HomeMy WebLinkAboutX2020-1264 - PermitsCity of Newport Beach - Building Division *X20201264* COMB Permit: X2020-1264
100 Civic Center Drive, Newport Beach, CA 92666 Project No: 0975-2020
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM Issued Date:
• Inspection Arearea :2a20
7
s
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/10/2023 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: 127 25TH ST NB
Description: SFR *LEGALIZE BEDROOM INFILL* 131 SF BEDROOM EXPANSION (ADD) & ROOF DECK 132 SF. CHANGE RAILING SYSTEM ALONG ROOF DECK & 2ND STORY nFtQK, CIO
SPIRAL •°..'
Legal Desc.: NEWPORT BEACH CITY BILK 25 LOT 22
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Owner: GOLDENBERG JAY AND NANCY
Contractor:
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OWNER/BLDR AS BUILT PEI[Millct:
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Address: 127 ST
Address:
GOLDF Bf�[tC�N��CALL
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NEWPORT BEACH, CA 92663
NEWPORT
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Phone: 949-468-8345
Phone:
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Applicant: CORONA BENITO
Con State Lie:
I ECTRICAL, PLUM[[��Nr�I� f(g-�. //����N�rrN�
O/ � ` i�116ii10e�i:• rINONFATITAF KAMAL BESHARA
Address: 1100 E ORANGETHORPE AV STE 20OR Lie Expire:
RINGS PL
"'' CUgNICAL COI�II�
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ANAHEIM CA 92801
Bus Lic:
I E I ETAACATOGA 92562
Phone: 714-371-7176
Lie Exp
Phone: 714-696-9300 State Lic:C-051050
��Da''tenn:
Code Edit: 2019
Worker's Co
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Designer: "'G
Add
Type of Construction: V -B
Carrier:
"" tl U Address: 1 00 E ORANGETTHORPE AV STE 200R
- • �v t tl OT1ON
Occupancy Group: R31U
Policy No:
NOf ANAHEIM CA 92801
Added /New sq.ft. Bldg: 131
Expire:
P o�: 714-371-7176
Added /New sq. ft. Garage: 0
No of Stories: 3
Building Setbacks
75 Special Conditions: LIQUEFACTION AREA
No of Units: 1
Bldg Height: 24
`� KE 120-1576
r WEEND
Left: 3' OWNERIBLDR ATTACHED
Bldg Sprinklers: N
Right: 3'
Flood Zone:
Use Zone: R-1
Parking Spaces: 2 Fire Hazard Zone : N
Construction Valuation: $28,600.00
Building Permit Fee: $997.00
Excise Tax:
$0.00 Planning Department- Fire Department
Plan Check Fee: $787.07
Additional Fee:
$0.00 Plan check Fee: $185.00 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: $16.00
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: $3.72
WQ Insp. Fee:
$0.00 Park Dedication: $0.00 Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check: $43.00 - Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$69.79 San Dist: $0.00
Building Green Fee: $2.00
Mechanical %:
$39.88 NMUSD Fee: $0.00
$0.00
Plumbing %:
$89.73
$0.00
TOTAL FEE : $2,233.19
Plan Check Fee : $339.28 Fee Due at Permit Issuance : $1,893.91
PROCESSED BY: LAAoprPUBLIC
WORKS APPROVAL:
ZONING APPROVAL: Uftood
PLAN CHECK BY:
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 resson(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
ction 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
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
fessions 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
more than five hundred dollars ($500)..
I, as owner of the property, or my employees with wages as their sale compensation, will do L) all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044,
liness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employBes' or personal effort, builds or improves the property, provided that the
Tovements 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
r 'ved for the�purpose of sale).
as owner f 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
i y to an bwnero of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
am exempt tram licensure under the Contractors' State License Law for the following reason:
my signafuM below I acknowledge that, except for my personal residence in which I m st have -resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal
y stmctur4that I have built as an owner -builder if It ha4not n constructed in its a Irety 6y licensed contrado s, I understand that a copy of the applicable law, Section 7044 of the Business and
fessions Dade! Ls available upon requestwhpn�his apssubmi�ed r poyc'Ing . eb'site:htlp:Nwww.leginfo.ca.gov/calaw.html.nature of Property Owner or Authorizeedf( _(olrl LENSED FpNTRACTOR'S DECLARA I N� ,
Ireby affie%yQrlp4 penalty of perjury that I am licemsed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
`Affect. License Class License No Dale Contractor Signature
IR�K"ERS' POMPENSATION DECLARATION
:NIG: FAILeRE�Yb CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL suBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION To TH'.
T OF cOMPEr7SATION, DAMAGES As PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
rely affimg 468erpenalty of perjury one of the following declarations:
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 Cade, for tl
'ormanee of the work for which this permit is issued. Policy No.
have 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' compensatit
Trance carrier and policy number are:
Policy Number
Date
Ine of Agent Phone #
(( 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 agre
1, if I should become subject 10 the workers' cyp T enation provisions of Section 3700 of the Labor Code, I shall forthWith comply with those provisions.
Inatureoj, [(�pplicant gl AGCY S/ ���c �2--�-� ate_
CLARAThlN REGARDING COPSTRUCTI M LENDING AGENCY —
:reby affifm 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 owners 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 ands relating to building cons on.
1 authorize representatives of this or county �to��ter the a L e QC(p� party for inspection purpose .w'{{ 11 //� I ,,■E �4 ,1'�
,nature of Property Owner or Auth ed AOent A..!2f �.> , . H Print Placed, Owns or Authorized A.10 Name A R d a;i ( d' 1,
6ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL � FOR Dy ICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
renmr nrcHL / `7 � I i SBESTOS NOTIFICATION 15 NOT APPL ABLE, TO
CERTIFIC4TEOF l PROPOSED DEMO 7)0N %alp ¢ Z
OCCUPANCYISSUED
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