HomeMy WebLinkAboutX2020-2901 - PermitsCity of Newport Beach - Building Division II�III�IIIIIIIIVIIIulll�llllllll�lll�llllllll� II COMB Permit: X2020-2901
A 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2846-2019
Permit Counter Phone (949)644-3288
s3 - Inspection Requests Phone (949)644-3255
Combination Type - BLDG PLUM Issued Date: 12114/2020
Inspection Area : � j'
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 12/15/2023 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: 710 AVOCADO AVE NB
Description: DEMO DUPLEX. 1309 SF, 3 BEDROOMS. SEWER CAP INCLUDED
Legal Desc.: N TR 682 LOT 7
Owner:
PAINTER ROBERT/DEBORAH
Address:
730 AVOCADO AVE
CORONA DEL MAR, CA 92625
Phone:
Applicant:
ENGLISH SCOTT GC
Address:
1561 ORCHARD DRIVE
NEWPORT BEACH CA 92660
Phone:
949-355-6228
Code Edit :
Type of Construction:
Occupancy Group:
Added ]New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units: 2
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Contractor. ENGLISH SCOTT GC
Address:
1561 ORCHARD DRIVE
NEWPORT BEACH CA 92660
Phone:
949356.6228
Con State Lic:
784484
Lic Expire:
09/30/2022
Bus Lic:
BT30056763
Lic Exp Date:
10/31/2021
2019 Worker's Compensation Insurance
V-B Carrier
WIC EXEMPT
R3/U Policy No:
(NO EMPLOYEES)
0 Expire:
0
Building Setbacks
Rear: I
Front: /
Left: /
Right: I
Use Zone:
Parkinn Snacne n
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:
Architect:
GOETZANDREW
Address:
2855 E COAST HWY #234
CORONA DEL MAR CA 92625
Phone:
949-673.3152 State Lic:C018499
Engineer:
Address:
Phone: g $'
Designer:
Address:
PhoNO CONSTRUCTION WORK
Special Conditions: WASTE MGMT
O
N SATE➢AbAys
Fire Hazard Znne - N
Excise Tax:
$0.00
Planning Department -
Additional Fee :.
$0.00
Plan check Fee:
Grading Bonds Fee:
$0.00
Fair Share :
Grading PC Consultant:
$0.00
SJH Trans :
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$120.00
Park Dedication :
$0.00
PAN Plan Check:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing W
$10.80
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
PUBLIC WORK<APPR
9
O O O O O O
V o PaN CHE@K BY':
APPROVAL TO, ISSUE:
0
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oy w ova
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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 mason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
action 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
ifessions 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 five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions
usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throu
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of o
nproved for the purpose of sale).
1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section A
pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra
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 o
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors.
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/lwww.l,
',ignature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00
nd effect. License Class License No
PORKERS' COMPENSATION DECLARATION C
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PI
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 Direct
erformance of the work for which this permit is issued. Policy No.
:1I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for tF
isurance carder and policy number are: --
farrier _ Policy Number
of Agent
Ify that, in the performance of
should become subject to
ore of Applicant y�
,hich this ggpilis issued, I shall not employ any person in any
n pro ' ns of Section 3700 of the Labor Code, I shall
rreby affirm under penalty of perjury that them is a construction lending agency for the performance of the work f
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 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 ordm Acۤ and at
relating to building construction.
I authorize representatives of this city, or cou0ty to � -Iden' '
property for inspection purposes.
inature of Property Owner or Authorized Agent i
Print Property Ownel
work, and the structure is not intended or offered for sale (Section 7044,
ployees' or personal effort, builds or improves the property, provided that the
on, the Owner -Builder will have the burden of proving that it was not built or
Business and Professions Code: The Contractors' State License Law does not
pursuant to the Contractors' State License Law).
e year prior to completion of the improvements covered by this permit, I cannot
understand that a copy of the applicable law, Section 7044 of the Business and
1 3 of the Business and Profepss}'� g�Effde d m tic sin full force
Contractor Signature V .19
1-0
✓�c
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE
of Industrial Relations as provided for by Section 3700 of the Labor Code, for
performance of the work for which this permit is issued. My workers'
Date
so as to become subject to the workers' compensation MOT alifornia, and agree
1 comply with those provisions.
Dat�
1 this permit is issued (Section 3097, Civil Code).
Authorized
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 IJ 1 SUBMITTED A5BESTO6 N(;[ rFILA 11L W.I
PERMITCANCELLED EPA • �.
PERMIT EXTENDED • • • • . . .
PERMITFINAL ASBESTOS NOTIFICATION IS NOTAPPLICABtE TO
CERTIFICATE OF PROPOSED DEMOLITION
•..
OCCUPANCVISSUED SIGNATURE: • e
s e ° • e
e e e