HomeMy WebLinkAboutX2020-2404 - Permitsa
City Qfr:Newport Beach - Building Division "X2020-2404" COMB Permit: X2020-2404
100 Civic Center Drive, Newport Beach, CA 92660 Project No: 1008-2020
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP - Issued Date: 11/20/2020
Inspection Area : 41:o
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 11/21/2023 OR PERMIT, KgLL 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: 2612 WAVECREST DR NB
Description: SFR NEW DETACHED TRELLIS (REAR) 11' 5" X 17' 4")
Legal Desc.: N TR 6113 LOT 23 r.
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Owner: PARZICK ROBERT J Contractor: MR BUILD SOLAR ELECTRIC Architect: GARCIA JOHN M
Address: 2612 WAVECREST DR Address: 12444 VICTORY BLVD UNIT 404 Address: PO BOX 9942 - t`
CORONA DEL MAR, CA NORTH HOLLYWOOD CA 91606 NEWPORT BEACH CA 92658 -
Phone: 9496759930 Phone: 310-2754046 Phone: 949-683-8858 State Lic:C016755
Applicant:
GARCIA JOHN M
Address:
PO BOX 9942
NEWPORT BEACH CA 92658
Phone:
949-683-8858
Code Edit: 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: _ _0_...
Bldg Sprinklers:
Flood Zone:
Building Permit Fee: $381.00
Plan Check Fee: $266.75
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: $695.00
PROCESSED BY:
ZONING APPROVAL:
Con State Lie:
439166
Engineer:
Lie Expire:
02/2812022
Address:
Bus Lie:
BT30049270
Lie Exp Date:
10131/2021
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
CA INSURANCE CO
Address:
Policy No:
4600941902
Expire:
08/16/2021
Phone:
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WO Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I W
Front: I
Left: I
Right: I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee:
VOLPE ROBERT M
20321 LAKE FOREST DR STE D4
LAKE FOREST CA 92630 m • o • °m
949-3054700 x1 State Lic:C-025116 °
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Special Conditions:
Planning Department -
Plan check Fee:
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication:
$0.00
P/W 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:
00 0
0 o m
m o0
0000
0 0
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $695.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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OWNER -BUILDER DECLARATION
1 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) 1 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
'rofessions 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) 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 1t was not built or
nproved for the purpose of sale).
11, 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 applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature 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 700 ) of ivis'on 3 of the Business and Pro sions Cade, and my license is in full force
nd effect. LicepjggVn s License No Date Contractor Signatu (��
`■ VORKERS' CO�rMPEIOSATION DECLARATION
FIRP P": `AILURE JT0 fg%$E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereb affirm under penalty of perjury one of the following declarations:
Iheye and vgilf norrain 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
r?ft.8nce of the 9vork-for which this permit is issued. Policy No.
and wW 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 "11blicy number are:
' Policy Number Expiration Date
of:kaent . '
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
that, inN%
lould become subjgct to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of Applicant
Date_
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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to mer the above -identified property for inspection purposes.
s+,.. ,.f Drneudv nu,,,e., r A,dhnrb Anent i _.��f — Print Prnnertv Owner's or Authorized Aaent's Name
DATE DECLARATION OF CMPLIANCE WITH CODE OF I BY ! REGULATIONS PA TO 1 OF TITLE 40 AND QMD RULE
�L FOR OFFICE USE ONLY
PERMIT EXPIRED I I I U I SUBMITTED ASBESTOS
PERMITFINAL LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF �� PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE: