HomeMy WebLinkAboutX2022-1553 - Permits'�hµ•fr�¢r City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
` fry Permit Counter Phone (949)644-3288
��.,.,. Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIN II COMB Permit: X2022-1553
x 2 0 2 2 1 5 5 3' Project No : 1413-2022
Issued Date : 0610112022
Inspection Area : 1
PERMIT EXPIRES 160 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: 48 BALBOA COVES NB
Description: SFR (2) NEW ATTACHED PATIO COVERS 672 SF, GASLINE TO REAR YARD 8 ELEC
Legal Desc.: N TR 1011 LOT 48 j•'3� '� `�,% 3
Owner:
SIEGEL RICHARD E
Address:
48 BALBOA COVES
NEWPORT BEACH, CA 92663
Phone:
Applicant:
CEBALLO MIGUEL
Address:
12881 KNOTT ST #207
GARDEN GROVE, CA 92841
Phone:
951-494-2772
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: AEB
Building Permit Fee: $389.00
Plan Check Fee: $267.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$3.90
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $776.14
PROCESSED BY:
ZONING APPROVAL:
Contractor:
PACIFIC PAVERS
Architect:
Address:
1261 N LAKEVIEW AVE UNIT J717
Address:
ANAHEIM, CA 92807
Phone:
(714) 718-3970
Phone:
State Lie:
Con State Lie:
1005154
Engineer:
PUTNAM CARL MATTHEW ' - -
Lie Expire:
07/31/2023
Address:
3441 IVYLINK PIL
Bus Lie -
BT30078865
LYNCHBURG VA 91926
Lie Exp Date:
05/31/2023
Phone:
434-384-2514 State Lic:C-068139
Worker's Compensation Insurance
Carrier: CLEAR SPRING
Policy No: CWC00088400
Expire: 08/06/2022
Building Setbacks Rear:
15 WATER
Front:
5 BC
Left:
4
Right:
4
Use Zone:
Designer:
Address:
Phone:
Special Conditions: LIQUEFACTION
FLOODZONE
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:
$0.00
Park Dedication :
$0.00
PIN Plan Check :
$0.00
Electrical %:
$27.23
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$35.01
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $776.14
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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
ie 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 U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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 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
pply 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).
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 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
rofessions Code, is available upon request when this application is submitted or at the fallowing Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Prooert" Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) of Division 3 of the Business and Prof ions Code, and my license is in full force
od eifect. Uren3e Ciass License No Date 9 1 a Contractor Signatur
VORKERS' COMPENSATION DECLARATION
'ARN11,19: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND D THO SAND DOLLARS ($100,000(, IN ADDITION TO THE
OST OF COMPENSA1I014, nAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm uridei penalty of perjury one of the following declarations:
I have and .v:11 i,iaiatain 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 IN
erformance of the work for which this permit is issued. Policy No.
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'
carrier and pc;icy number are:
Policy Number
cr Agent _ _ _
Date
I certify that, in the performance of the work forwhich 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
t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
(nature of Applicant Date eC1o, /z 2
CLARATION I G OADTN44ONSTRUCTION LENDING AGENCY
sreby affirm or penalty Verjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Cm 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 owners behalf.
1 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 to enter the above -identified property for inspection purposes.
ACTION DATE BY I S-G LATIONS PARTFRA-TION OF 061 O TTLE 40 AND AQMD RULE MPLIANCE WITH CODE OF
I FOR OFFICE USE ONLY
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
EPA
PERMIT EXTENDED
AQMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
BESTO NOTIFICATION IS NOTAPPLICABLE TO
PROPO D OLITION
SIGNATURE