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Home My WebLink AboutX2020-2842 - PermitsCity of Newport -Beach . Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 i. --- Inspection Requests Phone (949)644-3255 `'razsnw�', Combination Type - SFP 1. IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII III COMB Permit: X2020-2842IIIIIIIII Project No: 2258-2020 Issued Date : 1211012020 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 12/11/2023 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: 1000 E BALBOA BLVD NB Description: SFR - FOUNDATION & RE -FRAMING 2 BEAMS �y ON ATURDAy Legal Desc.: BALBOA TR EAST SIDE ADD BLK 15 LOT 1 e�' Owner: SENOUR BOBICAROL Contractor: OWNERIBLDR Architect: 0 Address: 1000 BALBOA BLVD E Address: SENOUR BOB Address: NEWPORT BEACH, CA 92661CD Phone: 949-673-2447 Phone: 949-673-2447 Phone: State Lic: CD Applicant: SENOUR BOB Con State Lic: O/B Engineer: GOUVIS GEORGE A Address: 1000 BALBOA BLVD E Lic Expire: Address: 3831 BIRCH ST NEWPORT BEACH, CA 92661 Bus Lic:. NEWPORT BEACH CA 92660 Phone: 949-673-2447 Lic Exp Date: Phone: 949-756-1525 State Lic:C-029211 Code Edit: 2019 Worker's Compensation Insurance Designer: 0 Type of Construction: V-B Carrier: Address: Occupancy Group: R3/U Policy No: 77 Added /New sq.ft. Bldg: 0 Expire: Phone:xd Added /New sq. ft. Garage:. 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: HIGH DENSITY No of Units: 1 Front: / LIQUEFACTION AREA Bldg Height: 0 Left: / FLOOD ZONE A01 Bldg Sprinklers: Right: / Flood Zone: A01 Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10,000.00 Building Permit Fee: $246.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $214.02 Additional Fee : $0.00 Plan check Fee : $46.25 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 : $10.00 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 P/W 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 : $517.27 Plan Check Fee: $260.27 Fee Due at Permit Issuance : $257.00 PROCESSED BY: ZONING APPROVAL: a • • 0 0 ° .,PUH'•Llf, WOI2K;S kP*ROVAL: PLAN CHECK BY: GRADING APPROVAL: `<° ° a APPP..6v1Ak`.rb I%t1JE: E u�d roc c� o m cw .,o 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 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 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, m�sr sand 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 ro ents 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 p for the purpose of sale). owner ofthe property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Lawdoes not 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). exempt from Iicensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal resioyce 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 no been n tructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7 4 of the Business and Professions Code, is available upon request whe t ' a t' n 1 ilted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date Z 6 ZU LICENSED CONTRACTOR'S DECLARATI N I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ' - Division 3 of the Business and P,I' Tions Code, and my license is in full force and effect. License Class License No Date' Contractor Signatu, _ 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 formance of the work for which this permit is issued. Policy No. have 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' compensa' Trance carrier and policy number are: Policy Number of Agent Date certify that, in the performance of he work f hich 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 agre I. if I should becomes a ject ork!e;s pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Q,1_ %� 6.�� Dates//LrS/� CLARATION REG D G 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 ordina as and t ws relating to building construction. I authorize representatives of this city or county jo fm r�lyi o ied property for inspection purposes. 7 y Signature of Property Owner or Authorized Age ACTION I DATE I BY PERMIT EXPIRED PERMITCI NCELLED PERMIT EXTENDED PERMITFINAL (J d r Zl CERTIFICATE OF It OCCUPANCYISSUED DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 • ••• • ••• •u I SUBMITTED ASSES•FOS WOTIFICATION TO EPA • • • • • • •e J,JAQMD ASBESTOS NOTIFIC ION IS N APPLICABLE TO P POSED DE V1 • • • `• �• •(may' SIGNATUR �"�` • • • • • FOR OFFICE USE ONLY •• •e