HomeMy WebLinkAboutX2020-0909 - Permitsto City of Newport Beach - Building Division
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COMB Permit: X2020-0909
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*` 100 Civic Center Drive, Newport Beach, CA 92660
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Project No: 0639-2020
N Permit Counter Phone (949)644-3288
v - Inspection Requests Phone (949)644-3255
Combination Type - BLDG PLUM
NO
Issued Date: 05/1812020
CONSTRUCTION ��I(0: E Inspection Area:,
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 1616 W OCEAN FRONT NB
Description: DEMO TRIPLEX 3413 SF (31311 BDRMS)
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Legal Desc.: NEWPORT BEACH SEC B BLK 16 LOT 8
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Owner: SMITH 507 LLC Contractor:
J L G C
Architect:
Address: 1612 W OCEAN FRONT Address:
28885 WOODSPRING CIR Address:
NEWPORT BEACH CA 92663
TRABUCO CANYON CA 92679 r ¢1
Phone: 714-305-2861 Phone:
714-305-2861
Phone: - State Lie:
,D
Applicant: LAUGHTON JULIE Con State Lie:
903819
Engineer:
Address: 28885 WOOD SPRING CIR Lie Expire:
0913012021
Address:
TRABUCO CANYON CA 92679 Bus Lie:
BT30021002
Phone: 714-305-2861 Lie Exp Date:
1013112020
Phone: State Lie:
Code Edit: 2019 Worker's Compensation Insurance
Designer: LAUGHTON JULIE
Type of Construction: VB Carrier:
STATE FUND
Address: 28885 WOODSPRING CIR
Occupancy Group: R211.1 Policy No:
9031570
TRABUCO CANYON CA 92679 _
Added /New sq.ft. Bldg: 0 Expire:
11/01/2020
Phone: 714-305-2861
Added /New sq. ft. Garage: 0
No of Stories: 2 Building Setbacks
Rear: 0
Special Conditions: ROBERT WASTE
No of Units : 3
Front: 9
HIGH DENSITY ZONE
Bldg Height: 0
Left: 3
LIQUEFACTION AREA
Bldg Sprinklers: -
Right: 3
Flood Zone: X Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $100,000.00
Building Permit Fee: $103.00 Excise Tax:
$0.00
Planning Department - Fire Department
Plan Check Fee: $208.00 Additional Fee,
$0.00
Plan check Fee : $90.00 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: $8.00 Grading Permit Fee:
$0.00
In -lieu Housing Fee: $0.00 Building Dept Adm $26.00
Energy Compliance: $0.00 Grading PC Fee:
$0.00
Public Works Department - General Service $210.00
CA Seismic Safety: $0.00 WQ Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit $1,692.00
Disabled Access: $0.00
PNV Plan Check: $0.00 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %:
$0.00
San Dist: $0.00
Building Green Fee : $4.00 Mechanical %:
$0.00
NMUSD Fee: $0.00 $0.00
Plumbing %:
$9.27
$0.00
TOTAL FEE : $2,350.27 Plan Check Fee:
$0.00 Fee Due at Permit Issuance : $2,350.27
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PROCESSED BY: `�
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PUBLIC WORKS APPROVAL:
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: °;" ° °
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APPROVAL TO ISSUE:
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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) 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
le 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
y 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 70 1 ' ' f the Business and Pro fe ,(d I _Vi Is in full
nd effect. License Class License No Date Contractor Signature -- _
I/ORKERS' COMPENSATION DECLARATION
DARNING: 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 ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
bmlance of the work for which this permit is issued. Policy No.
have and will main 1 workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
rance carrier and p lic:umber are:
le of Agent 1� I &W 1
certify that, in the performance of the work for which this
if I should become subj ct to the worker, s;xG ensati'd,
iatureof AoDlicant_.<%
Date
I shall not employ any person in any manner so as to become subject to the workers' compensatign laws f California, and agree
�`c - of the Labor Code, I shall forthwith comply with those provisions. I /�
hereby affirm under pe f perju _ . re is a construction lending agency for the performance of the work for wbibh_thj$ permit is issued (Section 3097, Civil Code).
.ender's Name - Lenders Address
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners 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 an sr✓F acing to building cons 'on.
I authorize representatives of this city or county t enter t ve-identified property for inspection as.
signature of Property Owner or Authorized Agen roperty Owners or Authorized Agent's Nam
ACTION DATE BY -EC IIF CE WITH CODE OF FEDERAL FOR -OFFICE - USE ONLY
/ U RT 61 OF TITLE 40 AND AQMD RULE _ -
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