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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 seem 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 e m mmbeCO O meson e OOOmn omommo o e o • o mmmmoo m n mmmc 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