HomeMy WebLinkAboutX2019-4148 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
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Combination Type - BLDG PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-4148
x 2 0 1 9 4 1 4 6 Project No : 2873-2019
Issued Date: 12123/2019
Inspection Area : 1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7:00 a,m. to 8:30 p.m. and Saturday from 8:00 a.m. to 8:00 p.m. No work on Sundays or Holidays
Job Address: 317 CORONADO ST NB
Description: DEMO TRIPLEX (3) BEDROOMS, 1463 SF, INCLDS SEWER CAP
Legal Desc.: NEWPORT BAY TR SUB OF BLK C LOT 41
Owner:
317 CORONADO LLC
Address:
790 NEWTON WAY
COSTA MESA CA 92627
Phone:
Applicant:
SEPULVEDA BUILDERS INC
Address:
790 NEWTON WAY
COSTA MESA CA 92627
Phone:
714-222-1150
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 3
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Contractor: SEPULVEDA BUILDOMIC p Architect:
Address: 790 NEW. COSTA MESA CA 92627 C dd�dsss: PgrYe�
Phone: 714-222-1160 PhonB'�"
Con State Lic:
695401
Lic Expire:
1013112020
Bus Lic:
BT30056100
Lic Exp Date:
0212812020
2016 Worker's Compensation Insurance
VB Carrier:
NO EMPLOYEES
R211.1 Policy No:
0 Expire:
0
Building Setbacks
Rear: I
Front: I
Left: I
Right: /
Use Zone:
Parkino Spaces: 0
Construction Valuation: $7,000.00
Building Permit Fee: $103.00
Plan Check Fee: $208.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $1,774.27
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Engineer:
State Lic:
yp r&Z
®� ! 4d State Lic:
Designer: BRE JASON
Address: 3735 DE SOTO
COSTA MESA CA 92626
Phone:
Special Conditions: TIGHT QUARTERS TO HAUL
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$90.00
Fire Inspection:
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
Grading PC Fee:
$0.00
Public Works Department-
General Service
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
PAN Plan Check:
$0.00
Grading Bond:
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$9.27
0
ooeeom
m
-. 440
° $0.00
e e•
0 0 0
26.00
$210.00
$1,127.00
$0.00
$0.00
$0.00
Plan Check Fee : $1,774.27 Fee Due at Permit Issuance : $0.00
PUBLIC WORKS APPROVAL:
_ PLAN CHECK BY:
APPROVAL TO ISSUE: �VV
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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
Irofessions 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 L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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
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 pplicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html.
',ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) f Division 3 of the B 'n as and Professi and my license is in full force
nd effect. License Class License No a &tr b r Ignature
✓ORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP T DRIED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under p e.nBlty of perjury one of the following declarations:
11 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
orr8arjce of tt^orA Ior which this permit is issued. Policy No.
I'h.aveand 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' compensatior
uraHoe carrier an8 policy number are:
vier • Policy Number Expiration Date
�Emeof Agent Phone#
3I*certify that, iItIt pfformance of the work forwhich this permit is issued, I shall not employ any person in any manner so as to become subject to th ers' compensation laws of California, and agree
131,1f ISho d bec i u ec o orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
•..•.•
�n9tur fApplioan� / ate_
,r0 affirm un4hc 7 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)
Wt 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 ation I have provided is correct.
I agree to comply with all applic city andinances and state laws relating to building construction.
I authorize representatives o is city or coun y to an t bove-identified property for inspection purposes.
nature of Prooertv owner or uthorued Anent Print Prooertv Owner's or Authorized AD n Name
ACTION
RATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY v
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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