HomeMy WebLinkAboutX2021-0056 - Permitst City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIII�III�IIIIIIIIIIIIIIIIIIII� IICOMB Permit: X2021-0056
' 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 0 5 6 Project No : 0050-2021
E~ s Permit Counter Phone (949)644-3288 A g1 x yOyl - 0 05 6
�} it Inspection Requests Phone (949)644-3255 e �i SPEC
Combination Type - SFP t !i U "LO I S� Issued Date : Area
: 2021
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0110912024 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: 201 07TH ST NB Z
Description: SFR REMOVE & REPLACE GUARDRAIL ON ROOF DECK "STOP WORK*
Leqal Desc.: EAST NEWPORT BLK 5 LOT 5
Owner:
SACCHI ALBERT& BETTIE
- Contractor:
Address:
760 S MAPLE
Address:
Energy Compliance:
MONTEBELLO, CA 90604
CA Seismic Safety:
Phone:
323-728-7983
Phone:
Applicant:
FISH MICHAEL
Con State Lie:
Address:
11127 GERBER AVE
Lie Expire:
$0.00
WHITTIER, CA 90604
Bus Lie:
Phone:
562-9414177
Lie Exp Date:
Code Edit: 2019
Type of Construction: V -B
Occupancy Group: R3111
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee: $110.00
Plan Check Fee: $95.70
Overtime Plan Ck:
$0.00
Investigation Fee:
$110.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $366.95
PROCESSED BY:
ZONING APPROVAL:
OWNER/BLDR
AUTH AGENT:
MICHAEL FISH
562-941-4177
OIB
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical W
Mechanical %:
Plumbing %:
Rear: /
Front: /
Left: /
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Architect:
Address:
Phone: State Lie
Engineer:
CHUNG JUN SUNG
Address:
15820 WHITTER BLVD #F
Fair Share :
WHITTER CA 90603
Phone:
562-943-0847 State Lic:S-002766
Designer:
Building Dept Adm
Address:
Park Dedication :
Phone:
Special Conditions: OWNER/BLDR ATTACHED
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 Dlst :
$0.00
NMUSD Fee:
$0.00
Plan Check Fee: $141.95
AS BUILT PERMIT
Zone,N
I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $225.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: EXPOSE ALL STRUCTURALPPROVAL TO ISSUE:
ELECTRICAL, PLUMBING, AND
MECHANICAL COMPONENTS
Fire Department
$46.25
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $225.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: EXPOSE ALL STRUCTURALPPROVAL TO ISSUE:
ELECTRICAL, PLUMBING, AND
MECHANICAL COMPONENTS
OWNER -BUILDER DECLARATION '
I hereby affirm under penalty of perjurythat 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 HPI applicant for
the p t o 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
Prof Mn'ssios 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
ore than five hundred dollars ($500).
o.
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,
l8usineSs 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 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
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By 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,
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 44 of the Business and
Professions CoV'VIJI/ailable upon request wheDate s applic@@ti__on Is submitte�d c! at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signaturg of Propert?@wner or Authorized Agent A"I'S/L�l> f��3, , O
Ld13EN®ED CONTRACTOR'S DECLARATIqN
I tereby affirm uMer penalty of perjury that I am litensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
ap8 pfil t. Licensg Class License No Date Contractor Signature
fORKERS' COMBfiNSATION DECLARATION
MRNING:FAILURE T08iGlIRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($'100,000), IN ADDITION TO T
:OST (91 -COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 9700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
herebp affirm umderp malty of perjury one of the following declarations:
3'I'h'a'Ve and wilimaintain 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
glfar"4ce of thg worl`for which this permit is issued. Policy No.
�I have and will.rmaintuin 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' compensa'l
carrier and policy number are:
""'; Policy Number Expiration Date
Jame of Agent Phone #
:1I certify that, in the performance 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 workers' compensation laws of California, and agm
hat, if I should becom bject tothe workers' cAmpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Q
signature of Applicant P/AGI 'iyJ �YYAS Date
IECLARATION REG4RDIN"ONSTRUCTION LENDING AGENCY
hereby affirm under i5enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, CivilCo e).
-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 have provided is correct.
I agree to comply with all applicable city and cou ty ordinances and state laws relating to building construction.
I authorize representatives of this city or countt enter the ova -identified roperty for inspection purposes.
3i nature of Property Owner or Authorized Agent - /I� ~ Print Property Owner's or Authorized Agent's Name �' �C , �tJate
ACTION DATE BY V DECtARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGUL&TIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITCANCELLED
PERMIT EMENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
I SUBMITTED ASBESTOS NOTIFICATION TO
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