HomeMy WebLinkAboutX2020-2923 - Permits (3)City of Newport Beach - Building Division
;4 100 Civic Center Drive, Newport Beach, CA 92660
- 4 Permit Counter Phone (949)644-3288
si, 1p Inspection Requests Phone (949)644-3255
°5ro3.'p�'s Combination Type - BLDG PLUM
IllX202l�l0llll�9lll1111 Project
COMB Permit:o1s020-2923
Issued Date: 92I1512020
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1211612023 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: 404 BELVUE LN NB
Description: DEMO SFR & ATT GARAGE 1962 SF. 4 BEDROOMS. SEWER CAP INCLUDED
Legal Desc.: N TR 1090 LOT 29
Owner:
POMA VICTOR
Address:
404 BELVUE LN
NEWPORT BEACH, CA 92661
Phone:
Applicant:
CLAYTON BUILDERS INC
Address:
250 LUGONIA ST
NEWPORT BEACH CA 92663
Phone:
949-279-5910
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R3IU
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Construction
Building Permit Fee: $120.00
Plan Check Fee: $0.00
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: $2,285.80
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
CLAYTON BUILDERS INC
Address:
250 LUGONIA ST
NEWPORT BEACH CA 92663
Phone:
949-279-5910
Con State Lic:
846631
Lic Expire:
09/3012022
Bus Lic:
BT30043010
Lic Exp Date:
0413012021
Worker's Compensation Insurance
Carrier: EXEMPT
Policy No: NO EMPLOYEES
Expire:
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: /
Left: /
Right: /
'arking Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$120.00
$0.00
$0.00
$10.80
Architect:
Address:
Phone: State Lic:
Engineer: /�,P
Address: 13.
Phone: State L' . �J�_
Designer:
Address:
Phone:
Special Conditions: JDAUL
Planning Department -
Plan check Fee:
Fair Share
SJH Trans:
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$0.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$26.00
General Service
$316.00
Refund Deposit
$1,692.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $2,285.80
0 0 0 -PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
o ° a
o o °
o �
I hereby affirm under penalty of perjury that 1 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
'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 (_) 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 it was not built or
nproved 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 legall,
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:/Aw .leginfo.ca.gov/calaw.html.
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 70 T 0 Div Sion 3 of the Business and Professi 05 Q d I ense Is In full force
nd effect. License Class License No f i9ate S Z Contractor Signatu (/�i
IIORKERS' COMPENSATION DECLARATION
'ARNING: 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
DST 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:
] 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 th
erformance of the work for which this permit is issued. Policy No.
JI 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' compensatioi
nsurance carrier and policy number are:
ier - Policy Number Expiration Date
oIA gent Phone #
�I c ify that, in the performance of [h o k 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 ogre
hat, if I should become subje t to th rk mp n pro sons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I� / 7
ture of AD�licant
DECLARATION REGARD G C NSTRUCTION LE ING CY lll�����
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
3y 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 onfinapeps and st I s rel tin to building construction.
I authorize representatives of this city or county tc,en e b ' le rop for inspection purposes.
Signature of Property Owner or Authorized Agent; Print Property Owner's or Authorized Agent's Na Date
ACTION DATE BY DECLARATION OF COMPLIAN ITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
CERTIFIC4TEOF
OCCUPANCY ISSUED
I SUBMITTED ASBESTOS NOTIFICATION
NOT
TO
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