HomeMy WebLinkAboutX2020-1581 - Permitsdano 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 - BLDG
III IIIIIIIIIIIIIIIIIIBIIIIIIIIIIIIIIIIIIIIIIIIII1 II
COMB Permit: X2020-1581
Project No: 2176-2017
Issued Date : 0710812020
Inspection Area : 1
PERMIT EXPIRES 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/09/2023 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: 1703 OCEAN BLVD NB
Description: SFR BLOCK WALL 59 LF X 6' HIGH
ON P/L *MARKERS ON SITE*
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Legal Desc.: N TR 518 BLK C LOT 31
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Owner: HAGAN ANNIE&JIM
Contractor:
SAILHOUSE HOMES INC Architect/ �9 PEc
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Address: 1703 OCEAN BLVD
Address:
170 NEWPORT CENTER DR #260 Address:
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NEWPORT BEACH, CA 92661
NEWPORT BEACH CA 92660
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Phone: 626-487-9096
Phone:
949-281-6045
Phone:
State Lie:
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Applicant: SAILHOUSE HOMES INC
Can State Lie:
1007531
Engineer:
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Address: 170 NEWPORT CENTER DR #260
Lie Expire:
09/3012021
Address:
NEWPORT BEACH CA 92660
Bus Lie:
ST30036603
710
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Phone: 949-281-6045
Lie Exp Date:
08/31/2020
Phone:
State Lie:
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Code Edit : 2019
Type Construction:
Worker's Compensation Insurance Designer:
Carrier: INSURANCE COMPANY OF THE WEST Address:
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of
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Occupancy Group: u
Policy No:
WSD50526400
Added /New sq.ft. Bldg: 0
Expire:
1212912020
Phone:
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Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: 0
Special Conditions: P/L
AGREEMENT ATTACHED
CD
No of Units : 1
Bldg Height: 0
Front: 10
Left: 4
m
Bldg Sprinklers:
Right: 4
Flood Zone:
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $5.000.00
Building Permit Fee: $426.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $377.50
Additional Fee:
$0.00
Plan check Fee: $41.50
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
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $848.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$848.00
PROCESSED BY:
-
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
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PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE:
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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)
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 sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
iness 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
rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year o(completion, the Owner -Builder will have the burden of proving that it was not built or
roved 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
ly to an ownar4 property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I ST. exempt ff" licensure under the Contractors' State License Law for the following reason:
„y signature bejgwrl 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 Iegalh
a structure tp2t 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
feftions Code+ is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
nature of Property Owner or Authorized Agent Date
ENSED G6ATRACTOR'S DECLARATION
$eby affirm Pubgrpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of, vis16nof the Business and Profess! s C L a - r lic nse is in, full force
effect. LI9@r1svQass License No Date l Contractor Signature
IRI{ERS' CIOMPENSATION DECLARATION
RING: FAILURE ib SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
T OF COMPENSATIGII*DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
rei affirm wrier penalty of perjury one of the following declarations:
I JAve anq'Mir RiVintain 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
ormance of4l"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' compensallol
rance carrier and policy number are:
:artier Policy Number Expaatic
lame of Agent 4 1 Phone #
Date
]I certify that, in the performs e f e wo for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' mpensatic laws 71' California, and agre
tat, if I should become subje to orke ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r--�
'signature of Applicant11
Dat _ l
IECLARATION REGAR G STR LENDING AGENCY
hereby affirm under pen Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code).
ender'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 prope owner's shelf.
1 have read this application and the information I hav pr ,,i is c rect.
1 agree to comply with all applicable city and county rdi c as to laws relating to building construction.
I authorize representatives of this city or county to nter b / foperty for inspection purposes. l�l e !l� ,t:` Dat
'innahlrn of Prnnerty nwner nr Authnri7ed Anent Print Prooertv Owner's or Authorized ADent's N e / /' /I'
PERMIT CANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
PART 63 OF TITLE 40 AND AOMD RULE
NOTIFICATION TO
APPLICABLE TO
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