HomeMy WebLinkAboutX2021-0475 - PermitswtDt City of Newport Beach - Building Division
a 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - CIP ELEC
�������������� ������� II Project No
Dermic:022021-0475
Issued Date : 04121/2021
Inspection Area: 2
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0412112024 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: 1701 BAYSIDE DR NB
Description: COMM ALT (E) PEDESTRIAN & VEHICULAR ACCESS GATE, RESTRIPE PARTIAL LOT, RESTROOM DOORS "BALBOA BAY YACHT CLUB MARINA"
Legal Desc.: P BK 291 PG 47 PAR 2
Owner: BALBOA YACHT CLUB
Address: 1801 BAYSIDE DR
NEWPORT BEACH, CA 92625
Phone
Applicant:
SALAZAR VALERA
Address:
3195 B AIRPORT LOOP DR
Record Management:
COSTA MESA CA 92626
Phone:
954-683-9291
Code Edit : 2019
Type of Construction: VB
Occupancy Group: U
Added /New sq.ft. Bldg:
Added /New sq. 8. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee: $799.00
Plan Check Fee: $695.13
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$91.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $2,141.74
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
COAST PACIFIC BUILDERS INC
Architect:
HILL JOHN STEVEN
Address:
18201 MC DURMOTT ST WEST STE DAddress:
3196-B AIRPORT LOOP DR
Demolition Fee
IRVINE CA 92614
Building Dept Adm
COSTA MESA CA 92626
Phone:
949-701-4921
Phone:
714.825.8888 State Lic:CO23553
Con State Lic:
Lic Expire:
02/2 021210
812023
Engineer.
Address:
P I
Bus Lic:
BT30072054
Lic Exp Date:
1013112022
Phone:
State Lic:
....
°
Worker's Compensation Insurance
Designer:
0
....
Carrier:
STATE FUND
Address:_
Policy No:
1868932
0°00
Expire:
11/0112021
Phone:
°
Building Setbacks
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: 1
Right: I
larking Spa
$0.00
$349.00
$0.00
$0.00
$0.00
$0.00
$0.00
$111.86
$0.00
$0.00
Special Conditions: LIQUEFACTION AREA
Planning Department -
Fire Department
Plan check Fee
Fire Inspection:
Fair Share
Fire Plan Rev
SJH Trans
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $1,228.88 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: r
APPROVAL TO ISSUE:
00
0 0
0 00
00
0 0 0
0 00
Cv
$47.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$912.86
Vioonoo
c.
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0000
Fire Department
$46.26
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee : $1,228.88 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: r
APPROVAL TO ISSUE:
00
0 0
0 00
00
0 0 0
0 00
Cv
$47.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$912.86
Vioonoo
c.
00000
°
000ao
n o°ooc
0000
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
is 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
'rofesslons 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
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness and Professions Cade: 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
nprovements 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
n roved for the purpose of sale).
I, 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
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
Iy my signature below 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 legall)
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of p¢qury that I am licensed under provisions of Chapter 9 commencing with Section 7000 f Divi ion 3 of the Buslne and Professions Code, and my license is in full force
nd effect. License Class 17? License No �� [� �%� Date , 2J —? Contract ignatur,_��—=®�a._
VORKERS' CQUP.ENSATION DECLARATION A\
EARNING: FAILURE tri SF.CT1RE 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
QSTJOFPOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm und'ec penalty of perjury one of the following declarations:
...
1.1 Ave and wig mai.
ntain 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
edanvce
once of tie work for which this permit is issued. Policy No.
e and Ll.niaidtain 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' compensatfol
is carriegand ❑�o^�icy number are: /., D�, 61- / J —, /
�r`;/i fir.. "(; F��'YI� �✓II S TV�I� Policy Number /.:%i�n �Z�® Expiration Date 'y�^1 / —Z-02
of Agent
of
t'n th a Performance of the work for which this permit is issued, I shall not employ any person in any mannerso as to become subject to the workers' compensation laws of California, and
Mocome subject to the workers' co pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
.,:_0 ,, - kala &) Loe_
CLARATION REGARDING CONSTRUCTION LENDING AGENCY • '
Ireby 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 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 owner's 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 and slate laws relating to building construction.
I authorize representatives of this Qty or county to enter the above -identified property for inspection purposes. rr�
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL / LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF I// PROPOSED DEMOLITION
OCCUPANCY ISSUED � SIGNATURE: