HomeMy WebLinkAboutX2020-0270 - Permitsrywtvp City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
�� dt 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 2 7 09
H n Permit Counter Phone (949)644-3288
�3 @ Inspection Requests Phone (949)644-3255 NO CONS V RUCMN WORK Combination Type - BLDG
COMB Permit: X2020-0270
Project No: 0217-2020
Issued Date: 10123/2020
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1012412023 OR PERMIT WILL BE INV,
Construction Hours: Monday - Friday7:00 a.m. to 6:30pp P2d�a$grglfyfiropt pQ a.m, to 6:00 p.m. No work on Sundays or Holidays
Job Address: 1610 E BALBOA BLVD NB VO��VV t8 �� UU1RIIIJ/A aa97
Description: NEW BLOCK WALL 6' x 105 LF & 1V x 110 LF
Legal Desc.: BALBOA TR EAST SIDE ADD LOT 16 BLK 25 AND LOT 17 BLK 25
Owner: 1610 EAST BALBOA PARTNERS
Address: 1000 CENTURY PARK E#800
LOS ANGELES CA 90067
Phone
Applicant:
OLDHAM RYAN
Address:
2651 E CHAPMAN AVE #110
FULLERTON CA 92831
Phone:
714-482-8296
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories:
No of Units
Bldg Height:
Bldg Sprinklers:
Flood Zone:
Contractor: O WN ER/BLDR
Address: MARSZALEK KRZYSZTOF
Phone: 626-203-1403
Con State Lie: Ole
Lie Expire:
Bus Lic:
Lie Exp Date:
2019
0
0
0
Worker's Compensation Insurance
VB
Carder:
U
Policy No:
0
Expire:
0
Building Setbacks
Rear: 5
Front: 5
Left: 3
Right: 3
X-0.2
Use Zone:
Parkina Spaces
Building Permit Fee: $1,046.00
Plan Check Fee: $455.01
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 :
$3.00
TOTAL FEE: $1,550.26
ZONING APPROVAL:
GRADING APPROVAL:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
Architect: OLDHAM RYAN
Address: 2651 E. CHAPMAN AVE #110
FULLERTON, CA 92831
Phone:
714-482-8296 State Lic:CO29715
Engineer:
WORTHINGTON DAVID
Address:
375 C MONTE VISTA AVE
COSTA MESA CA 92627
Phone:
949-642-9309 State Lic:GE-02124
Designer:
Address:
Phone:
Special Conditions: LIQUEFACTION AREA
HIGH DENSITY
Fire Hazard Zone : N
Planning Department -
Plan check Fee:
Fair Share:
SJH Trans :
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PNV 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 : $1,550.26
PL•BLIC WORKS APPROVAL: A
PLAN CHECK BY:
APPROVAL TO ISSUE:
!/)
m
!0,
-1
0
X
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)
3eclion 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
1e 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
'rofessions 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 (_) 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
IRr ents 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 or the purpose of sale).
K I, a wrier 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
o 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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't has 96t been constructed in'ts 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 whe t ap ati s submitted f wing Web site:http://www.leginfo.ca.govfcalaw.html.
'signature of Property Owner or Authorized Agent Date 2Ca
ICENSED CONTRACTOR'S DECLARAT N
hereby affirm under penalty of perjury that I a icensed under provisions of Chapter 9 (commencing with Section '"- of Division 3 of the Business and Professions C de, and my Ilcense is in full force
nd effect. License Class License No Dar- Contractor Signature
IIORKERS' COMPENSATION DECLARATION
'ARNING: 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 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 thI
erformance of the work for which this permit is issued. Policy No.
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'
rance carrier and policy number are:
Policy Number
Date
ame of Agent Phone #
I 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 became subject to the workers' compensation laws of California, and agree
1 , if I should become subject to the workers' co/r�pennsation provisiioons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �y/� /%�j n / �✓7
ignature of Applicant( E/'-�s�r .!/ L� `7a. D Z_4
DECLARATION REG G CO STR ON LENDING AGENCY
hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued_ (Section 309 Civil Code).
ender's Name Lender's Address
3y 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. r
I agree to comply with all applicable city and county ordinances and state laws relati to building construction. /�
I authorize representatives of this city or county to enter a above-identifie rD for 1 spection purposes.
AZsignature of Property Owner or Authorized Agent it Print PropertOwners or Authorized Agent's Nam
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL L J _ZJ
CERTIFICATE OF
OCCUPANCYISSUED
SUBMITTED ASBESTOS NOTIFICATION
LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
Dgvw, L-7 1`�V� el
a
�
�
�
o
4
f�
O
�
F
Cob
g
a
2
�
cn
o
y
p
a
m
o
to
2
o
~
0
o.
0
N
vo�o
Nma�
■ a
N
TO
N
Z
m
m
O
0
N
O_
0)
I
rn
a
O
i
Cb cn
ALLEY
N89'5925"W 194.96' (194.95RI,
15, L 1 FI LT 1 179.96' 1(180.00 R2)
zl I I
BLOCK
2 ff
o
v
2
o
f A�1' MEi
i 270 TFIB
i s 841L9K14
a
=COI
mai
�
i� � ^IO
i.
�u�I
�I1
O
tiles
�i�
a
I�
�m
�1
to
�I m
1J9ul
4120
to
60.01'
ro
0
L1
L1
o'
0
T�L'l'
o
a
Rtl 120.00.' (M&R R3),
30.00 30.00,
210.00'
N90'00'00 £ BASIS OF BEARINGS 330.00' _
SURVEY 11NE---�- BAALBOA BOULEVARD
mam2
y.
a.
2.
as
4n
oa
on
��
Ana
m
�d
im
am
iom
D
a��cnia���a
a=o���omo
mma
Op��
WO
m
a
m
r
A
r A
Nm
m
A
oaa
"
Zp
c
a
\
��
tia
N
o�p
rAi�
�O
Ny
Oy
�
m
C
N
m m
Zj
0
2
20
Ll
n
m
a � is
0
R 1. 129.IL R3 _
c.,
OO O ®O OOOo O•
Aoci$�; m� a2cta��� P]o Az
T�o2o 0
n �2=a mna
prl1c- y
y n�Z vl n(A1
2C Mio'y�'ye
A���ArlAVy pti rr,m por 2
�yin
Oyp a 1 2 h
2 L. cn �p � �m �
Sr .i e�0 a A �r �'i 'CII �a- �p y
nj
ORy "2'a� 02 n� 2 �9.�'ia 0� L',
r2�, A2. oiyo n
a `moo xa� ag o"a A�w "`: o
00 ti �mw AC Ln
❑
rn
a
n
ry rn
O
S
N
R
O °
M �
N
a
n
b
a
°
�
'o
n
a
bN
a
ti
7
R
m
�
R
c
n
a
<
p'
cro
n
�
�
o
y
n
M
ru
S
N
r
u
< R y
a -I
�
°
G'g
-•n
SAD
0 0
°
°O �
C. �. � N
� fn•
n n
cn, o•
w 5 �
o r^o
O W
O n w
n _
n w N
N
G
n
N (p •y
y
n n
In
3
a n
c s
n n
0 7
w p m
�• o
'o
n o
w C
a
O
a
�<
o
R
o
°
N
G
� �
7 •ap
y
O
�N O
dS
O
O
O
n 0
n
n
m
❑ �
O
F
oil
�[v
�Q
' C—
D' L
N p
0=xzr
dInO
°Z�
C
m Cz
M;z
y
o
D
N
m
\ 1
N Z
H
c0D°
VI
e�
I
r
20'
II II
II II
n
_� LL--T
II
II 7i
IL----=
O
LI�
L JJ lI
y
I Tf�
Gj
m
r11 III
I I I II I I I I
m
I r
z
Q
A w`
m 4
m