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HomeMy WebLinkAboutX2021-0108 - Permits�yxvly�T City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIII�II COMB Permit: X2021-0108 100 Civic Center Drive, Newport Beach, CA 92660 I x 2 0 2 1 9 1 0 6 Project No : 0118-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 h \ V h�kii,aiup/ Combination Type - BLDG I �� ,(O �� Issued Date : 01/29/2021 TAA( Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0113012024 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: 127 JADE AVE NB Description: SFR BLOCK WALLS, 70 LF X 5'9" H, 110 LF X 34" H Legal Desc.: BALBOA ISLAND SEC 5 BLK 3 LOT 16 Owner: BAKSHI BOB & GAYLE Contractor: BAYRICH CONSTRUCTION INC Architect: Address: PO BOX 801504 Address: 1230 N GROVE ST Address: .SANTA CLARITA CA 91380 ANAHEIM A 92807 Phone: Phone: 714-578.5760 Phone: State Lie: Applicant: ELLIS'ON PAUL Con State Lie: 430347 Engineer: Address: 24642 VIA RAZA Lie Expire: 02/28/2022 Address: LAKE FOREST CA 92630 Bus Lie: BT30071243 Phone: 949.603-9861 Lie Exp Date: 0212812021 Phone: State Lie: Code Edit: 2019 - Worker's Compensation Insurance Designer: Type of Construction: Carrier: EMPLOYEES SERVICE Address: Occupancy Group: U. Policy No: 066386004 Added /New sq.ft. Bldg: 0 Expire: 02120/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: 5' Special Conditions: LIQUEFACTION No of Units: 0 Front: 10' high density Bldg Height: 0 Left: 3' Bldg Sprinklers: Right: 3' Flood Zone: Use Zone: Parkin Spaces: 0 Fire Hazard Zone : N INS COT a Construction Valuation: $6.000.00 Building Permit Fee: $161.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $140.07 Additional Fee : $0.00 Plan check Fee: $0.00 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: $0.00 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 W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing%: $0.00 $0.00 TOTAL FEE : $302.07 Plan Check Fee: $140.07 Fee Due at Permit Issuance : $162.00 PROCESSED BY:. o o ° ° ° • °opWBInIC WORKtS APPROVAL: oc o© ••• o ZONING APPROVAL: PLAN CHECK BY: B GRADING APPROVAL: o c o O o °APPRaOVAk TO06GUE: e c c• o 0 0• c O I o • • c OG O O • 0 0 •o oo• ° • °• o° oma 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 Items) (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 fora permit subjects the applicant to civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 purpose of sale). 1, 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' State License Law). I 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 legally 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, is available upon request when this application is submitted or at the following Web site:http:/Avww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed 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 and effect. License Class License No Date 1/29/21 Contractor Signature..i WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IE'100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 13 1 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 thI sw4imence of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date Tie of Agent Pnone n 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 agree 1, if I should become subject to�t�h�eyy(orkej pompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant // r/� Date/ 1/29/21 CLARATION REGARIJ G CONSTRUCTION LENDING AGENCY neby affirm under penalty of perjurythat 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 Lenders 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 state laws relating to building construction. I authorize representatives of this city or county to enterth�abo Identified property for inspection purposes. nature of Pmnerry owner or Authorized AcaoltV iAQGGG =01 Print Prooertv Owner's or Authorized ADent's NaA)e Paul Ellison gate 1/29/21 ACTION DATE BY OLLLAWtffUIVUrLUMYUANt:t WIIHLUDt UY FDRDFRCEUSEONLY = F pEwt REGUJ.A�/of�SPART6I OFTIILE40AND PERMI7EXPfRED • A❑j7•M FIJEDVBESTOS MONFICATION W: PERMITCANCELLED - • • • • • • FPA PERMITEXTENDED • ❑ •AOMD • • - E3 ASBESTOS N077RCA770HIS NOTAPPLICABLE TO PERMIT HALAL PROPOSED DEMOLITION. CERPFICATEOF • • • • • • ... : • OCCUPANCYWUED S7GlSA�DlSE:� �•