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HomeMy WebLinkAboutX2020-2014 - Permits,, ' City of Newport Beach_- Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2020-2014 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 2 0 1 4 Project No: 2557-2017 !. "q �. Permit Counter Phone (949)644-3288 v tp Inspection Requests Phone (949)644-3255 ".iyl�ytb' Combination Type - BLDG Issued Date : 09/11/2020 0 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0911212023 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: 2001 BAYADERE TER NB Description: BLOCK WALL 6'.x 12.5 LF &2' x 45 LF PER CITY STANDARDS (INSIDE P/L) �p Legal Desc.: N TR 2813 LOT 177 INS• , -d1 �� Owner: HAYWARD GREG & MADELINE Contractor: NICHOLSON CONSTRUCTION CO Architect: .... o. Address: 1 CORPORATE PLZ DR #110 Address: 1 CORPORATE PLZ #110 Address: ® • e ° o e ° o e NEWPORT BEACH CA 92660 NEWPORT BEACH CA 92680 ° e e • ° ° ° ° Phone: 949-756-8393 Phone: 949-872-6637 Phone: State Lic: • o° o°o 00 0 Applicant: GLASS NANCI Con State Lic: 660295 Engineer: 00000• • o Address: 1 CORPORATE PLZ DR#160 Lic Expire: 12131/2020 Address: NEWPORT BEACH CA 92660 Bus Lic: ST98032850 Phone: 949-756-8393 Lic Exp Date: 04/30/2027 Phone:' State Lic rccoco ° omoon ° ®° ° ° ° Code Edit: 2019 Worker's Compensation Insurance -Designer: ° ° ° ° ° ° Type of Construction: Carrier: STATE FUND Address: ao o c o c Occupancy Group: U Policy No: 9074255 Added /New sq.ft. Bldg: 0 Expire: 10/01/2020 Phone: Added /New sq. ft. Garage: 0 .... No of Stories: 0 Building Setbacks Rear: 10 Special Conditions: No of Units: 0 Front: 10 Bldg Height: 0 Left: 4 Bldg Sprinklers: Right: 4 Flood Zone: Use Zone: Parkin S aces: 0 Fire Hazard Zone : N Construction Valuation: $2.500.00 Building Permit Fee: $127.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $110.49 Additional Fee : $0.00 Plan check Fee: $46.25 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 : $2.00 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 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 actrlcal %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 M chanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plu binq %: $9.00 $0.00 TOTAL FEE : PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee: $0.00 Fee Due at r� PUBLIC WORKS APP OVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 5286.74 OWNER-BUILDER DEC!ARATION I hereby affirm under p(:nalty of perjury that I am exempt from the Contractors' State License Law forthe mason(s) indicated below by the checkmark(s) 1 have placed nextto the applicable itam(s) (Section 7031.5, Business and Professions Code: Any city or countythat 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 Ni or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7039.5 by any applicant for a permit subjects the applicant to a civil penaltyof not more than five hundred (collars ($500). 13 1, as owner of the prope!ty, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the Improvements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Buiiderwill have the burden of proving that it was not built or Improved for the purpose of sale). ❑ I, as owner of the prope!ty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not apply to an owner ofpmpe rt.1 who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am Vemptframlfeensure underthe Contractors' State License Lawforthe following reason: By nrysigaature below I ackiowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, 1 cannot legal)) sell a strudture th9t lJ 4 built as an owner-builder if it has not been constructed in its entirety by licensed contractors. f understand that a copy of the applicable law, Section 7044 of the Business and orillbgsiditls Code, f %available upon requestwhen this application is submitted cr at the following Web site:http•J/www.leginfo.ce.govlmlaw.html. Bignalurc of Property Owner or Authorized Agent Date LICENSED CO01$P.44TOR'S DECLARATION ! hDrebyrp�tffirm under perMy of perjury that I am licensed 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 3 oensseWaSS �����: License No Date 9-11-20 Contractor Signature M9R1S&RS' COMPENSATION DECLARATION VARNIRG: FAILURE TO-SECeIff V'.(OREERS' COMPENSATIDN COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CND. FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITIONTO THE aotiT OF CBMPENSA1Vy,`DA1[A(:'ES AS PROVIDED FOR IN sEOT10N was OF THE LABOR CODE, INTEREST, ANDATTORNErS FEES. hCMIti irm under Walty of perjuryone of the following declarations: I have and will•malctain 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, �Ikrmance of the work for which this permit Is Issued. Policy No. e 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' compensation n ce carder and policy aumber are: . ,arrier Policy Number F�iration Date Jame of Agent Phone # :11 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 agree hat, N I should become s bj-:ct to the wo ers' compsns ion provisions of Section 3700 of the Labor Code, I shatl forthwith comply with those provisions. >ignatureofApplicant� Date r' 9-11-20 )ECLARATION REG RDIN3 CONSTRUCTION L DING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issuedection 3097, Civil Code). .ender's Name Lender's Address 3y my signature below, I cerrffy to each of the following: I am the property owner )r 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 al applicable city and county ordinances and state laws relating to building construction. `— I authorize representatfwes of this city or coUls(y jra ants the aboye-jS1,eAtified property for inspection purposes. Xy-11-20 Signature of Property Owner or Authorized Agent%_ ea-0--G(�L�C.,22 Print Property Owner's or Authorized Agent's Nam NanciGlass DaaaSSteee��\ _ AC)!)+OM DATE BY DECLARAUGNOFCOMPLfANCEtUTHCODEOF fEBERALIZEMff MNSPARFdlaFTTfLE4&AND A4A UMAE1401 © l SfiB7 MEDASBUTW KIDIFIF1CATi0N TO: © EPA L3 AQMD P�RflPOSEMEArauTi7N.i3GJfJlSNUTAPPLfD298LE7D Sf ,hfATfi : FDR2)lliff U::E47NiY PERPAITEXPIRED PERNIF TrAINCELED PERMWEX3ENDED PERNffTI'dfdAE 2 _ CERTIEICATAE OF OCCUPANCYISSUED