HomeMy WebLinkAboutX2021-1017 - Permitsa5d # City of Newport Beach - Building Division *X2021-1017* COMB Permit: X2021-1017
c' p 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0437-2021
e, Permit Counter Phone (949)644-3288
. Inspection Requests Phone (949)644-3255
fair u ,* Combination Type - BLDG I P EU I Issued Date : 04/2912021
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 04/29/2024 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: 234 COLTON ST NB
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Description: SFR 36" HIGH BBQ (WITHIN 3FT OF PIL) m e
Legal Desc.: TR 772 LOT 21 ELK 6 ALL (EX NELY 25 FT) AND NELY 26 FT LOT 22 ELK 6 ° • ° ` e
Owner:
MEISTER BLAKE AND ALLIE
Address:
234 COLTON ST
0 Fire Hazard Zone : N
NEWPORT BEACH, CA 951-317-5640
Phone:
Construction Valuation:
Applicant:
BRUCE ROBERT
Address:
1653-B SUPERIOR AVE
COSTA MESA, CA 92627
Phone:
949-345-9904
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:
Contractor:
Address:
Phone
Con State Lic:
Lic Expire:
Bus Lic:
Lic Exp Date:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Rear: 5
Front: 5
Left: 3
Right: 3
Architect:
Address:
Phone: State Lic:
Engineer:
Address:
Phone: State Lic:
Designer:
Address:
Phone:
Special Conditions: REV21-0646
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Flood Zone:
Use Zone:
Parking Spaces:
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
PAN 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 : $286.74
Plan Check Fee
: $0.00 Fee Due at Permit Issuance :
$286.74
PROCESSED BY:
SA
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
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 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
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 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 ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the pyggp�se of sale).
I, as owner oiA"RrSperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
abply=(y On owney of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt frA prensure under the Contractors' State License Law for the following reason:
B,v%y Signature befpw I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code isatailable upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw.html.
S)gr%tVA of PropAlty OMner or Authorized Agent Date
LJ(rFSED CQNTrACTOR'S DECLARATION
I rl; r$y effirm under -penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 00)-o�f vis'o 3 of the Business anyPess ionj od, y lic nse n full force
and ehhect License Class License No Date li 2 '2 t Contractor Sign
j6KVjRS' CPMV ENSATION DECLARATION J \ I \
VARNING: FAILURE T06ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREd THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
IMEFP1:010PENSAXION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hAl2D9 affirm uAEAr-pbpalty 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 Code, for th
)erformance 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' compensation
nsura ce carrier and policy number are:
:arrier Policy Number Expiration Date
Jame of Agent Phone #
I certify that, in the a ormance 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 wor ers' compensation laws of C ['forms, and agree
hat, if I should becom ubject to the workers' Ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant ����vL.t-tiv D e
)ECLARATION RA DIN ONSTRUCTION LENDING 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 issued (Section 304, Civil Code).
.ender's Name Lender's Address
3y 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 information I hav provided is correct.
I agree to comply with all applicable city and co ty ordinances a tate laws relating to building construction. L
I authorize representatives of this city or county me"Vol= tified propor inspection purposes. 1���..��'ZUL' Dat
;innafure of Prooertv Owner or Authorized ADent .0-�.�' Print Property Owner's or Authorized Agent's NamA ```��� c
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BY REGULATIONS PART 0MPLIANCE 61 OF IIT E 40TH CODE OF AND AQMD RULE SL FOR OFFICE USE ONLY
2S
I SUBMITTED ASBESTOS NOTIFICATION TO
EPA