
Left: /
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Architect:
Address:
Phone: State Lic:
Engineer:
Address:
Phone: State Lic:
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
PM Plan Check,
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $249.00
c G.PUBLIC NORKS APPROVAL:
PLAN CHECK BY:
o`<jPPROVktt TO ISSUE:
° e
O qp
4Gc G4 V9 4 G Ota Vtl
Vi
Z'
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $249.00
c G.PUBLIC NORKS APPROVAL:
PLAN CHECK BY:
o`<jPPROVktt TO ISSUE:
° e
O qp
4Gc G4 V9 4 G Ota Vtl
Vi
Z'
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
ie 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 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 7044,
Nsiness 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, 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:
iy 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 legalll
ell 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.html.
signature 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 Section 700 f Divi ion 3 of the Business and Prgf§I'sSion s Code 1 ensa' 11 -force
nd effect. License Class 0 License No 6566 (/� Date - -2020 Contractor Signatu
UORKERS' COMPENSATION DECLARATION
FARMING: 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 0706 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 th,
e¢ormance of the work forwhich this permit is issued. Policy No.
have and will kamin 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'
rance carrier anj<lcy number
icr __ n �n I\ <7
pOIIC N Ir�iMer Ezoiration Date
e of Agent
certify that, in the performance
if I should becoms ject to
3ture of Applicant
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
co ation provisions of Section 3 00 of the Labor Code, I shall forthwith comply with those provisions.
.0 3
3reby affirm underbenalty of perjury that there is a construction lending agency for the performance of the work forwhich 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 ordina,peesand state laws relating to building construction.
I authorize representatives of this city or counyt ty`ent bove-i tJied property fojn�pection purposes.
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCY ISSUED
Print ProDertv Owner's or Authorized Aq
DATE I BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403 ... •••
SUBMITTED ASBESTOS VOJIFIC&TiON TO,
EPA . . • • • • • + .•• •+•
:�I�.W
• • •�
QMD �
SBESTOSNOTIFICATIOW45.NOT APPLICABLE TO
2-zd26
3' 2
Cl) '013.— gyK � "o ;u n Oxnw N>
—3
l
'� o- m (Do�N3 3.= m o� mnN
O ;m 0
c No Co=
— m .
ad
a a HCD m 3 0. a
my =-A s�°a = $ -o �n 0M� m°
('D M� 9 m � M w Q 3 0' N• cp m
�n A(O 0.�,�m �(pp m n �� CL
m S fD b. O y N d O N CD y �i
CL m 5. o = x m o 4 = c:o
a m(Dy c0 m 3W °'= 3 wmof >
O 0= m D (0 a5 a
CD a_a•m 3 °' ° c3, m m m o y n m 0 o
(� y m ' - N (n =- rt :(1
a LIQ 3 �•�0 0, �p�'m m o= (D no $ c
(b d m UD R Cr o y w m (p cn c
m (D ui + � (D CL
7 0 O. d "a P, d = p m y Ul ?
c9° pr o o = 5. = m m
a N N N N(D < m co
=' O 0 0 M y
_ = 3
D) — 0 1�' 3 N CD =
wp m �? *p (D CL ;a N
(q •.. ° 0 3 y, a 0 a ( O (D (D
Oma' N N N
3 pm= m3,R a3 =m _ a�.? a
.=0 0.cg c `°� 00
'o CD =ao �a� mm 0`0 �i(�"
o° mom-mi.Qoa o• v3$ -v0
d� ym>> (0 my oa(0 �j
y.3 cSr
° m o d N
om m 0 0 oy My o+� — �i17 0
m ti N p= m o o 'e (D = o W
= 3 p �i a N 'm0_ ((D �. O O
N' y O -• n' Ol A y = IV x
w =s c:Bmm co ��a 3 m
Q� �. x3 g3,�a=o c mwo 0w 0"
,. up O. m —_ -e p .. CD
�. -� m O (n w T3 y0 m 25. tmn m
(D 3 W N N DI (D ,n.,
am ri w= 0 m <� m 9' o
Ef(D W.,. N o m y
�'m0 0 N m mm 3
N lu r. '1'1 N y N a C W O
91 S
CT
Pm (D (� m mem 9'O m °: m
r-
0
_
m
CIL
n
0
0
0
N
v -o -o
"p0 A oo
m
W
z
D
3 a
m
NOW
w
L
_? N
y 3
CD O
c m
M v
m
0
n n
0• O
(D
0
RD (D
o�0
Q 00
z
1 N
too o O
cu
on
D
N
rn Z
u,
y
N
I