Loading...
HomeMy WebLinkAboutX2019-3719 - Permits�tto� City of N" ewport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 `^riistiu'� Combination Type - BLDG IIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2019-3719 x 2 0 1 9 3 7 1 9 Project No : 1708-2018 Issued Date : 11/20/2019 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: 1801 E BALBOA BLVD NB Description: BLOCK WALL ON P/L 6'x 60 LF PER CITY STANDARDS ' �������� Legal Desc.: N TR 518 BILK L LOT 22 Owner: 1801 BALBOA LLC Contractor: K L P M INC Architect: Address: 1101 QUAIL ST Address: 12188 CENTRAL AVE #269 Address: NEWPORT BEACH, CA 92660 CHINO CA 91710 Phone: 949-204-7272 Phone: 949-246-2923 Phone: State Lie: Applicant: RAMIREZ ERNEST Address: 12188 CENTRAL AVE #269 CHINO CA 91710 Phone: 949.246.2923 Code Edit: 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: $3.800.00 Building Permit Fee: $412.00 Plan Check Fee: $365.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE:[ $820.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: 831751 Lie Expire: 0212912020 Bus Lie: ST30066030 Lie Exp Date: 1113012019 Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire: Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: echanical %: PI mbina °/m: -,Rear: 0 Front: 9 Left: 3 Right: 3 rking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 Engineer Address: Fire Planning Department - NO CN69bMU!6d HOW3401SE Phone: m Designer: m m ¢mmmoc mommmm m o Address: m m Phone: ,,prL�pp per° ON THE tltl®�� EEREND Public Works Department - Park Dedication : Special Conditions: P/L AGREEMENT ATTACHED 00oomoc 0000 0 0000r Fire Planning Department - Plan check Fee: Fair Share oomooc SJH Trans Fire Department In -lieu Housing Fee $40.00 Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 3rd Zone:N 0 aocmor o v oomooc Fire Department o m m o000 .... $40.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 ' Grading Bond: $0.00 / \ $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at r ermit Issuan e : $820.00 _ PUBLIC WORKS APPROVAL: i PLAN CHECK BY: APPROVAL TO ISSUE: e . R 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). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do L all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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). 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 legal 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 Busi rid '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 to .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectionf ivis'on of the Business and Pr e o , and icens - in full force nd effect. License Class License No Date Contractor Signature JORKE.RS' COMPENSATION DECLARATION ARMRcf,tAILURE TQQ$ E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DZ ARS ($100,000), IN ADD ON TO TH iSST OFC MPENSAiI 6g MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. bulreb?4ffirm undef penalty of perjury one of the following declarations: I have and wilt rriallttain 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 tl arr♦orrAmce of iiia work for which this permit is issued. Policy No. and wig Mdlr$4in workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier ariet "licy number are: Policy Number Date V,�fYY thatin�h� peg o enc he work f hich this rmit is issued, I shall not employ any person in any manner so as to become subject to the workefiould become u act t workers' Parise n provisons of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions.re of Applican Dat DECLARATION REG RDING CONSTRU DING CY hereby affirm under enalty of perjury th t there is a construe' lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). antler's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's be I have read this application and the information I hav vide d is c ect. I agree to comply with all applicable city and county rdi nces state I relating to building construction. I authorize representatives of this city or c un t the a -id n " d property for inspection purposes �gnre2-£2 Signature of Property Owner or Authorized Age I Print Property Owner's or Authorized Ag ACTION DATE BY DECLAR ION OF ebMPLIWITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 610E 1 E40 AND ACMD RULE 1403 PERMITEXPIRED L1 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED OEPA PERMIT EXTENDED OACMD PERMITFINAL CERTIFICATEOF '�O�ZO T ASBESTOS NOTIFICATION IS NOT APPLICABLE TO �✓— PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: ( z { k \ 7��c> E7 k / \§ � § ) G= 2 \ co �� /kd&� /§0m k a#|I cc 2[z 06� o=x CD (U' a� k /§/) 2 w//7 7ƒ �=7» O LU �� > o=<;�: / a [ zz a) \ � � °_ § / 72m coo ( z { k \ 7��c> E7 / \§ 00 kU �� /kd&� k cc 2� ) -0 0 0d a� m< /0-$f°3 7ƒ eC"c(D LU �� o=<;�: zz a) a) PN °_ U= 72m coo @ = I % Cc_ = m Q ■ = o = o @ G m CL z� /� ��/�a0 0 O 7ttp cL aa) L) 02 = \/ §n=o"$ E§//z LLD •2 \0a 00 »_ { ƒ///\k -r- z SCL-0 LU « k 5 § \ \ §� ®= GE%5E3 2 \\6 /#\22& ■0=©2 22 /ƒ\ &&7{%e & 22�=-§ J0 E\�:16= CU U gam0 ) =m�z tai 2 _\& 2CL 00< f2L ( z { k \