HomeMy WebLinkAboutX2020-2133 - Permits4' ¢11t ' City o GNewenter Dport Beach orta- Building Division IIII�IIIIIIII�III�III�IIIIIIIIUIIIIIIIIUIII�III�IIII COMB Permit: X2020-2133
100 Permit Counter Phone (949)644-3288
Project No : 1709-2020
ui - - Inspection Requests Phone (949)644-3255
'r ts.�a++�a Combination Type - SFP ELEC MECH Issued Date: 10/1512020
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1011612023 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 Sure a i s l®
Job Address: 56 BALBOA COVES NB 111�1 C
Description: SFR - CREATE BDRM 130 SF
Legal Desc.: N TR 1011 LOT 56
Owner:
SBISA LUCA & LAUREN
Address:
56 BALBOA COVES
NEWPORT BEACH, CA 92663
Phone:
949-325-4418
Applicant:
AUST ERIC
Address:
62 BALBOA COVES
NEWPORT BEACH CA 92663
Phone:
949-637.5220
Code Edit: 2019
Type of Construction: VB
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: Aelx
Building Permit Fee: $263.00
Plan Check Fee: $228.81
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$4.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
Contractor:
C JONES & CO
Address:
PO BOX 2946
COSTA MESA CA 92628
Phone:
714-668-1190
Con State Lie:
1064530
Lie Expire:
0313112022
Bus Lie
BT30073234
Lie Exp Date:
10/3112020
Workers Compensation Insurance
Cartier. STATE FUND
Policy No: 9273551
Expire: 03/26/2021
Building Setbacks Rear: /
Front: I
Left: /
Right: I
Architect: AUST ERIC
1
Address:A .:-6 � G'2T B0 Y WORK
Phone: 949-637-5220 d��AS�ate Lic:C0i29t3774
Engineer.....
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee :
$92.50
Grading Bonds Fee:
$0.00
Fair Share:
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
WO Insp. Fee:
$0.00
Park Dedication : $0.00
P/W Plan Check: $0.00
Electrical W
$18.41
San Dist: $945.00
Mechanical %:
$10.52
NMUSD Fee: $0.00
Plumbing %:
$0.00
ON SATY1R®AYSic: S ate L
Fire Department
Fire Inspection:
Fire Plan Rev
Demolition Fee
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
11 TOTAL FEE: $1,563. Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,563.24
PROCESSED BY: V PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
1 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, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
:he 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
iot 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, throur�h employees' or personal effort, builds or improves the property, provided that the
mprovements 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
mproved for the purpose of sale).
❑ 1, 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 legall)
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 ot� 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.govfcalaw.htmi. I
Signature of Property Owner or Authorized Agent Dale
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se 'on 7000� f Divi ion 3 of the esand Professions and my license is in full force
and effect. License Class License No to Id ontfacto signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECYRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PE ALTIES AND CIVIL
FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE
COST OF COMPENSAT ,%AMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
1Il1e rebyef firm under penalty of perjury one of the following declarations:
0 1 have and ?,;:waintatn a certificate of consent to self -insure for workers' compensation, issued by the Director) of Industrial Relations as provided for by Section 3700 of the Labor Code, for lh
g@Hpir grace of the work for which this permit is issued. Policy No.
r%'17kr-Chave and wilFinaimain workers' compensation insurance, as required by Section 3700 of the Labor Code, for they performance of the work for which this permit is issued. My workers' compensation
are:
Policy Number
Date
the performance of tDP work for which this permit is issued, I shall not employ any person in any manner so as to become subject to
o 4*.%ubject tD t oarscompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi(
natereofApplicant-- _ -
G6AAATIO%A95RDI G CONSTRUCTION LENDING AGENCY
rreby affirm unb9i"Penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
Ider's Name Lender's Address
my signature below, 1 certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
1 agree to comply with all applicable city and county ordina f and state laws relatiny_to building construction.
I authorize representatives city or county to -identified property for inspection purposes.
mature of Property Owner or,blt rardl d-Agent Print Property Owner's or Authorzed Agent± DFafi1e C f$s
compensation laws of California, and
is I Zoo
Civil Code).
ACTION DATE BY_ --- --I DECLARATION REGULATIONS OF COMPLIANCE WITH T 61 OF TE 40AANDDE OF FEDERAL I FOR OFFICE USE ONLY --�
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
1403
I SUBMITTED ASBESTOS
NOTIFICATION IyNOTOPLICABLE TO