HomeMy WebLinkAboutX2021-0023 - Permits" v City'VocNewenterDportBeaNewporteha-Building Division IIII�IIIIIIIIUICA 926600IIB�1�II�IItlI00l3l�llll POMBDermit2022021-0023
Permit Counter Phone (949)644-3288
c`i... Inspection Requests Phone (949)644-3255
Issued Date : 01/05I2021
Combination Type - SFP ELEC MECH PLUM
Inspection Area: 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0110612024 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: 2037 OCEAN BLVD NB
Description: SFR WATER DAMAGE REPAIR. KITCHEN & 2 BEDROOMS. APPROX 158 SF *Stop work-120-3867'
Legal Desc.: N TR 518 BLK D LOT 22
Owner:
JAMES FAMILY TRUSTIEL-MOUSSA T
Contractor:
BC HOME BUILDERS Architect:
Address:
2037 OCEAN BLVD
Address:
3202 W WARNER AVE Address:
NEWPORT BEACH, CA 92661
SANTA ANA CA 92704
Phone:
Phone:
714-754-0709 Phone: State Lic:
Applicant:
BATTRES ISRAEL
Con State Lie:
940362 � �� Q g'ON WORK
Address:
3202 W WARNER AV
Lie Expire:
05131/2021 drib
SANTA ANA CA 92704
Bus Lie:
BT30072996
Phone:
714-599-4991
Lie Exp Date:
09130/2021 Phone: r State Lie:
Code Edit:
2019
Type of Construction:
V-B
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
2
No of Units:
1
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
X
Construction Valuation: $30,000.00
Building Permit Fee: $559.00
Plan Check Fee: $486.33
Overtime Plan Ck:
$0.00
Investigation Fee:
$559.00
Record Management:
$10.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$2.00
TOTALFEE:
0 B E
PROCESSED BY.'
ZONING APPROVAL:
Worker's Compensation Insurance
Carrier: CYPRESS INS CO
Policy No: BCWCO21844
Expire: 12126/2021
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: I
Front: /
Left: /
Right: /
'arkino Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$39.13
$22,36
$50.31
Plan Check Fee
ON e i . r'19AY ARNERAV f'1 SANTA ANA CA 92704
Phone:
Special Conditions: High density form rec'd
120-3867 _
E8g �rOR
Fire Hazard Zone : N
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
$46.25
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $1,774.38
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:i
GRADING AlP?RQVrAL: �, APPROVAL TO ISSUE:
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OWNER -BUILDER DECLARATION c
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)
ction 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
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
fessions 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
more than rive hundred dollars ($500). ,
LJ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the 1
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through emp
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completi(
improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bun
'apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pul
11 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
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I under:
Professions Code, is available upon request when this application is submitted or at the following Web site:http:/lwww.leginfo.c
.Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0)
and effect. License Class License No Date 7_ if Q�
k, and the structure is not intended or offered for sale (Section 7044,
ees' or personal effort, builds or improves the property, provided that the
the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
to completion of the improvements covered by thi
that a copy of the applicable law, Section 7044 of
Date
and
he Business and Pr_ or7sio Code, and i in I force
_ Contractor Signs uu t
VORKERS' COMPENSATION DECLARATION
FARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FOES 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 thl
ormve and will maintain workers compensation insurance,
of the work for which this permit is issued. Policy No.
as required by Section 3700 of the Labor Code, for the perfo ante of the work for which this permit is issued. My workers' compensatior
Jsu ce carder and policy number are:
:.I. r Policy Number _._ Expiration Date
is of Agent Phone #
certify 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 agrer
if I should become subject t he workers' o afien-I ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
X rt j1 I e'�
lature of Applicant _ �✓
:r ARATInN PPr A n� flWa'T nucTDI ICT1nN I ourour eroury VG
neby 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 la in o building construction.
I authorize representatives of this city or county t, enlkthe above-k nfiP, ���rope 'Rs�pection purposes. A/ --117_ I n
Signature of Property Owner or Authorized Age_
t Property Owner's or Authorized Agent's Na C>M 1(i Date
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
L1 I SUBMITTED ASBESTOS NOTIFICATION TO
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PERMITC4NCELLED
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PERMIT EXTENDED
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PERMIT FINAL
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ASBESTOS NOTIFICATION IS NOT A L ABLE
CERTIFICATE OF
P O OSED E OUTIO
OCCUPANCY ISSUED
SIGNATUR
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