HomeMy WebLinkAboutX2021-0654 - Permitsw
CiG of Aawport Beach - Building Division
.. ,.
100 Civic Center,130ve, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255.
Combination Type - SFP
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2021-0654
Project No: 0594-2021
Issued Date : 0312512021
Inspection Area A -
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/25/2024 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: 12 BAY ISLAND NB
Description: SFR REPAIR EXISTING DECK, INSTALL 42"H GLASS RAILING ALONG PERIMETER *STOP WORK*
Legal Desc.: S TWP 6 RGE 10 SEC 34 - -
Owner:
BAY ISLAND CLUB
Contractor:
MARVISTA CONSTRUCTION
Architect:
Address:
18 BAY ISLAND
Address:
603 E ALTON AVE SUITE G
Address:
NEWPORT BEACH, CA 92661
SANTA ANA CA 92705
Phone:
Phone:
949-545-6550
Phone:
Applicant:
LINDLEY SARA
Con State Lic:
760063
Engineer:
YAGHI SHUCRI I
Address:
603 E ALTON AVE #H
Lic Expire:
03131/2023
Address:
112 E. CHAPMAN #D
SANTA ANA CA 92706
Bus Lic:
BT30062384
ORANGE CA 92866
Phone:
714-746-7189
Lic Exp Date:
09/30/2021
Phone:
714-997-9120
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Construction
Building Permit Fee: $246.00
Plan Check Fee: $214.02
Overtime Plan Ck:
$0.00
Investigation Fee:
$246.00
Record Management :
$8.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $761.27
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: ACE AMERICAN INS CO
Policy No: C68639657
Expire: 0110112022
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: I
Left: I
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Designer:
Address:
Phone:
State Lic:��
e•ee
e
State Lic:C-043205
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o m
aea eo
Special Conditions: LIQUEFACTION
121-0701
Fire Hazard
Planning Department -
Plan check Fee :
Fair Share:
SJH Trans :
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PM/ Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
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:
0 0
o•000a
F
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $260.27 Fee Due at Permit Issuance: $501.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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0
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OWNER -BUILDER DECLARATION r
I hereby affirm under penally 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 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 (_) all of or (_) 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
rl-m-roved for the purpose of sale).
LJ 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 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:hltp://www.leginfo.ca.govtcalaw.htmi.
.Signature of Property Owner or Authorized Agent Date
'LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under �nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 f ivisi n 3 of the Business and Profes ions Code, and my license is in full force
and effect. License Class License No Date 3'2iS Contractor Signatures
... ���
V"jsgrS' CO ENSATION DECLARATION
WARNING: 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 ($100,000), IN ADDITION TO THE
COBF OF COMPENSA&N71YAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I Bare[ affirm unde} penalty of perjury one of the following declarations:
S•havl and Will meNain 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 the
perfonnence of the work for which this permit is issued. Policy No.
...
Me.and wig rrNgt6in 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 Ior
i MlhfiCe carrier and policy number are:
Cgryt} • • Policy Number Expiration Date
is ofi±gent • • • """'""
.,..
Fertify that, inthe 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
If tshould beMM5 u ' ct to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Iature of Applicant / Date
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 3097, Civil Code).
ender's Name Lender's Address
ly 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 tt an gbove-identified property for inspection purposes.
A—M / C� 1f.\ Print Prcoertv Owner's or Authorized Agent's Nam/—StA�!C
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
ocennm cmmcnI I I I I ci jnm TTFn AcnFCTnS NOTIFICATION TO I
PERMIT EMENDED QMD
PERMITFINAL 0 E$TOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF P OS DDEMOLITIO
OCCUPANCYISSUED SIGNATU
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