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Home My WebLink AboutX2022-1598 - Permits++r City of Newport Beach - Building Division .'G 100 Civic Center Drive, Newport Beach, CA 92660 w Permit Counter Phone (949)644-3288 7.. .9r Inspection Requests Phone (949)644-3255 °�trs,aua Combination Type - BLDG IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1598 x 2 e 2 2 1 5 9 8 Project No : 0220-2021 Issued Date: 06/07/2022 Inspection Area : 1 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: 1600 E BALBOA BLVD NB Description: SFR BLOCK WALLS - @ REAR OF PROPERTY - 2'11" X 29'. @ FRONT OF PROPERTY 2'11" X 53' BOTH ON P/L Legal Desc.: BALBOA TR EAST SIDE ADD BLK 25 LOT 12 Owner: GALVEZ KRISTINA & OSCAR Contractor: CARHARTT DEVELOPMENT INC Architect: Address: 1600 BALBOA BLVD E Address: 11511 GARFIELD AVE Address: NEWPORT BEACH, CA 92661 SOUTH GATE CA 90280 Phone: 562/686-1188 Phone: 323-997-3282 Phone: State Lic: Applicant: RODRIGUEZ JUAN Con State Lic: 1038864 Engineer: Address: PO BOX 2064 Lic Expire: 0513112024 Address: SOUTHGATE CA 90280 Bus Lic: BT30075117 Phone: 323-997-3282 Lic Exp Date: 04/30/2023 Phone: State Lic: Code Edit : 2019 Worker's Compensatio I urance Designer: Type of Construction: Carrier: $- _ Address: Occupancy Group: U Policy No: Added /New sq.ft. Bldg: 0 Expire: ) / ! F1'Fe: Added /New sq. ft. Garage: 0C No of Stories: 0 Building Setbacks Rear: 5' Specia ions: CORNER PROPERTY No of Units : 1 Front: WALLS DO NOT BORDER Bldg Height: 0 Left: N ��qq �� ANOTHER NEIGHBOR Bldg Sprinklers: �� Right: 3' VV� Flood Zone: Use Zone: R-1 Parkin Spaces: 0 Eja Hazard Zone : N Construction Valuation: $8,570.00 Building Permit Fee: $229.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $199.23 Additional Fee : $0.00 Plan check Fee : $52.00 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: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 �^a Building Green Fee : $1.00 Mechanical %: Plumbing %: $0.00 NMUSD Fee: $0.00 $0.00� @ .� L-�a./ $0.00 $0.00 TOTAL FEE: $481.23 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $481.23 PROCESSED BY: u s " 4 11P6t.BPIC WORKS, APPROVAL: ' ZONING APPROVAL: 1U� `b }PLAN CHF.QIC BY: W GRADING APPROVAL: APPROVAL TO ISSUE: v a �o 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). ❑ 1, 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, Business and Professions Code: The Contractors' State License Law does not apply toan 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-Builderwill 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 legal) 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 7000 o D'vi iq;l;of the Business and Profes ions Co e, a d y license is in full force and effect. License Class License No D%} G Contractor Signature WORKERS' COMPENSATION DECLARATION.. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH USAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 performance of the work for which this permit is issued. Policy No. ❑1 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' compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date Nam of Agent Phone # c rtify that, in the 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 agre at, I should become subject to the TAR compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /�}) �'7 % Signature of Applicant 7l D Vvl�—/—! Z DECLARATION REGARDING CO RR C 4ON LEND AGENCY I 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). Lender's Name Lender's Address By 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 t 'terthe above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name LJj.Zan Date 7 Z ACTION DATE BY -DECLARATIOreX COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED 0 (SUBMITTED ASBESTOS NOTIFICATION TO �• PERMITCANCELLED EPA • > PERMITEXTENDED LJAQMD • • •„•• PERMITFINAL .J %j ASBESTOS NOTIFICATION IS•NOT APPLICABLE TO CERTIFICATE OF Z U(7/a `_ PROPOSED DEMOLITION OCCUPANCYISSUED .•Y SIGNATURE: • •••