HomeMy WebLinkAboutX2021-3048 - Permits. ra City dlfi wport Beach - Building Division II�IIIIIIII IIII III IIIIIIIIIIIIIII'I�I II II COMB Permit: X2021-3048
.�. 100 Civic Center Drive, Newport Beach, CA 92660 4 Project No: 2649-2021
F Permit Counter Phone (949)644-3288
u 4t Inspection Requests Phone (949)644-3255 f 6� p -sue �^1 NOISE
r"«ors `* ..: Combination Type - BLDG PLUM NO CONSTRUCTION NOISE Issued Date: 11/09/2021
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1110912024 OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and,S�Zµrda)t f E7ff .m. No work on Sundays or Holidays
Job Address: 223 HELIOTROPE AVE NB 4�d91I @ 1'IC V�
Description: DEMO SFR 1,080 SF (3 BEDROOMS)
Legal Desc.: RESUB OF CORONA DEL MAR BLK 34 LOT 17
Owner:
LATIF
Address:
223 HELIOTROPE AV
CDM CA 92625
Phone:
Applicant:
GANN BEVERLEY
Address:
231 E ALESSANDRO BLVD #A465
RIVERSIDE CA 92508
Phone:
951-685-5314
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R3
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Construction Valuation:
Building Permit Fee: $122.00
Plan Check Fee: $223.00
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: $2,031.98
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
LINDA SUE BROYLES
Architect:
Address:
231 E ALESSANDRO BLVD STE A465 Address:
RIVERSIDE CA 92508
Phone:
951-685-5314
Phone:
Con State Lie:
574104
Engineer:
Lie Expire:
01/3112023
Address:
Bus Lie:
- BT30077160
Lie Exp Date:
11/3012022
Phone:
Worker's Compensation Insurance
Carrier: NO EMPLOYEES
Policy No:
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical W
Plumbing %:
Rear: /
Front: I
Left: I
Right: /
irking Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$152.00
$0.00
$0.00
$10.98
Designer:
Address:
Phone:
State Lie:
AKBARPOURSAM
400 S RAMONA
CORONA CA 92879
951-279-2830 State Lic:C-053038
Special Conditions: HAULER: UNIVERSAL BOBCAT
NO CITY TREES ON SITE
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PNV Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$104.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
0
$0.00
$0.00
$27.00
$265.00
$1,127.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,031.98
PUBLIC WORKS APPROVAL:
o PLAN CHECK BY:
o _ --oAPPROVALTO ISSUE:
! o c o 0
O O J aV O O
O O
�U � O tG• 00
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 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).
❑ 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' State 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 legalh
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://www.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 70 ) of D'vision 3 of the Business and Profe /D Code, and my Iicens II force
and effect. License Class Q kC�al License No �4L 04- Da ll Contractor Signature
111IORKERS' 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 ,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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 th
3erformance 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'
rance carrier and policy number are:
Policy Number
ie of Agent
certify that, in the performance of the work for which this
if I should becomes subject workers'
0co(mpe1nrsatio
IatureofApplicantR ,
Date
I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
ction 3700 of the Labor Code, I shall forthwith comply with those provisions.
Dat I O Cl
ereby affirm under penalty of perjury that there is q corjstrdclibn lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name 1 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 Iat g to b ilding construction.
I authorize representatives of this city or coun t dt above -id tified r e Inspection purposes.
nature of Property Owner or Authorized Agent int roperty Owner's or Authorized Agent's Nam
TION DATE BY DEQ RATION OF CO PL N E WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGU IONS PARTOF LE 40 AND AQMD RULE
PERMITEXPIRED
LXI SUBM ED ASBESTOS NOTIFICA ONT °
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PERMITCINCELLED
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PERMIT EXTENDED
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PERMITFINAL
1
(CATION IS NOT APPLICAB TO
CERTIFICATE OF
PROPOSE 10 • e •
s • ess
OCCUPANCYISSUED
SIGNAT E e
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