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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. 00000 ° 000ao n o°ooc 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: