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HomeMy WebLinkAboutX2020-0911 - Permits�wno�r City of Newport Beach - Building Division a 4 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone(949)644-3288 v $ Inspection Requests Phone (949)644-3255 `htrrliY+"b. Combination Type - BLDG IIII�IIIIIIIIIIIIIIII��IIIIII�IIIIIIIIIIII II COMB Permit: X2020-0911 X 2 0 2 0 0 9 1 1 Project No : 1724-2019 Issued Date : 04/06/2020 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID 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: 1525 OCEAN BLVD NB Description: SFR BLOCK WALL (WITHIN 3 FT OF PIL) THIGH X 31 LF INSIDE P/L *CITY STANDARD* Legal Desc.: N TR 518 BILK B LOT 39 Owner: ONEIL KERRY Contractor: DRAKE CONSTRUCTION INC Architect: y ��+ N, °t�"'° j Address: 1525 OCEAN BLVD Address: 7422 MOUNTJOY DR Address: NO CONSTRUCTION,�1 �V,lJIS����na NEWPORT BEACH, CA 92661 HUNTINGTON BCH CA 92648 Phone: Phone: 714-369-5550 Phone: State Lic: ' U'„ Applicant: SMITH DRAKE Address: 7422 MOUNTJOY DR Record Management: HUNTINGTON BEACH, CA 92646 Phone: 714-369-5550 Code Edit: 2019 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: Construction Valuation: 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 Lic: 881821 Lic Expire: 07/31/2020 Bus Lic: BT30051436 Lic Exp Date: 06/30/2020 Worker's Compensation Insurance Carrier: STATE COMP FUND Policy No: 9022425 Expire: 08130/2020 Building Setbacks Use Zone: 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: 9 Left: 3 Right: 3 'arkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Engineer: Address: Phone: Designer: Address: Phone: OUP ON SATURDAYm State Lic: V, Special Conditions: HIGH DENSITY FORM W/ X2019-2389 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 ®es, $0,00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $820.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: eooz, o 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: ®es, $0,00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $820.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: eooz, o » uu e•s. 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 hems) (Section 7031.6, 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 aligned statement that he or she Is licensed pursuant to the previsions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cade) 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 ($500). ❑ I, as owner of theproperty, or my employees with wagesas their sole compensation, will do (_) all of or U. portions of the work, and the structure is not Intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the property, provided that the Improvements are not Intended or offered for sale. If, however, the building or improvement Is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or Improved for the purpose of sale). © I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owccrc` property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I am exempt&cm licensure under the Contractors' State License Law for the following reason: By my signaimt.b+low I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall sell a structure that! have built as an owner -builder if It has not been constructed in its entirety by licensed Contractors. I understand that a copy of the applicable law, Section 7044 of the Business and ?rofcsslons Code, is available upon request when this application Is submitted or at the following Web site:http:/M".leginfo.ca.gov/calaw.html. I SlgrntuW" Property Owner or Authorized Agent Dale I.ICF.N$g01*ONTP.ACTOR'S DECLARATION + I hemi., !Krol unser penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 700 D' ision 3 of the Business and Profe SIR rl diny license is In full force 3 and effect.•Lice,Iseclass License No Da - � � Contractor Signature % 1 WORKEA906010PENSATION DECLARATION i WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND $HALL SUBJECT AN EMPLOYER TO CRIMINA NALTIES AND CIVIL FINES UP TO ONE HUNDRED T USAND DOLLARS ($100,000/, IN ADDITION TO THE • COST O' WVJN ATICN, DAMAGES AS PRO MDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereb9;TtW%Cher renally of perjury one of the following declarations: I have and • il! 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 'ortr2�ICe of :ha v.ork for which this permit is issued. Policy No. have aptl 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 Insu neeCarr lt�1aas��s�alLrnldpil��icy nu rare: >. Carder, y'GYT ZI Policy Number Expiration Expiration Date Name of Agent Phone # •••• I cedffYy �ha6t, M the perftrk onework for which this permit Is Issued, i shall not employ any person in any manner so as to become subject to the workers' dompensetfon laws of California, and ogre that, If I shouifbeco e sers'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.Signature of Applicant Dat .I DECLARATION REG CTION LENDING AGENCY 1 hereby affirm under nat there Is a construction lending agency for the performance of the work for which this permit is Issued (Section 30 Civil Code): Lenders Name Lender's Address 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 infomlatio i have provided is correct. I agree to comply with all applicable city d Cunt 7inances and state laws relating to building construction. I authorize representatives ofthis city or c ty e rt e a = 4pmpelty for Inspection purposes. J. Signature of Property Owner or Authorized Age Print Property -Owner's or Authorized A ent's Name ra I S t't Date ACTION DATE DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGI LATIONS PART 61 OF TTLE 40 AND AOMD RULE 3 PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMITEXTENDED OMD ERMfT FINAL ES OS TIFKATION I5 LE TO CERTIFICATE OF -7-2-00� PROPOS 'M1,1P OC.CUPANCYISSUED 51GNATU